Working Anywhere for Telehealth

Author(s):  
Yvette Blount ◽  
Marianne Gloet

Clinicians (general practitioners, specialists, and allied health professionals) are experts in medicine, not technology. The delivery of health care using technology includes changes to the way the clinician works; in effect, they work from anywhere. This study examined telehealth adoption from the perspective of clinicians. Data was collected from 44 in-depth interviews undertaken with a variety of Australian clinicians. The findings show that telehealth is a complex endeavour involving multiple stakeholders. While the potential of telehealth service provision is significant, the realities of delivering telehealth services involve many challenges for clinicians. These include technology-related issues; lack of funding and financial incentives for telehealth; the changing skills and capabilities required by clinicians who engage in telehealth consultations; as well as changes to business processes resulting from the introduction in a complex environment. A conceptual model for the adoption of sustainable telehealth is proposed for better understanding of these complexities.

2020 ◽  
pp. 915-932
Author(s):  
Yvette Blount ◽  
Marianne Gloet

Clinicians (general practitioners, specialists, and allied health professionals) are experts in medicine, not technology. The delivery of health care using technology includes changes to the way the clinician works; in effect, they work from anywhere. This study examined telehealth adoption from the perspective of clinicians. Data was collected from 44 in-depth interviews undertaken with a variety of Australian clinicians. The findings show that telehealth is a complex endeavour involving multiple stakeholders. While the potential of telehealth service provision is significant, the realities of delivering telehealth services involve many challenges for clinicians. These include technology-related issues; lack of funding and financial incentives for telehealth; the changing skills and capabilities required by clinicians who engage in telehealth consultations; as well as changes to business processes resulting from the introduction in a complex environment. A conceptual model for the adoption of sustainable telehealth is proposed for better understanding of these complexities.


Author(s):  
Yvette Blount ◽  
Marianne Gloet

Clinicians (general practitioners, specialists, allied health professionals) are experts in medicine, not technology. The delivery of healthcare using technology includes changes to the way the clinician works; in effect, they work from anywhere. This study examined telehealth adoption from the perspective of clinicians. Data was collected from 44 in-depth interviews undertaken with a variety of Australian clinicians. The findings show that telehealth is a complex endeavor involving multiple stakeholders. While the potential of telehealth service provision is significant, the realities of delivering telehealth services involve many challenges. These include technology-related issues, lack of funding and financial incentives for telehealth, the changing skills and capabilities required by clinicians who engage in telehealth consultations, as well as changes to business processes resulting from the introduction of telehealth in a complex environment. A conceptual model for the adoption of sustainable telehealth is proposed for a better understanding of these complexities.


2004 ◽  
Vol 9 (4) ◽  
pp. 125-130 ◽  
Author(s):  
Jane Pirkis ◽  
Belinda Morley ◽  
Fay Kohn ◽  
Grant Blashkl ◽  
Philip Burgess ◽  
...  

2018 ◽  
pp. 732-759 ◽  
Author(s):  
P. S. Pandian

Medical care generally relies on the face-to-face encounter between patients and doctors. In places where face-to-face encounters are not possible, telemedicine technologies are relied upon to link patients to specialist doctors for consultation and to obtain opinion. The telemedicine technologies provide improved health care to the underprivileged in inaccessible areas at reduced cost. Telemedicine also improve quality of health care and more importantly reduce the isolation of specialists, nurses and allied health professionals. This review papers discusses the telemedicine technologies and its history, the communications technologies that are being used. The paper also covers the advantages and benefits of telemedicine. Also the recent advances that are going on in telemedicine in the areas of m-health, Wearable Physiological Monitoring System (WPMS), Wireless Body Area Networks (WBAN). Finally, the paper concludes with some of the drawbacks or issues of telemedicine technologies.


2020 ◽  
Vol 33 (4) ◽  
pp. 339-349
Author(s):  
Lisa Beasley ◽  
Sandra Grace ◽  
Louise Horstmanshof

Purpose The purpose of this paper is to review the literature on the response and adaption to change of allied health professionals. Understanding how individuals respond and adapt to change is essential to assist leaders to manage transformational change effectively. Contemporary health-care environments are characterised by frequent and rapid change, often with unrealistic and challenging time frames. Individuals operate independently, but also as members of teams, professions and organisations. Therefore, having a sound understanding of individual response to change is important for change leaders. In the Australian context, allied health professionals represent a quarter of the health-care workforce. There is a significant gap in understanding how allied health professionals respond and adapt to change. Design/methodology/approach A scoping review was designed to report on the nature and extent of the literature on the response and adaption to change in the context of allied health professionals. Change leaders in the health-care environment face a number of complex challenges when attempting to facilitate change. While this scoping review did not identify any specific literature on the response and adaption to change of allied health professionals, it did however provide information on change models and factors to take into consideration when implementing a change process. Findings The results of this scoping review identified findings in two main areas with regard to response and adaptation of allied health to change: a review of change management literature at the organisation level and change management for allied health. Most of the literature described organisational level change management without providing a structural framework for change. At the professional individual level, the literature focused on specific clinical interventions, rather than on the response and adaption to change for allied health. Minimal literature was identified in regard to the response and adaption to change of allied health professionals. In an environment characterised by continuous change and policy reform, a greater understanding of the response and adaption to change by allied health is a priority for research, policy and practice. Research limitations/implications This scoping review was undertaken to explore the response and adaption to change of allied health. It sought to identify the factors that may explain why certain disciplines within the allied health professional group responded to change differently. Scoping reviews do not set out to comprehensively source all relevant literature but rather to ascertain the nature and extent of the published literature in the field. Therefore, it is possible that a systematic review might uncover additional relevant papers. However, this scoping review provides a clear indication of the nature and extent of the literature in allied health. Practical implications Social implications This scoping review will assist change leaders to gain a better understanding of theoretical frameworks of individual, team and organisational change processes and the impacts these have individually and collectively on change processes. Originality/value To the best of the authors’ knowledge, this scoping review is the first of its kind to identify the minimal literature available on the way allied health professionals respond and adapt to change.


BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e030595 ◽  
Author(s):  
Diane Trusson ◽  
Emma Rowley ◽  
Louise Bramley

ObjectivesThe clinical academic trajectory for doctors and dentists is well-established, with research embedded in their career development. Recent years have also seen a burgeoning interest and push for nurses, midwives and allied health professionals (NMAHPs) to pursue a clinical academic career. However, the National Institute for Health Research (NIHR) 10-year review suggested that there may be problems with progression post Master’s degree level for this group, with nurses and midwives receiving less NIHR funding than allied health professionals. This study responds to these concerns, tracking the progression and exploring experiences of NMAHPs in the East Midlands region of England.DesignAn online survey and in-depth interviews were used to capture a wide range of experiences.Participants67 NMAHPs who were pursuing a clinical academic career were surveyed, supplemented by 16 semi-structured in-depth interviews.ResultsThree themes emerged during data analysis: Embarking on a clinical academic career, overcoming barriers and benefits.ConclusionsNMAHPs are motivated to pursue a clinical academic career by a drive to improve services for the benefit of patients and the National Health Service more widely, as well as for personal development and career progression. People working in these roles have opportunities to explore possible solutions to issues that they encounter in their clinical role through academic study. Findings reveal benefits emanating from the individual level through to (inter)national levels, therefore academic study should be encouraged and supported. However, investment is needed to establish more clinical academic roles to enable NMAHPs to continue to use their experience and expertise post-PhD, otherwise the full extent of their value will not be recognised.


Medicina ◽  
2009 ◽  
Vol 45 (3) ◽  
pp. 238 ◽  
Author(s):  
Giedra Levinienė ◽  
Aušra Petrauskienė ◽  
Eglė Tamulevičienė ◽  
Jolanta Kudzytė ◽  
Liutauras Labanauskas

The objective of this study was to evaluate the knowledge and activities of Kaunas primary health care center professionals in promoting breast-feeding. Material and methods. A total of 84 general practitioners and 52 nurses participated in the survey, which was carried out in Kaunas primary health care centers in 2006. Data were gathered from the anonymous questionnaire. Results. Less than half of general practitioners (45.1%) and 65% of nurses were convinced that baby must be exclusively breast-fed until the age of 6 months, but only 21.6% of general practitioners and 27.5% of nurses knew that breast-feeding with complementary feeding should be continued until the age of 2 years and longer. Still 15.7% of general practitioners and 25% of nurses recommended pacifiers; 7.8% of general practitioners advised to breast-feed according to hours. Half of the health professionals recommended additional drinks between meals; onethird of them – to give complementary food for the babies before the age of 6 months. One-third (29.6%) of the health professionals surveyed recommended mothers to feed their babies more frequently in case the amount of breast milk decreased. Conclusions. The survey showed that knowledge of medical personnel in primary health care centers about the advantages of breast-feeding, prophylaxis of hypogalactia, and duration of breast-feeding was still insufficient.


Author(s):  
Maria Gianino ◽  
Gianfranco Politano ◽  
Antonio Scarmozzino ◽  
Michela Stillo ◽  
Viola Amprino ◽  
...  

This study aims to estimate the economic costs of sickness absenteeism of health care workers in a large Italian teaching hospital during the seasonal flu periods. A retrospective observational study was performed. The excess data of hospital’s sickness absenteeism during three seasonal influenza periods (2010/2011; 2011/2012; 2012/2013) came from a previous study. The cost of sickness absenteeism was calculated for six job categories: medical doctor, technical executive (i.e., pharmacists); nurses and allied health professionals (i.e., radiographer), other executives (i.e., engineer), non-medical support staff, and administrative staff, and for four age ranges: <39, 40–49, 50–59, and >59 years. An average of 5401 employees working each year were under study. There were over 11,100 working days/year lost associated with an influenza period in Italy, the costs associated were approximately 1.7 million euros, and the average work loss was valued at € 327/person. The major shares of cost appeared related to nurses and allied health professionals (45% of total costs). The highest costs for working days lost were reported in the 40–49 age range, accounting for 37% of total costs. Due to the substantial economic burden of sickness absenteeism, there are clear benefits to be gained from the effective prevention of the influenza.


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