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Auditing the Audits: A Systematic Review on Different Procedures in Telemedicine

Telemedicine is a process of delivering health care using information and communication technologies. Audit and feedback (A&F) constitute a systematic intervention that is aimed at collecting data, which are subsequently compared with reference standards and then returned to health care operator...

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Autores principales: Cardile, Davide, Corallo, Francesco, Cappadona, Irene, Ielo, Augusto, Bramanti, Placido, Lo Buono, Viviana, Ciurleo, Rosella, De Cola, Maria Cristina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001883/
https://www.ncbi.nlm.nih.gov/pubmed/36901491
http://dx.doi.org/10.3390/ijerph20054484
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author Cardile, Davide
Corallo, Francesco
Cappadona, Irene
Ielo, Augusto
Bramanti, Placido
Lo Buono, Viviana
Ciurleo, Rosella
De Cola, Maria Cristina
author_facet Cardile, Davide
Corallo, Francesco
Cappadona, Irene
Ielo, Augusto
Bramanti, Placido
Lo Buono, Viviana
Ciurleo, Rosella
De Cola, Maria Cristina
author_sort Cardile, Davide
collection PubMed
description Telemedicine is a process of delivering health care using information and communication technologies. Audit and feedback (A&F) constitute a systematic intervention that is aimed at collecting data, which are subsequently compared with reference standards and then returned to health care operators through feedback meetings. The aim of this review is to analyse different audit procedures on and by mean of telemedicine services and to identify a practice that is more effective than the others. Systematic searches were performed in three databases evaluating studies focusing on clinical audits performed on and by means of telemedicine systems. Twenty-five studies were included in the review. Most of them focused on telecounselling services with an audit and a maximum duration of one year. Recipients of the audit were telemedicine systems and service users (general practitioners, referring doctors, and patients). Data resulting from the audit were inherent to the telemedicine service. The overall data collected concerned the number of teleconsultations, service activity, reasons for referral, response times, follow-up, reasons why treatment was not completed, technical issues, and other information specific to each telemedicine service. Only two of the considered studies dealt with organizational aspects, and of these, only one analysed communicative aspects. The complexity and heterogeneity of the treatments and services provided meant that no index of uniformity could be identified. Certainly, some audits were performed in an overlapping manner in the different studies, and these show that although attention is often paid to workers’ opinions, needs, and issues, little interest was shown in communicative/organizational and team dynamics. Given the importance and influence that communication has in teamwork and care settings, an audit protocol that takes into account intra- and extra-team communication processes could be essential to improving the well-being of operators and the quality of the service provided.
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spelling pubmed-100018832023-03-11 Auditing the Audits: A Systematic Review on Different Procedures in Telemedicine Cardile, Davide Corallo, Francesco Cappadona, Irene Ielo, Augusto Bramanti, Placido Lo Buono, Viviana Ciurleo, Rosella De Cola, Maria Cristina Int J Environ Res Public Health Review Telemedicine is a process of delivering health care using information and communication technologies. Audit and feedback (A&F) constitute a systematic intervention that is aimed at collecting data, which are subsequently compared with reference standards and then returned to health care operators through feedback meetings. The aim of this review is to analyse different audit procedures on and by mean of telemedicine services and to identify a practice that is more effective than the others. Systematic searches were performed in three databases evaluating studies focusing on clinical audits performed on and by means of telemedicine systems. Twenty-five studies were included in the review. Most of them focused on telecounselling services with an audit and a maximum duration of one year. Recipients of the audit were telemedicine systems and service users (general practitioners, referring doctors, and patients). Data resulting from the audit were inherent to the telemedicine service. The overall data collected concerned the number of teleconsultations, service activity, reasons for referral, response times, follow-up, reasons why treatment was not completed, technical issues, and other information specific to each telemedicine service. Only two of the considered studies dealt with organizational aspects, and of these, only one analysed communicative aspects. The complexity and heterogeneity of the treatments and services provided meant that no index of uniformity could be identified. Certainly, some audits were performed in an overlapping manner in the different studies, and these show that although attention is often paid to workers’ opinions, needs, and issues, little interest was shown in communicative/organizational and team dynamics. Given the importance and influence that communication has in teamwork and care settings, an audit protocol that takes into account intra- and extra-team communication processes could be essential to improving the well-being of operators and the quality of the service provided. MDPI 2023-03-02 /pmc/articles/PMC10001883/ /pubmed/36901491 http://dx.doi.org/10.3390/ijerph20054484 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Cardile, Davide
Corallo, Francesco
Cappadona, Irene
Ielo, Augusto
Bramanti, Placido
Lo Buono, Viviana
Ciurleo, Rosella
De Cola, Maria Cristina
Auditing the Audits: A Systematic Review on Different Procedures in Telemedicine
title Auditing the Audits: A Systematic Review on Different Procedures in Telemedicine
title_full Auditing the Audits: A Systematic Review on Different Procedures in Telemedicine
title_fullStr Auditing the Audits: A Systematic Review on Different Procedures in Telemedicine
title_full_unstemmed Auditing the Audits: A Systematic Review on Different Procedures in Telemedicine
title_short Auditing the Audits: A Systematic Review on Different Procedures in Telemedicine
title_sort auditing the audits: a systematic review on different procedures in telemedicine
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001883/
https://www.ncbi.nlm.nih.gov/pubmed/36901491
http://dx.doi.org/10.3390/ijerph20054484
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