A Clinician's Perspective on Anywhere Working and Telehealth

2021 ◽  
pp. 87-112
Author(s):  
Yvette Blount ◽  
Marianne Gloet
Keyword(s):  
Conceptual Model ◽  
General Practitioners ◽  
Health Professionals ◽  
Financial Incentives ◽  
Business Processes ◽  
Multiple Stakeholders ◽  
Delivery Of Healthcare ◽  
Allied Health Professionals ◽  
Telehealth Service ◽  
Depth Interviews

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.

Working Anywhere for Telehealth

2017 ◽  
pp. 223-246
Author(s):  
Yvette Blount ◽  
Marianne Gloet
Keyword(s):  
Health Care ◽  
Conceptual Model ◽  
General Practitioners ◽  
Health Professionals ◽  
Delivery Of Health Care ◽  
Financial Incentives ◽  
Business Processes ◽  
Multiple Stakeholders ◽  
Allied Health Professionals ◽  
Depth Interviews

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.

Working Anywhere for Telehealth

2020 ◽  
pp. 915-932
Author(s):  
Yvette Blount ◽  
Marianne Gloet
Keyword(s):  
Health Care ◽  
Conceptual Model ◽  
General Practitioners ◽  
Health Professionals ◽  
Delivery Of Health Care ◽  
Financial Incentives ◽  
Business Processes ◽  
Multiple Stakeholders ◽  
Allied Health Professionals ◽  
Depth Interviews

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.

scholarly journals A mixed-methods study of challenges and benefits of clinical academic careers for nurses, midwives and allied health professionals

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e030595 ◽  
Author(s):  
Diane Trusson ◽  
Emma Rowley ◽  
Louise Bramley
Keyword(s):  
Health Professionals ◽  
Personal Development ◽  
Online Survey ◽  
Allied Health ◽  
Academic Career ◽  
Allied Health Professionals ◽  
Clinical Role ◽  
Wide Range ◽  
Depth Interviews ◽  
Academic Study

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.

scholarly journals Barriers and Facilitators to Weight and Lifestyle Management in Women with Polycystic Ovary Syndrome: General Practitioners’ Perspectives

Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 1024 ◽  
Author(s):  
Alexis Arasu ◽  
Lisa J Moran ◽  
Tracy Robinson ◽  
Jacqueline Boyle ◽  
Siew Lim
Keyword(s):  
Polycystic Ovary Syndrome ◽  
General Practitioners ◽  
Health Professionals ◽  
Allied Health ◽  
Polycystic Ovary ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Ovary Syndrome ◽  
Allied Health Professionals ◽  
Lifestyle Management

Background: Weight and lifestyle management is advocated as the first-line treatment for polycystic ovary syndrome (PCOS) by evidence-based guidelines. Current literature describes both systems- and individual-related challenges that general practitioners (GPs) face when attempting to implement guideline recommendations for lifestyle management into clinical practice for the general population. The GPs’ perspective in relation to weight and lifestyle advice for PCOS has not been captured. Methods: Fifteen GPs were recruited to take part in semi-structured interviews. NVIVO software was used for qualitative analysis. Results: We report that GPs unanimously acknowledge the importance of weight and lifestyle management in PCOS. Practice was influenced by both systems-related and individual-related facilitators and barriers. Individual-related barriers include perceived lack of patient motivation for weight loss, time pressures, lack of financial reimbursement, and weight management being professionally unrewarding. System-related barriers include costs of accessing allied health professionals and unavailability of allied health professionals in certain locations. Individual-related facilitators include motivated patient subgroups such as those trying to get pregnant and specific communication techniques such as motivational interviewing. System-related facilitators include the GP’s role in chronic disease management. Conclusions: This study contributes to the understanding of barriers and facilitators that could be addressed to optimize weight and lifestyle management in women with PCOS in primary care.

scholarly journals Home Medication Review by Hospital Tuanku Fauziah: Carers’ Perspectives

