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Kidney transplant recipient perspectives on telehealth during the COVID‐19 pandemic

The COVID‐19 pandemic has challenged the delivery of health services. Telehealth allows delivery of care without in‐person contacts and minimizes the risk of vial transmission. We aimed to describe the perspectives of kidney transplant recipients on the benefits, challenges, and risks of telehealth....

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Autores principales: Huuskes, Brooke M, Scholes‐Robertson, Nicole, Guha, Chandana, Baumgart, Amanda, Wong, Germaine, Kanellis, John, Chadban, Steve, Barraclough, Katherine A., Viecelli, Andrea K, Hawley, Carmel M., Kerr, Peter G., Toby Coates, Patrick, Amir, Noa, Tong, Allison
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8420311/
https://www.ncbi.nlm.nih.gov/pubmed/34115918
http://dx.doi.org/10.1111/tri.13934
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author Huuskes, Brooke M
Scholes‐Robertson, Nicole
Guha, Chandana
Baumgart, Amanda
Wong, Germaine
Kanellis, John
Chadban, Steve
Barraclough, Katherine A.
Viecelli, Andrea K
Hawley, Carmel M.
Kerr, Peter G.
Toby Coates, Patrick
Amir, Noa
Tong, Allison
author_facet Huuskes, Brooke M
Scholes‐Robertson, Nicole
Guha, Chandana
Baumgart, Amanda
Wong, Germaine
Kanellis, John
Chadban, Steve
Barraclough, Katherine A.
Viecelli, Andrea K
Hawley, Carmel M.
Kerr, Peter G.
Toby Coates, Patrick
Amir, Noa
Tong, Allison
author_sort Huuskes, Brooke M
collection PubMed
description The COVID‐19 pandemic has challenged the delivery of health services. Telehealth allows delivery of care without in‐person contacts and minimizes the risk of vial transmission. We aimed to describe the perspectives of kidney transplant recipients on the benefits, challenges, and risks of telehealth. We conducted five online focus groups with 34 kidney transplant recipients who had experienced a telehealth appointment. Transcripts were thematically analyzed. We identified five themes: minimizing burden (convenient and easy, efficiency of appointments, reducing exposure to risk, limiting work disruptions, and alleviating financial burden); attuning to individual context (depending on stability of health, respect patient choice of care, and ensuring a conducive environment); protecting personal connection and trust (requires established rapport with clinicians, hampering honest conversations, diminished attentiveness without incidental interactions, reassurance of follow‐up, and missed opportunity to share lived experience); empowerment and readiness (increased responsibility for self‐management, confidence in physical assessment, mental preparedness, and forced independence); navigating technical challenges (interrupted communication, new and daunting technologies, and cognizant of patient digital literacy). Telehealth is convenient and minimizes time, financial, and overall treatment burden. Telehealth should ideally be available after the pandemic, be provided by a trusted nephrologist and supported with resources to help patients prepare for appointments.
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spelling pubmed-84203112021-09-07 Kidney transplant recipient perspectives on telehealth during the COVID‐19 pandemic Huuskes, Brooke M Scholes‐Robertson, Nicole Guha, Chandana Baumgart, Amanda Wong, Germaine Kanellis, John Chadban, Steve Barraclough, Katherine A. Viecelli, Andrea K Hawley, Carmel M. Kerr, Peter G. Toby Coates, Patrick Amir, Noa Tong, Allison Transpl Int Clinical Science The COVID‐19 pandemic has challenged the delivery of health services. Telehealth allows delivery of care without in‐person contacts and minimizes the risk of vial transmission. We aimed to describe the perspectives of kidney transplant recipients on the benefits, challenges, and risks of telehealth. We conducted five online focus groups with 34 kidney transplant recipients who had experienced a telehealth appointment. Transcripts were thematically analyzed. We identified five themes: minimizing burden (convenient and easy, efficiency of appointments, reducing exposure to risk, limiting work disruptions, and alleviating financial burden); attuning to individual context (depending on stability of health, respect patient choice of care, and ensuring a conducive environment); protecting personal connection and trust (requires established rapport with clinicians, hampering honest conversations, diminished attentiveness without incidental interactions, reassurance of follow‐up, and missed opportunity to share lived experience); empowerment and readiness (increased responsibility for self‐management, confidence in physical assessment, mental preparedness, and forced independence); navigating technical challenges (interrupted communication, new and daunting technologies, and cognizant of patient digital literacy). Telehealth is convenient and minimizes time, financial, and overall treatment burden. Telehealth should ideally be available after the pandemic, be provided by a trusted nephrologist and supported with resources to help patients prepare for appointments. John Wiley and Sons Inc. 2021-07-04 2021-08 /pmc/articles/PMC8420311/ /pubmed/34115918 http://dx.doi.org/10.1111/tri.13934 Text en © 2021 The Authors. Transplant International published by John Wiley & Sons Ltd on behalf of Steunstichting ESOT https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Clinical Science
Huuskes, Brooke M
Scholes‐Robertson, Nicole
Guha, Chandana
Baumgart, Amanda
Wong, Germaine
Kanellis, John
Chadban, Steve
Barraclough, Katherine A.
Viecelli, Andrea K
Hawley, Carmel M.
Kerr, Peter G.
Toby Coates, Patrick
Amir, Noa
Tong, Allison
Kidney transplant recipient perspectives on telehealth during the COVID‐19 pandemic
title Kidney transplant recipient perspectives on telehealth during the COVID‐19 pandemic
title_full Kidney transplant recipient perspectives on telehealth during the COVID‐19 pandemic
title_fullStr Kidney transplant recipient perspectives on telehealth during the COVID‐19 pandemic
title_full_unstemmed Kidney transplant recipient perspectives on telehealth during the COVID‐19 pandemic
title_short Kidney transplant recipient perspectives on telehealth during the COVID‐19 pandemic
title_sort kidney transplant recipient perspectives on telehealth during the covid‐19 pandemic
topic Clinical Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8420311/
https://www.ncbi.nlm.nih.gov/pubmed/34115918
http://dx.doi.org/10.1111/tri.13934
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