The Evaluating Evidence for Translation into Nursing Practice module Assignment Sample

Introduction: Effectiveness Of Telehealth In Chronic Disease Management
Formative 1

Guided Study 2 and template for formative assessment 1

 Developing a Search Protocol for a Database Worksheet

1. Formulate Evidence Search Question

In patients with chronic diseases, how effective are telehealth services compared to traditional in-person consultations in improving disease management and patient outcomes?"

Please identify your own clinical case and:

2. Complete table with your variables

3. State your literature review question using one of the formulae below:

PICO (Population, Intervention, Comparator, Outcome)

In patients with chronic diseases (P) with conditions such as diabetes and hypertension_______________________, what is the__________of telehealth services_ (O) of (I) compared to traditional in-person consultations _____________________________ (C)?

4. Clearly State Question

In patients with chronic diseases, what is the effectiveness of telehealth services in improving disease management compared to traditional in-person consultations?

5. Identified Database:

6. Identified keywords within the question and list synonyms (or alternative terms) for each keyword (text words, MESH terms, other field terms)

7. Added field tags e.g., truncation symbol (*) to terms as needed

8. Combine synonyms for each Keyword with an OR Statement within parenthesis.

Keyword One:

("chronic disease*"[Title/Abstract] OR "long-term illness*"[Title/Abstract] OR "chronic illness*"[Title/Abstract] OR "chronic condition*"[Title/Abstract] OR "non-communicable disease*"[Title/Abstract] OR "persistent disease*"[Title/Abstract] OR "chronic disorder*"[Title/Abstract])

Keyword Two:

("telehealth"[Title/Abstract] OR "telemedicine"[Title/Abstract] OR "eHealth"[Title/Abstract] OR "mHealth"[Title/Abstract] OR "remote consultation*"[Title/Abstract] OR "virtual care"[Title/Abstract] OR "digital health"[Title/Abstract])

Keyword Three:

("disease management"[Title/Abstract] OR "care management"[Title/Abstract] OR "health management"[Title/Abstract] OR "patient management"[Title/Abstract] OR "condition management"[Title/Abstract] OR "treatment management"[Title/Abstract] OR "healthcare management"[Title/Abstract])

Keyword Four:

("patient outcome*"[Title/Abstract] OR "health outcome*"[Title/Abstract] OR "treatment outcome*"[Title/Abstract] OR "clinical outcome*"[Title/Abstract] OR "patient satisfaction"[Title/Abstract] OR "quality of care"[Title/Abstract] OR "patient health"[Title/Abstract])

9. Place an AND between each OR Statement (Add any NOTs to the end)

("chronic disease*"[Title/Abstract] OR "long-term illness*"[Title/Abstract] OR "chronic illness*"[Title/Abstract] OR "chronic condition*"[Title/Abstract] OR "non-communicable disease*"[Title/Abstract] OR "persistent disease*"[Title/Abstract] OR "chronic disorder*"[Title/Abstract])

AND

("telehealth"[Title/Abstract] OR "telemedicine"[Title/Abstract] OR "eHealth"[Title/Abstract] OR "mHealth"[Title/Abstract] OR "remote consultation*"[Title/Abstract] OR "virtual care"[Title/Abstract] OR "digital health"[Title/Abstract])

AND

("disease management"[Title/Abstract] OR "care management"[Title/Abstract] OR "health management"[Title/Abstract] OR "patient management"[Title/Abstract] OR "condition management"[Title/Abstract] OR "treatment management"[Title/Abstract] OR "healthcare management"[Title/Abstract])

AND

("patient outcome*"[Title/Abstract] OR "health outcome*"[Title/Abstract] OR "treatment outcome*"[Title/Abstract] OR "clinical outcome*"[Title/Abstract] OR "patient satisfaction"[Title/Abstract] OR "quality of care"[Title/Abstract] OR "patient health"[Title/Abstract])