2021 ◽  
Vol 5 ◽  
pp. 24
Author(s):  
Wei Chern Ang ◽  
Jurisma Che Lah ◽  
Nursyafiqah Zulkepli ◽  
Nursyamimi Sukri ◽  
Amalina Rosedi
Keyword(s):  
Health Professionals ◽  
Healthcare Providers ◽  
Allied Health Professionals ◽  
Face To Face ◽  
Major Benefit ◽  
Home Medication ◽  
Data Saturation ◽  
Depth Interviews ◽  
Supplementary Issue ◽  
Thematic Data

Introduction: Home Medications Review (HMR) is a continuation of patient care from health facilities to their home to assess patients’ pharmacotherapy by a multidisciplinary team. Bedridden patients were the main group who received this service. To improve the provision of HMR, we need to understand carers’ viewpoints of the current service.Objectives: To explore the carers’ perspectives of HMR conducted by the medical outreach team (MOT) of Hospital Tuanku Fauziah. Methods: This is a qualitative study conducted among carers who were involved in the HMR programme for more than six months. Subjects were recruited by purposive sampling from August 2019 to December 2019. In-depth interviews were audio-recorded at patients’ homes until data saturation and transcribed verbatim. The transcripts then underwent thematic data analysis.Results: Nine carers were interviewed. All participants had a limited understanding of HMR since they were not properly counselled prior to admission to the programme. The convenience of not having to go to the hospital was perceived as the major benefit of the programme. Healthcare providers were welcomed during each visit. Recognising allied health professionals in the MOT possesses a problem for some carers. There was a concern about having to collect newly add-on medications from the hospital. Some participants suggested increasing the frequency of visits and hope for more financial aids.Conclusion: This study proved that carers’ understanding of HMR was generally poor. All carers were satisfied with the current HMR programme provided by the MOT. However, several aspects of our HMR need to be improved. Despite the COVID-19 situation that puts HMR onhold and telemedicine have been adapted, HMR is here to stay in the post-COVID-19 era. This is supported by studies conducted in the pre-COVID-19 era that HMR is more beneficial than telemedicine due to the personal touch of face-to-face encounters.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S24

scholarly journals Multimethods study comparing the experiences of medical clinical academics with nurses, midwives and allied health professionals pursuing a clinical academic career

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043270
Author(s):  
Diane Trusson ◽  
Emma Rowley ◽  
Jonathan Barratt
Keyword(s):  
Health Professionals ◽  
Qualitative Data ◽  
Allied Health ◽  
Academic Career ◽  
Academic Training ◽  
Interview Schedule ◽  
Allied Health Professionals ◽  
East Midlands ◽  
Emerging Themes ◽  
Depth Interviews

ObjectivesThis study aimed to compare experiences of medical clinical academics (MCAs) with those of nurses, midwives and allied health professionals (NMAHPs) pursuing a clinical academic career.DesignA multimethods approach was used to elicit qualitative data. Both sets of participants completed similar online surveys followed by in-depth interviews to explore emerging themes.SettingThe research was conducted in the East Midlands of England, encompassing two Higher Education Institutions and four National Health Service Trusts.ParticipantsSurveys were completed by 67 NMAHPs and 73 MCA trainees. Sixteen participants from each group were interviewed following a similar interview schedule.ResultsThe survey data revealed notable differences in demographics of the two study populations, reflecting their different career structures. MCAs were younger and they all combined clinical and academic training, lengthening the time before qualification. In contrast, most NMAHPs had been in their clinical post for some years before embarking on a clinical academic pathway. Both routes had financial and personal repercussions and participants faced similar obstacles. However, there was also evidence of wide-ranging benefits from combining clinical and academic roles.ConclusionsVariations in experiences between the two study populations highlight a need for a clear academic pathway for all health professionals, as well as sufficient opportunities post-PhD to enable clinical academics to fully use their dual skills.

