ArticleResearch in social & administrative pharmacy : RSAP2022
Exploring factors of uneven use of telehealth among outpatient pharmacy clinics during COVID-19: A multi-method study.
Article in Research in social & administrative pharmacy : RSAP, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Psychological Factors That Contribute to the Use of Video Consultations in Health Care: Systematic Review.Journal of medical Internet research · 2024Pooled it
- Telepharmacy for outpatients with cancer: An implementation evaluation of videoconsults compared to telephone consults using the CFIR 2.0.Exploratory research in clinical and social pharmacy · 2024Article
- The Unintended Consequences of Telehealth in Australia: Critical Interpretive Synthesis.Journal of medical Internet research · 2024Review
- Expanding access to telehealth in Australian cardiac rehabilitation services: a national survey of barriers, enablers, and uptake.European heart journal. Digital health · 2024Article
- Experiences and learnings of pharmacists, students, and clinical assistants working collaboratively in a COVID-19 vaccination clinic: a qualitative study.Exploratory research in clinical and social pharmacy · 2023Article
- Exploring public opinion about telehealth during COVID-19 by social media analytics.Journal of telemedicine and telecare · 2022Article
- Benefits, challenges and contributors to the introduction of new hospital-based outpatient clinic pharmacist positions.Exploratory research in clinical and social pharmacy · 2022Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTo enable services to be provided at a distance during the COVID-19 pandemic, outpatient pharmacy services in Australia underwent near-immediate reform by moving to telehealth, including telephone and video consults.
objectiveTo investigate how telehealth was used in a metropolitan outpatient pharmacy setting before and after the start of the COVID-19 restrictions and the various influences on the uptake of phone and video modalities.
methodsA multi-methods approach was used including: (1) quantifying administrative activity data between July 2019 to December 2020 and, (2) semi-structured interviews with key stakeholders (n = 34).
resultsActivity data: Between July 2019 to December 2020 16,377 outpatient pharmacy consults were provided. Of these, 13,543 (83%) were provided in-person, 2,608 (16%) by telephone and 226 (1.4%) by video consult. COVID-19 impacted how these services were provided with telephone activity more than four-times higher in April 2020 than March 2020 and slight increases in video consults. Pharmacists have heavily favoured using the telephone despite the recommendation that video consults be used as the primary mode of contact and that telephone only be used when a video consult was not possible. As soon as COVID-19 restrictions eased, clinicians gradually returned to in-person appointments, maintaining some use of telephone and very limited use of video consult. Semi-structured interviews: Whilst clinicians recognised the potential benefits of video consults, challenges to routine use included the additional administrative and planning work required pre-consult, perceptions that patients were unable to use the technology, and the belief that in-person care was 'better' and that the telephone was easier.
conclusionOrganisational strategies that encouraged the use of video over telephone (e.g. through financial incentives) did not appear to influence clinicians' choice of care modality. Implementation studies are required to co-develop solutions to embed telehealth options into outpatient pharmacy settings that provide the best experience for both patients and clinicians.
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