Cargando…

Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India

BACKGROUND: This study aimed to explore the perception of doctors regarding telemedicine consultations and the level of patient satisfaction with the services received through teleconsultations. METHODS: This cross-sectional study was conducted on clinicians who provided teleconsultations and patien...

Descripción completa

Detalles Bibliográficos
Autores principales: Gupta, Nainsi, Gupta, Manoj Kumar, Joshi, Nitin Kumar, Mantri, Neha, Sridevi, G., Patel, Mamta, Goel, Akhil Dhanesh, Singh, Kuldeep, Garg, M. K., Bhardwaj, Pankaj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930698/
https://www.ncbi.nlm.nih.gov/pubmed/36793030
http://dx.doi.org/10.1186/s12913-022-09013-y
_version_ 1784889085921329152
author Gupta, Nainsi
Gupta, Manoj Kumar
Joshi, Nitin Kumar
Mantri, Neha
Sridevi, G.
Patel, Mamta
Goel, Akhil Dhanesh
Singh, Kuldeep
Garg, M. K.
Bhardwaj, Pankaj
author_facet Gupta, Nainsi
Gupta, Manoj Kumar
Joshi, Nitin Kumar
Mantri, Neha
Sridevi, G.
Patel, Mamta
Goel, Akhil Dhanesh
Singh, Kuldeep
Garg, M. K.
Bhardwaj, Pankaj
author_sort Gupta, Nainsi
collection PubMed
description BACKGROUND: This study aimed to explore the perception of doctors regarding telemedicine consultations and the level of patient satisfaction with the services received through teleconsultations. METHODS: This cross-sectional study was conducted on clinicians who provided teleconsultations and patients who received teleconsultations in an Apex healthcare institution in Western India. Semi-structured interview schedules were used to record the quantitative and qualitative information. Clinicians’ perceptions and patients’ satisfaction were assessed using two different 5-point Likert scales. Data were analyzed using SPSS v.23 using non-parametric tests (Kruskal Wallis and Mann-Whitney U). RESULTS: A total of 52 clinicians who delivered teleconsultations and 134 patients who received teleconsultations from those doctors were interviewed in this study. For 69% of doctors, telemedicine was feasible to implement, and for the rest, it was challenging. Doctors believe telemedicine is convenient for patients (77%) and prevents the transmission of infection (94.2%). Difficulty in clinical evaluation (73%), communication (55.7%), network connectivity (34%), diagnosis and investigations (32%), and patients’ e-illiteracy (32%) were the most common challenges faced by clinicians. Patients’ experiences were positive in terms of ease of registration (82.1%), audio quality (100%), freedom to discuss medicine (94.8%), and comprehension of the diagnoses (88.1%). Patients expressed satisfaction with the length of the teleconsultation (81.4%), the advice and care they received (78.4%), and the manner and communication of the clinicians (78.4%). CONCLUSIONS: Though there were some challenges in the implementation of telemedicine, the clinicians perceived it quite helpful. The majority of the patients were satisfied with teleconsultation services. Difficulty in registration, lack of communication, and a deep-rooted mindset of physical consultations were the primary concerns from the patient side. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-09013-y.
format Online
Article
Text
id pubmed-9930698
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-99306982023-02-16 Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India Gupta, Nainsi Gupta, Manoj Kumar Joshi, Nitin Kumar Mantri, Neha Sridevi, G. Patel, Mamta Goel, Akhil Dhanesh Singh, Kuldeep Garg, M. K. Bhardwaj, Pankaj BMC Health Serv Res Research BACKGROUND: This study aimed to explore the perception of doctors regarding telemedicine consultations and the level of patient satisfaction with the services received through teleconsultations. METHODS: This cross-sectional study was conducted on clinicians who provided teleconsultations and patients who received teleconsultations in an Apex healthcare institution in Western India. Semi-structured interview schedules were used to record the quantitative and qualitative information. Clinicians’ perceptions and patients’ satisfaction were assessed using two different 5-point Likert scales. Data were analyzed using SPSS v.23 using non-parametric tests (Kruskal Wallis and Mann-Whitney U). RESULTS: A total of 52 clinicians who delivered teleconsultations and 134 patients who received teleconsultations from those doctors were interviewed in this study. For 69% of doctors, telemedicine was feasible to implement, and for the rest, it was challenging. Doctors believe telemedicine is convenient for patients (77%) and prevents the transmission of infection (94.2%). Difficulty in clinical evaluation (73%), communication (55.7%), network connectivity (34%), diagnosis and investigations (32%), and patients’ e-illiteracy (32%) were the most common challenges faced by clinicians. Patients’ experiences were positive in terms of ease of registration (82.1%), audio quality (100%), freedom to discuss medicine (94.8%), and comprehension of the diagnoses (88.1%). Patients expressed satisfaction with the length of the teleconsultation (81.4%), the advice and care they received (78.4%), and the manner and communication of the clinicians (78.4%). CONCLUSIONS: Though there were some challenges in the implementation of telemedicine, the clinicians perceived it quite helpful. The majority of the patients were satisfied with teleconsultation services. Difficulty in registration, lack of communication, and a deep-rooted mindset of physical consultations were the primary concerns from the patient side. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-09013-y. BioMed Central 2023-02-15 /pmc/articles/PMC9930698/ /pubmed/36793030 http://dx.doi.org/10.1186/s12913-022-09013-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/ Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Gupta, Nainsi
Gupta, Manoj Kumar
Joshi, Nitin Kumar
Mantri, Neha
Sridevi, G.
Patel, Mamta
Goel, Akhil Dhanesh
Singh, Kuldeep
Garg, M. K.
Bhardwaj, Pankaj
Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India
title Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India
title_full Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India
title_fullStr Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India
title_full_unstemmed Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India
title_short Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India
title_sort is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an apex institution in western india
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930698/
https://www.ncbi.nlm.nih.gov/pubmed/36793030
http://dx.doi.org/10.1186/s12913-022-09013-y
work_keys_str_mv AT guptanainsi istelemedicineaholygrailinhealthcarepolicycliniciansandpatientsperspectivesfromanapexinstitutioninwesternindia
AT guptamanojkumar istelemedicineaholygrailinhealthcarepolicycliniciansandpatientsperspectivesfromanapexinstitutioninwesternindia
AT joshinitinkumar istelemedicineaholygrailinhealthcarepolicycliniciansandpatientsperspectivesfromanapexinstitutioninwesternindia
AT mantrineha istelemedicineaholygrailinhealthcarepolicycliniciansandpatientsperspectivesfromanapexinstitutioninwesternindia
AT sridevig istelemedicineaholygrailinhealthcarepolicycliniciansandpatientsperspectivesfromanapexinstitutioninwesternindia
AT patelmamta istelemedicineaholygrailinhealthcarepolicycliniciansandpatientsperspectivesfromanapexinstitutioninwesternindia
AT goelakhildhanesh istelemedicineaholygrailinhealthcarepolicycliniciansandpatientsperspectivesfromanapexinstitutioninwesternindia
AT singhkuldeep istelemedicineaholygrailinhealthcarepolicycliniciansandpatientsperspectivesfromanapexinstitutioninwesternindia
AT gargmk istelemedicineaholygrailinhealthcarepolicycliniciansandpatientsperspectivesfromanapexinstitutioninwesternindia
AT bhardwajpankaj istelemedicineaholygrailinhealthcarepolicycliniciansandpatientsperspectivesfromanapexinstitutioninwesternindia