NOT

("acute disease*"[Title/Abstract] OR "surgery"[Title/Abstract] OR "pediatric*"[Title/Abstract])

10. Did the search in PubMed yield any result (Please note students are only expected to show some understanding as results of completing this prior lesson activity)

ALWAYS REVISE, REVISE, REVISE……

("chronic disease*"[Title/Abstract] OR "long-term illness*"[Title/Abstract] OR "chronic illness*"[Title/Abstract] OR "chronic condition*"[Title/Abstract] OR "non-communicable disease*"[Title/Abstract] OR "persistent disease*"[Title/Abstract] OR "chronic disorder*"[Title/Abstract])

AND

("telehealth"[Title/Abstract] OR "telemedicine"[Title/Abstract] OR "eHealth"[Title/Abstract] OR "mHealth"[Title/Abstract] OR "remote consultation*"[Title/Abstract] OR "virtual care"[Title/Abstract] OR "digital health"[Title/Abstract])

AND

("disease management"[Title/Abstract] OR "care management"[Title/Abstract] OR "health management"[Title/Abstract] OR "patient management"[Title/Abstract] OR "condition management"[Title/Abstract] OR "treatment management"[Title/Abstract] OR "healthcare management"[Title/Abstract])

AND

("patient outcome*"[Title/Abstract] OR "health outcome*"[Title/Abstract] OR "treatment outcome*"[Title/Abstract] OR "clinical outcome*"[Title/Abstract] OR "patient satisfaction"[Title/Abstract] OR "quality of care"[Title/Abstract] OR "patient health"[Title/Abstract])

NOT

("acute disease*"[Title/Abstract] OR "surgery"[Title/Abstract] OR "pediatric*"[Title/Abstract])

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Formative 2

Title

Evaluation of Telehealth Chronic Disease Management Systems: Impact on Chronic Disease Management

Background

Cardiovascular diseases, diabetes and COPD are some of the major chronic diseases affecting the global health system and are seen to contribute more than 50% of the global mortality rates. This is evident especially because the population is growing older, which worsens these diseases, thus increasing the rate of health spending and requiring better ways of managing them (Cheng et al., 2023). Telehealth remains an especially appealing option, providing effective remote monitoring and management functions that improve care and patients’ well-being (Xiao and Han, 2022). Nevertheless, the efficiency of telehealth interventions in enhancing PW’s psychological well-being and ensuring medicine compliance across various chronic diseases remains inconclusive.

PICO and Clinical Question

Population (P):

Patients with chronic diseases, such as cardiovascular disease, diabetes, and COPD.

Intervention (I):

Telehealth interventions, including remote monitoring, digital health tools, and virtual consultations.

Comparison (C):

Usual care, involves traditional in-person consultations and standard treatment protocols.

Outcome (O):

Improvement in medication adherence and psychological well-being, focusing on reducing depression and anxiety symptoms.

Clinical Question:

In patients with chronic diseases, how effective are telehealth interventions in improving medication adherence and reducing depression and anxiety compared to usual care?

Methods Used to Find the Evidence

• PubMed: A leading database for biomedical literature, offering access to a wide range of peer-reviewed journals.
• Cochrane Library: Known for systematic reviews and meta-analyses, providing high-quality evidence.
• ScienceDirect and Web of Science: Comprehensive sources for multidisciplinary research, including healthcare studies.
• Chronic Disease: "chronic disease," "cardiovascular disease," "diabetes," "COPD"
• Telehealth: "telehealth," "telemedicine," "eHealth," "digital health"
• Outcomes: "medication adherence," "depression," "anxiety," "psychological well-being"
• Study Type: "systematic review," "meta-analysis," "randomized controlled trial (RCT)"

The SR Evidence

• Title:
• Evaluation of Telehealth Systems in Chronic Disease Management: A Systematic Review
• Authors: Ziyan Xiao, BSc; Xiuping Han, PhD
• Source:
• Published in the Journal of Chronic Disease Management.

