Service user and staff acceptance of fetal ultrasound telemedicine
| Autor: | Elaine Bidmead, Vikki Joanne Smith, Alison Marshall, Stephen C. Robson, Mabel Lie |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Telemedicine
prenatal 020205 medical informatics patient satisfaction Health Informatics 02 engineering and technology lcsh:Computer applications to medicine. Medical informatics computer.software_genre B700 B800 Z727 03 medical and health sciences 0302 clinical medicine Patient satisfaction Videoconferencing Health Information Management videoconferencing Health care Z729 0202 electrical engineering electronic engineering information engineering Delivery of health care 030212 general & internal medicine remote consultation diagnostic services Service (business) Remote Consultation Medical education Data collection prenatal diagnosis Case Study business.industry Health Policy rural hospitals ultrasonography teaching Computer Science Applications lcsh:R858-859.7 Business pregnancy Thematic analysis hospitals computer |
| Zdroj: | Digital Health Digital Health, Vol 6 (2020) |
| ISSN: | 2055-2076 |
| Popis: | Objective We present qualitative findings from interviews with frontline clinicians and service users of a fetal telemedicine service. Methods Semi-structured interviews with clinical stakeholders and service users were conducted, undertaken as part of a service evaluation. Data collection was undertaken by different teams, using interview schedules aligned to independent evaluation aims. Data were subjected to thematic analysis. Results Sonographers reported four main challenges: delivering a shared consultation; the requirement to resist scanning intuitively; communications during the scan; and restricted room space. Notwithstanding, all clinicians reported that participating women were accepting of the technology. Service users reported few concerns. The main benefits of fetal telemedicine were identified as upskilled staff, increased access to specialist support and improved management of complex pregnancies. Convenience was identified as the main benefit by service users, including savings in time and money from not having to travel, take time off work, and arrange childcare. Conclusions Service users and clinical stakeholders were accepting of the service. Service users reported satisfaction with communications during the consultation and awareness that telemedicine had facilitated local access to clinical expertise. Whilst clinical stakeholders reported challenges, the iterative nature of the evaluation meant that concerns were discussed, responded to, and overcome as the pilot developed. Clinical stakeholders’ perception of benefits for service users encouraged their acceptance. Moreover, the evaluation established that fetal ultrasound telemedicine is a viable method to access expertise safely and remotely. It provided demonstrable evidence of a potential solution to some of the healthcare challenges facing rural hospitals. |
| Databáze: | OpenAIRE |
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