Telehealth and Technology for Diabetes in Pregnancy Clinics: Staff Perspectives from South Auckland, New Zealand.

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES
International Journal of Telemedicine and Applications Pub Date : 2024-03-14 eCollection Date: 2024-01-01 DOI:10.1155/2024/6429519
Megan Singhal, Charlotte Oyston
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引用次数: 0

Abstract

Providing care for patients with diabetes in pregnancy (DiP) provides unique challenges beyond those faced in standard antenatal care or diabetes outside of pregnancy. Teleclinics (use of telephone, email, or other technologies) as an alternative to in-person clinic appointments have become more widely used for care since the start of the COVID-19 pandemic. To understand how teleclinics might be improved for ongoing use, it is important to understand the experiences and perceptions of the clinicians involved in DiP care. Aim. To understand staff experiences of DiP teleclinics and gain their perspectives on if and how teleclinics and other technologies might be best used in the future. Methods. A qualitative study using semistructured interviews of healthcare providers in a large DiP service. Twenty staff members (midwifery, obstetrics, physician, dietician, and administration) were approached to participate. Fifteen staff across 5 specialties consented to be interviewed. Template analysis of interview transcripts was performed, with a focus on 3 themes: collaboration and working together are important for providing care for DiP, a need for flexibility in scheduling and the ability to individualise the way care is provided, and challenges to adapting to new technology. Results. Potential benefits of teleclinics were acknowledged, but respondents also viewed teleclinics as not suitable for all DiP patients due to different needs and risks. Challenges to using teleclinics include establishing good rapport and the current limited infrastructure and patient resources. Conclusion. Healthcare providers viewed teleclinics as a way of supporting rather than replacing current care. Maintaining flexibility in clinic scheduling to allow incorporation of teleclinics into patient's current schedule of visits ad hoc and providing extra technical and administrative support are important considerations for developing a teleclinic service.

妊娠期糖尿病诊所的远程保健和技术:新西兰南奥克兰工作人员的观点。
为妊娠期糖尿病(DiP)患者提供护理是一项独特的挑战,超出了标准产前护理或非妊娠期糖尿病所面临的挑战。自 COVID-19 大流行开始以来,远程门诊(使用电话、电子邮件或其他技术)作为面诊预约的一种替代方式已被更广泛地用于护理。要想了解如何改进远程诊所的持续使用,了解参与 DiP 护理的临床医生的经验和看法非常重要。目的了解工作人员对 DiP 远程会诊的体验,并了解他们对远程会诊和其他技术在未来是否以及如何得到最佳利用的看法。方法。对一家大型 DiP 服务机构的医护人员进行半结构化访谈,开展定性研究。20 名工作人员(助产士、产科医生、内科医生、营养师和行政人员)接受了采访。5 个专业的 15 名员工同意接受访谈。我们对访谈记录进行了模板分析,重点分析了 3 个主题:协作和共同工作对于为 DiP 提供护理服务非常重要;需要灵活的时间安排和提供个性化护理服务的能力;适应新技术所面临的挑战。结果。受访者承认远程会诊的潜在好处,但也认为由于需求和风险不同,远程会诊并不适合所有 DiP 患者。使用远程会诊面临的挑战包括建立良好的关系以及目前有限的基础设施和患者资源。结论。医疗服务提供者认为远程诊所是支持而非取代当前医疗服务的一种方式。保持门诊时间安排的灵活性,以便将远程会诊纳入患者当前的临时就诊时间安排,并提供额外的技术和行政支持,是发展远程会诊服务的重要考虑因素。
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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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