The SR Evidence and Quality Appraisal

Figure 1: PRISMA

Review Findings: This systematic review evaluated twenty RCTs with four thousand one hundred and fifty-three total patients, and TCDMS enhance the quality of life and medication compliance in patients with chronic diseases.

Outcomes

• Quality of Life: Less occurrence of illness, mortality, and psychological disorders, as well as better social adjustment (Defar et al., 2023).
• Medication Adherence: Remote monitoring and patient engagement could be the reasons for improved adherence as a result of mobile applications.
• Psychological Outcomes: Is not very effective in preventing and or treating depression and anxiety.

Knowledge Translation: The Significance and Stages

Knowledge translation is therefore vital in the application of research findings in real-world settings to enable the optimization of the client’s outcomes by implementing the TCDMS (Defar et al., 2023).

Tool to Disseminate the Translated Evidence

Knowledge transfer refers to the process of turning research produced into practice, especially in the ability to apply evidence-based interventions like TCDMS to increase client outcomes (Prihodova et al., 2018). The process involves several stages: scoping to determine areas of the dearth of evidence or underutilized evidence, customization, the setting and execution of changes to introduce EBPs into practice, and assessment for a variety of purposes including measuring audit trials and ascertaining the efficiency of effected transformations (Nazar et al., 2024). This can help the healthcare providers to give better outcomes for the patients through the effective implementation of new effective practices.

Tool to Appraise Evidence Dissemination

Mobile translation dissemination can also be used to conduct seminars and other webinars through online platforms such as online classes, shared telehealth applications, and other online translating means (Nazar et al., 2024). Telehealth education workshops and seminars are designed as practical training sessions for HC professionals to improve the competencies related to telehealth, while the telehealth clinical guidelines – systematic review-derived frameworks – suggest a step-by-step approach to the integration of the best telehealth practices into clinical environments (Cruz-Panesso, Tanoubi and Drolet, 2024). These tools play the role of guaranteeing that the telehealth systems are correctly implemented with the support and knowledge of healthcare professionals.

Barriers to Evidence Dissemination

Evaluating the dissemination of evidence in applied settings encompasses gathering data on perceptions from various Health Care Providers and patients about the efficiency of dissemination (Ravinetto and Singh, 2022). Outcome measures are applied to assess the status of clinical outcomes and patient satisfaction to find out the specific efficiency of evidence implementation in practice.

Models for Knowledge Translation

Several challenges can affect the sharing of evidence and these include; technological issues like lack of technological gadgets and poor internet connection in some parts of the world (Chapman et al., 2020). This may also be proved by the fact that there might always be stiff resistance to embracing a change from the healthcare providers and the patients themselves due to the issue of new technologies (Chapman et al., 2020). Lack of resources, such as inadequate training and acquisition of investment and support for the establishment of telehealth systems, are also major issues.

Summary of the Evidence from the SR

The article review of this work encompasses twenty RCTs and comprises of 4,153 patients with chronic diseases including cardiovascular ailment, diabetes and COPD for the efficacy concerning TCDMS (Chapman et al., 2020). The results show that there is a beneficial effect of TCDMS on patients’ QoL regarding physical, mental, and social domains compared to the UC condition. This improvement is due to telemonitoring by the telehealth systems and their ability to offer constant engagement, which enhances self-management and follow-through with the prescribed treatment plans.

Summative 1

Background to the Study

Non-communicable diseases like Cardiovascular diseases, diabetes, cancer, and Chronic Obstructive Pulmonary Disease (COPD) among others are among the major causes of death and disability globally contributing to more than 50% of deaths (Momtazmanesh et al., 2023). Because of these conditions, chronic care needs to be provided and constantly more closely monitored, which is a significant challenge for healthcare organisations. Over time, the world population demographics indicate an increase in the number of older persons, and therefore there will be higher incidences of chronic diseases, compounding the pressure on healthcare systems and creating the need for new approaches to disease management.

