Evidence map›Paper›PMID 39563714›Full record

ArticleJournal of healthcare leadership2024

Value Co-Creation in Telemedicine: A Qualitative Study of Pediatricians' Expectations Regarding Telehomecare Implementation in an Italian Pediatric Hospital.

Chiara Bernuzzi, Maria Adele Piccardo, Marta Marsilio, Valeria Calcaterra, Gianvincenzo Zuccotti, Chiara Guglielmetti

Abstract read
In one paragraph

Article in Journal of healthcare leadership, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
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

6 authors.

Chiara BernuzziDepartment of Economics, Management and Quantitative Methods (DEMM), University of Milan, Milan, 20122, Italy.ORCID 0000-0003-0703-1398
Maria Adele PiccardoDepartment of Economics, Management and Quantitative Methods (DEMM), University of Milan, Milan, 20122, Italy.ORCID 0000-0003-4756-0593
Marta MarsilioDepartment of Biomedical and Clinical Science, University of Milan, Milan, 20157, Italy.ORCID 0000-0001-9191-7284
Valeria CalcaterraPediatric Department, Buzzi Children's Hospital, Milan, 20154, Italy.ORCID 0000-0002-2137-5974
Gianvincenzo ZuccottiDepartment of Biomedical and Clinical Science, University of Milan, Milan, 20157, Italy.ORCID 0000-0002-2795-9874
Chiara GuglielmettiDepartment of Economics, Management and Quantitative Methods (DEMM), University of Milan, Milan, 20122, Italy.ORCID 0000-0002-1866-2796

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The widespread adoption of telemedicine tools poses new and little-known challenges for healthcare professionals, who are required to adapt their knowledge, skills, and work practices to this innovative scenario. Understanding healthcare professionals' expectations and concerns about adopting telemedicine can facilitate its effective integration. Therefore, drawing upon the Value Co-Creation in Healthcare model, the current study aims to investigate pediatricians' expectations regarding antecedents, outcomes, and management activities relevant to the implementation of a telehomecare service. Methods: Interviews invitations were sent to all pediatricians (n=13) involved in a pilot study using the TytoCare device, a telehomecare tool that enables remote medical examinations, at an Italian pediatric hospital. All invited pediatricians agreed to participate. The semi-structured interviews, each lasting approximately 30 to 45 minutes, were conducted remotely via Microsoft Teams prior to the use of the TytoCare device. All interviews were recorded and transcribed verbatim. The content was subsequently analyzed through thematic analysis using MAXQDA software. Results: Five overarching thematic areas emerged from the interviews: factors influencing the adoption of the telehomecare device, advantages of its use, impacts on work practices, changes in the patient-professional relationship, and management activities. While concerns exist about the adequacy of telehomecare compared to in-person visits, the device offers potential benefits, such as improving the hospital experience for children by shortening hospital stays. However, it may lead to an increased workload and necessitate stronger trust and communication in remote care. Successful integration requires dedicated support staff, regulatory adjustments, and effective leadership, with active involvement of healthcare professionals in decision-making. Conclusion: By shedding light on healthcare professionals' expectations about telehomecare device, this study provides useful insights to healthcare leaders to tailor interventions to accompany technology within care practices to valorize its benefits and promote value co-creation processes.

Indexed as

co-creation of valueexpectations about telemedicinehealthcare professionalspediatriciansqualitativetelehomecare

Identifiers

PMID39563714
PMCPMC11574288

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Registered trials

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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.