The ‘disenchantment’ of traditional acupuncturists in higher education

2021 ◽  
pp. 136345932199072
Author(s):  
Assaf Givati ◽  
Shelley Berlinsky
Keyword(s):  
Higher Education ◽  
East Asia ◽  
Health Professionals ◽  
Higher Education Institutions ◽  
Allied Health Professionals ◽  
Sociology Of Professions ◽  
Professional Credibility ◽  
Professional Body ◽  
The Uk ◽  
Depth Interviews

Efforts of traditional acupuncturists in the UK to regulate their practice and standardise their training, led, from the mid-1990s, to the launch of acupuncture undergraduate programmes within, or validated by, universities. It appeared as if by so doing acupuncturists were on course to align themselves with ‘scientifically plausible’, state-regulated, allied health professionals, a remarkable development considering the marginality of acupuncture practice outside East Asia, and its paradigmatic tensions with biomedicine. But was it really to be? Based on in-depth interviews with higher education acupuncture educators and an analysis of educational documents published by the leading professional body, we explore the way in which this paradigmatic tension is negotiated within a framework that is dominated by biomedicine. By critically revisiting sociology of professions and anti-colonial analysis, we examine an over two decades long journey of acupuncture educators in academic institutions in the UK. Based on this analysis, we point at some of the challenges that acupuncturists faced in higher education that may have restricted the academic legitimisation of acupuncture and that left them in a position of academic marginality and greater exposure to scrutiny, leading to their academic and mainstreaming ‘disillusionment’. At the same time, by positioning themselves as ‘professional academics’ within higher education institutions and demonstrating professionalism, acupuncture educators were able to demonstrate academic and professional ‘credibility’ and therefore distance themselves from the continuous scrutiny over their ‘biomedical fragility’.

Improving access to evidencebased mental health care: general practitioners and allied health professionals collaborate

2004 ◽  
Vol 9 (4) ◽  
pp. 125-130 ◽  
Author(s):  
Jane Pirkis ◽  
Belinda Morley ◽  
Fay Kohn ◽  
Grant Blashkl ◽  
Philip Burgess ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
General Practitioners ◽  
Health Professionals ◽  
Allied Health ◽  
Allied Health Professionals

General Practitioners' Collaboration with Service Coordinators: What Makes it Work? Lessons from the SA HealthPlus Coordinated Care Trial

2002 ◽  
Vol 8 (1) ◽  
pp. 45 ◽  
Author(s):  
Catherine Hurley ◽  
Elizabeth Kalucy ◽  
Malcolm Battersby
Keyword(s):  
General Practitioners ◽  
Health Professionals ◽  
Allied Health ◽  
Health Staff ◽  
Coordinated Care ◽  
Allied Health Professionals ◽  
Practice Nurses ◽  
Service Coordinators ◽  
Service Coordinator

In the past, a number of factors have been identified that discourage collaboration between GPs and other health professionals in providing care to patients with chronic illness. These include financing arrangements, lack of time and lack of knowledge of the role of other professions. This paper uses data from the independent evaluation of the SA HealthPlus Coordinated Care Trial to examine the factors that encourage and inhibit collaboration between general practitioners (GPs) and Service Coordinators (a role introduced by the trial and carried out by nurses and allied health professionals). Both quantitative and qualitative methods were used to evaluate the role of the GP and the Service Coordinator in the trial. These data were analysed to determine what factors encouraged and inhibited collaboration. Results indicated that effective communications, knowledge of and respect for each other's roles and responsibilities, and a clearly perceived benefit from collaboration were the most important predictors of successful collaboration for both parties. These results also suggest strategies for increasing the likelihood of collaboration between GPs and others such as the location of the Service Coordinator in the practice and ways of dealing with GP workloads and communication needs. These findings are relevant to recent policy initiatives including the MBS Enhanced Primary Care item numbers, the employment of practice nurses, and allied health staff via Divisions of General Practice.

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