Telehealth has been identified as an effective solution to the mentioned challenges due to its ability to offer care coordination, patient interphase, and self-management support (Haleem et al., 2021). It entails the possibility of increasing the availability and utilization of health services by patients where such services are located in areas with limited clinics, telemedicine seeks to bring healthcare services to patients, not the reverse (Haleem et al., 2021). Using telehealth practice, several points can be gained which will enhance the patient’s condition and their quality of living by assessing the presence and necessity of interferences, therefore lowering the rates of re-admittances to the hospital.

However, while telehealth can take credit for such success as it has on the physical healthcare status of patients, there is still limited information on its impact on the psychological well-being of the patients and their compliance with prescribed medication doses (Rajkumar et al., 2023). These aspects are clear since the prevalence rate of depression and anxiety amongst chronically ill patients is rather high and affects their general well-being and treatment compliance.

Rationale for the Clinical Question

High prevalence of long-term illnesses which include coronary disease, diabetes, and Chronic Obstructive Pulmonary Disease (COPD) is a major concern to health systems globally (Papaporfyriou et al., 2023). These conditions generally impose chronic and sustained treatment and follow-up to make certain that one is controlling his or her signs and symptoms effectively. The face-to-face nature of conventional care paradigms could prove costly and impractical, mainly due to the lack of supervision that might be required for the best results (Papaporfyriou et al., 2023). This gap shows that telehealth systems can improve chronic disease management and self-management through monitoring and supporting patients at a distance.

As suggested by the above findings, while Telehealth Chronic Disease Management Systems (TCDMS) possess great potential in serving the chronically ill population, there is still a large gap in the literature when it comes to evaluating TCDMS’ efficiency (Achillefs Vratimos, Ilias Champilomatis and Georgios Farantos, 2024). Some prior research has shown that telehealth is effective in enhancing the medical condition of patients’ physical health; however, it is still not very evident how telehealth influences psychological well-being and prescription drug adherence (Ma et al., 2022). Depression and anxiety, for instance, are common comorbidities in chronic disease patients and have negative impacts that include poor treatment compliance. Furthermore, patients’ noncompliance with prescribed medication regimes poses a major challenge in the management of chronic diseases, this results in higher hospitalization and ultimately healthcare costs.

Clinical Question

Clinical Question

PICO Framework:

Population (P): Patients with chronic diseases (e.g., cardiovascular disease, diabetes, COPD)

Intervention (I): Telehealth interventions, including remote monitoring and digital health tools

Comparison (C): Usual care or traditional in-person consultations

Outcome (O): Improvement in medication adherence and reduction in depression and anxiety

Clinical Question:

In patients with chronic diseases, how effective are telehealth interventions in improving medication adherence and reducing depression and anxiety compared to usual care?

Process Used to Identify the Systematic Review

Database Selection

Search Strategy

Example Search Query

Inclusion and Exclusion Criteria

Selection Process

Selected Systematic Review

Selection Process

The initial search proved to be rather productive, providing the author with a rather long list of sources (Snyder, 2019). The titles/abstracts were then scanned and Srirama-Sekhar wrapped off any further duplicate articles of which the titles/abstracts indicated insufficiency of relevancy. Potential studies were screened based on the previously mentioned criteria and full-text reviews were done to ensure that all the criteria were met (Snyder, 2019). This made the Appraisal Panel’s task clear and easy because the final pool of papers for consideration was rich and free from inconsequential or poorly developed systematic reviews.

Selected Systematic Review

The search process led to the identification of a key systematic review titled "Evaluation of Telehealth Systems in Chronic Disease Management: The article is “Most Parents of Children with Disabilities in Rural China Lack Basic Acceptance of Disability: A Systematic Review” by Ziyan Xiao and Xiuping Han (Xiao and Han, 2022). The present review offers an extensive review of the use of telehealth in mediating medication adherence and psychological status of chronic disease patients and hence can reveal the usefulness of the TCDMS (Kington et al., 2021).

