Geraldine Wilson1, Olivia Currie1, Susan Bidwell2, Baraah Saeed3, Anthony Dowell4, Andrew Adiguna Halim5, Les Toop6, Ann Richardson7, Ruth Savage8, Ben Hudson9. 1. General Practitioner, Senior Research Fellow, Department of General Practice, University of Otago, Christchurch. 2. Senior Research Fellow, Department of General Practice, University of Otago, Christchurch. 3. Medical Student, University of Otago, Christchurch. 4. Professor of Primary Health Care and General Practice, University of Otago, Wellington. 5. Analyst, Pegasus Health (Charitable) Limited. 6. Professor of General Practice, Department of General Practice, University of Otago, Christchurch. 7. Retired, Professor of Public Health. 8. Senior Lecturer, Department of General Practice, University of Otago, Christchurch. 9. Senior Lecturer Department of General Practice, University of Otago, Christchurch.
Abstract
AIM: The primary care response to the coronavirus disease 2019 (COVID-19) pandemic in early 2020 required significant changes to the delivery of healthcare by general practices. This study explores the experiences of New Zealand general practice teams in their use of telehealth during the early stages of the COVID-19 pandemic in New Zealand. METHOD: We qualitatively analysed a subtheme on telehealth of the General Practice Pandemic Experience New Zealand (GPPENZ) study, where general practice team members across the country were invited to participate in five surveys between 8 May 2020 to 27 August 2020. RESULTS: 164 participants enrolled in the study during survey one, with 78 (48%) completing all surveys. Five telehealth themes were identified: benefits, limitations, paying for consults, changes over time and plans for future use. Benefits included rapid triage, convenience and efficiency, and limitations included financial and technical barriers for practices and patients and concerns about clinical risk. Respondents rapidly returned to in-person consultations and wanted clarification of conditions suited to telehealth, better infrastructure and funding. CONCLUSION: To equitably sustain telehealth use, the following are required: adequate funding, training, processes communicated to patients, improved patient access to technology and technological literacy, virtual physical examination methods and integration with existing primary health care services.
AIM: The primary care response to the coronavirus disease 2019 (COVID-19) pandemic in early 2020 required significant changes to the delivery of healthcare by general practices. This study explores the experiences of New Zealand general practice teams in their use of telehealth during the early stages of the COVID-19 pandemic in New Zealand. METHOD: We qualitatively analysed a subtheme on telehealth of the General Practice Pandemic Experience New Zealand (GPPENZ) study, where general practice team members across the country were invited to participate in five surveys between 8 May 2020 to 27 August 2020. RESULTS: 164 participants enrolled in the study during survey one, with 78 (48%) completing all surveys. Five telehealth themes were identified: benefits, limitations, paying for consults, changes over time and plans for future use. Benefits included rapid triage, convenience and efficiency, and limitations included financial and technical barriers for practices and patients and concerns about clinical risk. Respondents rapidly returned to in-person consultations and wanted clarification of conditions suited to telehealth, better infrastructure and funding. CONCLUSION: To equitably sustain telehealth use, the following are required: adequate funding, training, processes communicated to patients, improved patient access to technology and technological literacy, virtual physical examination methods and integration with existing primary health care services.
Authors: Maaike Meurs; Jelle Keuper; Valerie Sankatsing; Ronald Batenburg; Lilian van Tuyl Journal: Int J Environ Res Public Health Date: 2022-04-22 Impact factor: 4.614