Evidence map›Paper›PMID 36050194›Full record

ReviewHealth policy (Amsterdam, Netherlands)2022

Teleconsultation adoption since COVID-19: Comparison of barriers and facilitators in primary care settings in Hong Kong and the Netherlands.

Andrea Fernández Coves, Karene Hoi Ting Yeung, Ingeborg M van der Putten, E Anthony S Nelson

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Health policy (Amsterdam, Netherlands), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Andrea Fernández CovesCAPHRI, Care and Public Health Research Institute, Department of Health Services Research, Maastricht University, Universiteitssingel 40, Maastricht 6229 ER, the Netherlands; Department of Paediatrics, The Chinese University of Hong Kong, 6/F Lui Che Woo Clinical Sciences Building, Prince of Wales Hospital, Shatin, Hong Kong, China; CAPHRI, Care and Public Health Research Institute, Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre, P. Debyelaan 25, PO Box 5800, Maastricht 6202 AZ, the Netherlands. Electronic address: andrea.fernandez.coves@mumc.nl.
Karene Hoi Ting YeungDepartment of Paediatrics, The Chinese University of Hong Kong, 6/F Lui Che Woo Clinical Sciences Building, Prince of Wales Hospital, Shatin, Hong Kong, China. Electronic address: karene@link.cuhk.edu.hk.
Ingeborg M van der PuttenCAPHRI, Care and Public Health Research Institute, Department of Health Services Research, Maastricht University, Universiteitssingel 40, Maastricht 6229 ER, the Netherlands. Electronic address: i.vanderputten@maastrichtuniversity.nl.
E Anthony S NelsonDepartment of Paediatrics, The Chinese University of Hong Kong, 6/F Lui Che Woo Clinical Sciences Building, Prince of Wales Hospital, Shatin, Hong Kong, China; School of Medicine, The Chinese University of Hong Kong, Shenzhen, Guangdong Province 518172, China. Electronic address: tony-nelson@cuhk.edu.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic has boosted the adoption of digital health technologies such as teleconsultation. This research aimed to assess and compare barriers and facilitators for teleconsultation uptake for primary care practitioners in Hong Kong and the Netherlands and evaluate the role of their different healthcare funding models in this adoption process within the context of the COVID-19 pandemic. A qualitative research following a social constructivist paradigm was performed. The study employed a conceptual framework from Lau and colleagues that identifies four levels of factors influencing change in primary care: (1) external contextual factors; (2) organization-related factors; (3) professional factors; and (4) characteristics of the intervention. The four levels were studied through semi-structured, open-ended interviews with primary care physicians. External factors were additionally assessed by means of a literature review. Hong Kong and the Netherlands showed different penetration rates of teleconsultation. Most stakeholders in both settings shared similar barriers and facilitators in the organizational, professional, and intervention levels. However, external contextual factors (i.e., current teleconsultation legislation, available incentives, and level of public awareness) played an important and differing role in teleconsultation uptake and had a direct effect on the organization, the professionals involved, and the type of technology used. Political and organizational actions are required to develop a comprehensive legal framework for the sustainable development of teleconsultation in both settings.

Indexed as

COVID-19Remote ConsultationHong KongHumansNetherlandsPandemicsPrimary Health CareQualitative ResearchHealth systemHong KongLegislationNetherlandsPrimary careTeleconsultation

Identifiers

PMID36050194
PMCPMC9356914

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.