Defining practices suitable for care via teleconsultation in gynaecological and obstetrical care: a French Delphi survey.
BMJ Open
; 14(5): e085621, 2024 May 07.
Article
em En
| MEDLINE
| ID: mdl-38719331
ABSTRACT
OBJECTIVE:
Delineate the scope of teleconsultation services that can be effectively performed to provide women with comprehensive gynaecological and obstetrical care.DESIGN:
Based on the literature and experts' insights, we identified a list of gynaecological and obstetrical care practices suitable for teleconsultation. A three-round Delphi consensus survey was then conducted online among a panel of French experts. Experts using a 9-point Likert scale assessed the relevance of each teleconsultation practice in four key domains prevention, gynaecology and antenatal and postnatal care. Consensus was determined by applying a dual-criteriaapproach:
the median score on a 9-point Likert scale and the percentage of votes either below 5 or 5 and higher.SETTING:
The study was conducted at a national level in France and involved multiple healthcare centres and professionals from various geographical locations.PARTICIPANTS:
The panel comprised 22 French experts with 19 healthcare professionals, including 12 midwives, 3 obstetricians-gynaecologists, 4 general practitioners and 3 healthcare system users. Participants were selected to include diverse practice settings encompassing hospital and private practices in both rural and urban areas. PRIMARY AND SECONDARY OUTCOMEMEASURES:
The study's primary outcome was the identification of gynaecological and obstetrical care practices suitable for teleconsultation. Secondary outcomes included the level of professional consensus on these practices.RESULTS:
In total, 71 practices were included in the Delphi survey. The practices approved for teleconsultation were distributed as follows 92% in prevention (n=12/13), 55% in gynaecology (n=18/33), 31% in prenatal care (n=5/16) and 12% in postnatal care (n=1/9). Lastly, 10 practices remained underdiscussion:
7 in gynaecology, 2 in prenatal care and 1 in postnatal care.CONCLUSIONS:
Our consensus survey highlights both the advantages and limitations of teleconsultations for women's gynaecological and obstetrical care, emphasising the need for careful consideration and tailored implementation.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Técnica Delphi
/
Consulta Remota
/
Ginecologia
/
Obstetrícia
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article