Implementation of telemedicine consultations for people with mental health conditions in the community: a protocol for a systematic review

Background: The COVID-19 pandemic response has led to an exponential increase in the use and spread of telemedicine internationally. In community mental health care settings, telemedicine services were implemented within a few weeks, with little time for rigorous planning. Despite the reported acceptability of telemedicine by patients and clinicians, barriers to its implementation have come to light. There is now a need to investigate these barriers, and facilitators, as telemedicine begins to show potential promise beyond the pandemic. We propose a review that aims to identify the factors affecting the implementation of telemedicine consultations for patients with mental health conditions in the community. Methods: A systematic review will be conducted and reported according to the PRISMA guidelines. Five electronic databases will be searched using a pre-defined search strategy from 2016 to 2021. Only studies of synchronous, interactive telemedicine consultations conducted via video, phone or live messaging between patients and providers will be included. Quantitative, qualitative and mixed methods studies will be eligible for inclusion. Only studies published in the English language will be included. Titles and abstracts will be screened by two reviewers. Full text articles will be screened by a single reviewer, with a random 20% sample screened by a second reviewer. The methodological quality of studies will be assessed using the Mixed Method Appraisal Tool (MMAT) by two reviewers. Data will be extracted and tabulated to address the aims of the review. A narrative synthesis will be conducted and reported factors will be mapped to the domains of the Consolidated Framework for Implementation Research (CFIR). Conclusion: By identifying the factors that influence the implementation of telemedicine consultations for patients with mental conditions in the community, consideration can be given to both barriers and facilitators that could be addressed in future mental health services planning. PROSPERO registration: CRD42021273422 (04/10/2021)

Effective Health Services Planning and Delivery: A Qualitative Case Study Exploring Health Services Users’ Perspectives

Introduction: Healthcare service is an essential determinant of population health. This qualitative case study aims to explore health service users’ perspectives of effective health services delivery and the current challenges affecting the management and delivery of health services at a primary healthcare facility in Madang Province, Papua New Guinea (PNG).

Health Organization Development and Design

This chapter aims at providing the student with a general overview of the Health Organization Development and Design basic concepts. More precisely, this chapter outlines the origins and the future of Health services planning and development and the structure of health organizations. The typology of different international healthcare systems implemented in United Kingdom, United States of America, Greece, Serbia and Germany is also presented.

Effective health services planning and management: a qualitative case study exploring health services users perspectives

Background: Planning and management of effective primary health services is a major problem for both the developing and developed countries. The aim of this case study is to explore health services users’ perspective of effective health services delivery and understand the current challenges affecting the management of health services at the health facility. Methods: Qualitative data were collected using semi-structured interviews with key informants representing academics, undergraduate students, administration staff and healthcare workers. The interviews covered three main areas: users’ views of effective health services, current challenges affecting effective planning and management of primary healthcare services, and interventions to improve health services planning and management.Results: Many factors exist to influence the effective delivery of health services. Patients experienced several factors that affected their abilities to access to health services. The results show that health systems and personal factors have a major influence on the management and health services delivery. Conclusion: Poor management of health systems context has a major influence on health services delivery. This has led to poor population health outcomes especially in developing countries. Improved management and planning of health systems including infrastructures, medical supplies, healthcare workforce, medical equipment and leadership and governance and collaboration with key stakeholders’ may result in improved health services management practices. If the health systems are adequately supported, the local community may experience significant improvement in health status.