Quality Appraisal of the Systematic Review

Appraisal Methodology

PRISMA Assessment

Cochrane Risk of Bias Tool Assessment

Summary of Quality Appraisal

Summary of the Findings

The systematic review discussed studies on TCDMS intervention for patients who experienced chronic diseases and the major outcome measures in terms of studies were QOL, medicine compliance and mental health (Riecke et al., 2024). A review was carried out with 20 RCTs totalling 4153 patients; securing a detailed overview of the efficacy of telehealth intervention.

In general, the results imply that the implementation of TCDMS enhances the quality of life regarding specific PDAs corresponding to the physical, mental, and social domains of patients with chronic diseases (Riecke et al., 2024). Such changes are thanks to the constant supervision and individual attention that telehealth systems deliver and enable patients to handle their diseases in the comfort of their homes. We found improvement of the patient’s mobility, reduced pain and bulkiness sensations, and better ability of the patients to concentrate, all signs of their improved status.

Concerning the aspects of medication compliance, the outcomes of telehealth interventions were significantly more effective than the traditional treatment approaches (Peng et al., 2020). It was found that patients who were using tile treatments and teleconsultations fared better because they were able to stick to their required daily regime and were thus better off in disease control and hospitalized less often (Peng et al., 2020). Telehealth systems probably helped boost adherence due to the availability of healthcare professionals and instant feedback, possibly from remote consultations.

Further, the review identified that the effects of telehealth interventions on additional psychological health dimensions were relatively reporting that telehealth interventions have a fairly limited effect on the psychological well-being of patients including depression and anxiety (Peng et al., 2020). Other works described some changes, but these effects were not always considered as being significant across the board. This means that though telehealth can positively impact the physical management of patients with chronic diseases, other strategies can be used to complement psychological care (Khadijeh Moulaei, Kambiz Bahaadinbeigy and Hossein Mirzaei, 2023). These findings show disparities in these outcomes and indicate the need to provide more granular services for mental health in telehealth services.

The review also examined self-management and it was revealed that TCDMS enhanced patients’ authority by offering knowledge and elements to self-manage situations (Khadijeh Moulaei, Kambiz Bahaadinbeigy and Hossein Mirzaei, 2023). Patients expressed they are now able to self-manage conditions that they require constant attention for, suggesting that although confined within the home, telehealth systems empower them with a sense of responsibility and control over their health.

When analyzed in the subgroup variable, the results indicated that the subjects experienced an improvement in physical functioning, mental functioning, and social functioning through telehealth (El-Tallawy et al., 2024). Studies revealed that patient knowledge, orientation and other cogitative functions enhanced with less mental tiredness The social interaction was also improved and there was increased formal and informal support (Khadijeh Moulaei, Kambiz Bahaadinbeigy and Hossein Mirzaei, 2023). However, there was no considerable enhancement indicated in the areas of cognitive and role functioning which might imply that telehealth interventions would require more focused cognitive support.

In conclusion, the systematic meta-synthesis reinforces the impact of Telehealth Chronic Disease Management Systems in the improvement of chronic diseases and quality of life of patients through the use of Telecommunications Technology in Chronic Disease Management (Lin et al., 2020). However, the results show a lack of effectiveness in telehealth in altering the psychological state of patients which means that a more intensive telehealth approach that includes mental health services should be employed to enhance patient’s health (Lin et al., 2020). The results have indicated that although telehealth is equipped with vital assets for chronic diseases, there is a need for other approaches that will enhance psychological health and cognition.

Relevant Tool for Evidence Translation

Knowledge Creation

Concerning TCDMS, knowledge creation means the process of further analysis of the information discovered during the research and presenting the outcomes in a form suitable for application in practice (Pearce et al., 2022). This process enables the simplification of the systematic review’s findings on quality of life, medication compliance, and psychological results into clinical practice recommendations backed by evidence (Pearce et al., 2022). Thus, by converting comprehensible data into easily implementable solutions, healthcare providers will be in a better position to appreciate how telehealth interventions can be applied to chronic disease management.

