Implementing team-based telemedicine workflows in safety-net primary care.
Am J Manag Care
; 30(6 Spec No.): SP437-SP444, 2024 May.
Article
en En
| MEDLINE
| ID: mdl-38820184
ABSTRACT
OBJECTIVES:
Challenges in implementing telemedicine disproportionately affect patients served in safety-net settings. Few studies have elucidated pragmatic, team-based strategies for successful telemedicine implementation in primary care, especially with a safety-net population. STUDYDESIGN:
We conducted in-depth, semistructured qualitative interviews with primary care clinicians and staff in a large urban safety-net health care system on the facilitators, challenges, and impact of implementing team workflows for synchronous telemedicine video and audio-only visits.METHODS:
Interviews were analyzed using modified grounded theory with multistage coding. Common themes were identified and reviewed to describe within-group and between-group variations. We used the Practical, Robust Implementation Sustainability Model framework to organize the final themes with an implementation science lens.RESULTS:
Four themes emerged from 11 interviews (1) having a dedicated individual preparing patients for video visits is a prerequisite for the successful introduction of video visits to patients with limited digital literacy; (2) health care maintenance during video and audio-only visits benefits from standardized workflows and communication; (3) the increased flexibility and accessibility of telemedicine visits were perceived benefits to patient care, despite barriers for subsets of patients; and (4) telemedicine visits generally have a positive impact on work experience for clinicians and staff due to increased efficiency, despite audio-only visits feeling less engaging.CONCLUSIONS:
Understanding how to strategically use team-based workflows to expand video visit access while ensuring care quality of all telemedicine visits will allow primary care practices to maximize telemedicine's benefits to patients in the safety-net setting.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Atención Primaria de Salud
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Telemedicina
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Flujo de Trabajo
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Proveedores de Redes de Seguridad
Límite:
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Am J Manag Care
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2024
Tipo del documento:
Article