The Action Cycle

The Action Cycle consists of a sequence of steps that have to be enacted and assessed when promoting the use of evidence in practice (Torres, Mendes and Barbieri-Figueiredo, 2023). It starts with establishing what the problem is, for instance, which areas of patients’ chronic disease care could be supported by TCDMS to a greater extent in terms of compliance with medication regimens or psychological assistance needed. The following is the translation of knowledge into practice, which entails the modification of telehealth interventions to fit the contexts of the receiver organisations (Torres, Mendes and Barbieri-Figueiredo, 2023). This adaptation could refer to making the telehealth systems fit the diverse features of patient groups and the available technologies.

Evaluating the possible impediments to knowledge use is the final phase of the Action Cycle (Ruiz-Martín and Bybee, 2022). This entails assessing barriers to the integration of the practice like opposition by healthcare providers and patients, technology, or other resource issues. After this, the framework stresses the factors of selection, adaptation, and application of interventions (Ruiz-Martín and Bybee, 2022). This refers to the establishment and implementation of particular approaches to the incorporation of telehealth into everyday practice that might include informational and training sessions for healthcare employees, informational kits for patients, as well as the accommodation of telehealth systems in the establishments.

Another core element of the KTA Framework is the KM Track usage as well as the utilization of the acquired knowledge (Seyyed Hadi Jabali et al., 2024). It is therefore very important to incorporate this continuous assessment and feedback for telehealth interventions in practice and from providers and patients to increase its effectiveness of implementation (Seyyed Hadi Jabali et al., 2024). The assessment of the outcomes aims to compare results between patients utilising telehealth interventions and the rest of the patients, taking into account aspects such as the quality of life, actual adherence to medications, and psychological status (Seyyed Hadi Jabali et al., 2024). This evaluation assists in establishing the level of success in the process of translating evidence and further improvement.

Finally, maintaining the transfer and utilisation of knowledge is one the significant components of the KTA Framework (Esmail et al., 2020). The general fact of sustaining the effectively implemented telehealth implies the constant provision of needed levels of support, training, and technology updates. In this context, the KTA Framework would be useful in implementing the outcomes of the TCDMS systematic review because of the framework’s comprehensive nature (Esmail et al., 2020). In terms of strengths, it is highly structured, which means that all necessary parameters of evidence translation from knowledge creation to system sustainability are covered.

Appraisal of the Evidence Translation Tool

Strengthen of the KTA Framework

Another strong element of the KTA Framework is that it consists of knowledge creation and action components at the same time (Holt et al., 2017). This makes certain that the research outcomes are not only synthesized as well as converted into useful recommendations but also regularly disseminated for use. Another major advantage of the framework is context adaptability, which could explain that telehealth interventions are flexible to foster the context characteristics of various healthcare organisations (White et al., 2020). This factor contributes to ensuring that interventions are plausible and appropriate, hence increasing the chances of their utilization by both healthcare providers and consumers.

Drawbacks of the KTA Framework

However, this paper also identifies several limitations inherent in the KTA Framework. A major concern that needs to be addressed includes the issues related to the scope and generalizability of the interventions; specifically, how one can generalize the intervention widely without having to encounter issues of intervention adaptation and context tailoring (White et al., 2020). Even though the framework extols the use of customisation, the act of developing and implementing the customised interventions proves to be costly and time-consuming. This may pose problems, especially to hospitals with little capital or hospitals that may be under time pressure whilst altering their practices.

In that case, one of the challenges we can observe is the possibility of change rejection by healthcare providers and patients (Rehman et al., 2021). Organo-synthetic resistance may also occur when getting to implement new lint interventions even when the conceptual framework is adequately developed because it entails resistance to change and may greatly affect existing patterns of work or practice (Rehman et al., 2021). To overcome this type of resistance, appropriate and suitable strategies of change management have to be implemented and proper communication to show the utility of telehealth intervention has to be put in place.

Managing Factors Affecting Translation

In response to these challenges, the KTA Framework recommends the formulation and management of the knowledge-using process, including issues hindering the use of knowledge (Chamberland et al., 2022). This includes evaluation to identify the factors likely to hamper the feasibility of telehealth interventions and finding ways of addressing the challenges. For instance, offering resources for increased credentials of healthcare professionals regarding the use of a specific telehealth system can be effective in improving the practice (Chamberland et al., 2022). Also, when developing and implementing interventions, the patient’s role can be considered so that such interventions are accepted and actively used.

Barriers to Evidence Dissemination

Technological Barriers

Another major limitation to the dispersion of telehealth evidence is the technical hurdles relevant to the implementation of such systems (Gajarawala and Pelkowski, 2021). Some of the challenges include limited internet access, patients’ inability to have advanced computers, inadequate knowledge of information updates and proper handling of hardware instruments, current or advanced software, etc. Some of these causes are; In rural and other underserved areas, these difficulties are usually compounded, making it hard to integrate telehealth solutions (Gajarawala and Pelkowski, 2021). Also, the incorporation of telehealth systems with the existing healthcare frameworks may be technically cumbersome and thus time-consuming.

Resistance to Change

One of the main issues met in subjects concerning change implementation arises from the tendency of individuals or organizations to resist it (Hubbart, 2023). Stakeholders might also have concerns regarding the telehealth solution’s integration into their existing processes, the effects on the patient-provider relationship, or doubts about the value of telehealth over traditional methods. Likewise, patients may be resistant to change, especially when their prior ways of interacting with healthcare providers were face-to-face meetings (Hubbart, 2023). This resistance can be a result of poor knowledge of the benefits of telehealth, or unwanted privacy and data issues.

Resource Constraints

Telehealth interventions entail the provision of healthcare services through the use of telecommunication technology and a lot of money and human resources are usually needed to execute them hence becoming a hurdle to many healthcare facilities (Haimi, 2023). Technology costs for acquiring and implementing telehealth, staff development, and integration can be expensive so much so that small practices or those with limited funds cannot afford them.

Cultural and Language Barriers

There are also barriers arising from cultural differences and language barriers when translating evidence on telehealth (Haimi, 2023). Perception of healthcare technologies depends on the culture and experiences of the patient, there is general mistrust regarding the use of technologies among patients of colour (Haimi, 2023). Also, a lack of language interpreters can hamper communication and consequently the usage of telehealth solutions by patients.

Regulatory and Policy Barriers

Most literature identified regulatory and policy concerns as barriers to telehealth solutions’ dissemination and implementation (Kruse et al., 2019). Telehealth is not practised consistently across regions because telehealth regulations are still developing in many areas; therefore, there is uncertainty and inconsistency in the ways telehealth can be conducted and paid for (Kruse et al., 2019). Telehealth interventions could be undermined or delayed because of these regulatory complexities as healthcare providers embark on trying to resolve issues within these two regulatory frameworks.

Strategies to Overcome Barriers

Infrastructure enhancement for technology and establishing strategic collaborations may address the gap. Knowledge enhancement initiatives and presenting information for both the healthcare workers and patients could help in minimising the resistance to change by enhancing cognition of the advantages of telehealth (Kruse et al., 2019).

References

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• Chamberland, M., Setrakian, J., Bergeron, L., Varpio, L., St-Onge, C. and Thomas, A.W. (2022). Harnessing a knowledge translation framework to implement an undergraduate medical education intervention: A longitudinal study. National Institute of Health, 11(6), pp.333–340. doi:https://doi.org/10.1007/s40037-022-00735-7.
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Author Bio

Casey Bennett   7 years | PhD

My name is Casey Bennett and I have obtained my graduation, post-graduation and PhD from London Business School. I have been giving education to students for the last 7 years in the United Kingdom. I can help you deal with complex dissertation topics, assignments, and essays and finish them fast.