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  • 1.
    Johansson, Annette
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lindberg, Inger
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Söderberg, Siv
    Department of Nursing Sciences,Mid Sweden University,Campus Östersund.
    Healthcare personnel's experiences using video consultation in primary healthcare in rural areas2017Ingår i: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 18, nr 1, s. 73-83Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background:

    Patients living in rural areas often need to travel long distances for access to specialist care. To increase access to specialist care, video consultation between patients in primary healthcare and specialist care has been used. In order for this new method to be developed and used to the fullest, it is important to understand healthcare personnel’s experiences with this intervention.

    Objective:

    The aim of this study was to describe healthcare personnel’s experiences using video consultation in their work in primary healthcare.

    Method:

    A mixed methods design was used, and the data were analysed using qualitative and quantitative analysis methods. Interviews were conducted with eight general practitioners and one district nurse, all of whom had conducted a video consultation with a patient and a specialist physician or a cardiac specialist nurse. After each video consultation, the participants completed a consultation report/questionnaire.

    Results:

    Healthcare personnel considered video consultation to provide quicker access to specialist care for the patient, and greater security when the video consultation encounter was conducted at their own primary healthcare centre. They considered video consultation an opportunity to provide education and for the patients to ask questions.

    Concliusion:

    Video consultation is a satisfactory tool for healthcare personnel, and the technology is a new, useful method, especially for the district nurses. Further, video consultation is an opportunity for healthcare personnel to learn. However, for it to work as an accepted method, the technology must function well and be user friendly. It must also be clear that it is beneficial for the patients and the healthcare personnel.

  • 2.
    Johansson, Annette M.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Implementation of Videoconsultation to Increase Accessibility to Care and Specialist Care in Rural Areas: Residents, patients and healthcare personnel´s views2015Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The overall aim of this doctoral thesis was to explore videoconsultation as a working tool to increase accessibility to care in rural areas for residents, patients and healthcare personnel. This thesis consists of four studies, two with a qualitative approach (II, III), one with a quantitative approach (I) and one with mix methods (IV). In study II, focus group discussions were conducted with healthcare personnel at five primary healthcare centres aimed to describe their views on videoconsultation before the centres implemented the technology. The data were analysed with qualitative content analysis. In study I, a questionnaire was constructed to describe residents’ views on accessibility to specialist care and on using videoconsultation as a tool to increase the accessibility. Data was analysed with descriptive statistics. In study III, 26 patients who have participated in videoconsultation were interviewed about their experiences with specialists care via videoconsultation. The interviews were analysed with thematic content analysis. In study IV, individual interviews were conducted with eight general practitioners and one district nurse to have them describe their experiences of using videoconsultation in rural areas. Consultation reports were developed to give knowledge about technical functionality and the VC. These data were analysed with content analysis and, descriptive statistics respectively. The results show that a patient-centered videoconsultation was important. An advantage for the patient was reduced travels for specialist care but a disadvantage was not to have the opportunity to meet the specialist physician face to face. An important prerequisite for the patient to feel safe in videoconsultation was that the personnel be comfortable with the technology. The results also reveal that it was important to evaluate costs and personal recourses before implementing the technology (II). The respondents first chose to meet the specialist physician face to face and in second hand via videoconsultation with their general practitioner beside them. Videoconsultation was considered to save time, money and environment when patients did not have to travel (II, III). Residents felt secure when they were allowed to choose for themselves if they should participate in videoconsultation or receive a referral (III). Healthcare personnel considered that videoconsultation encounter were a useful opportunities for education and discussions with the specialist physician (IV). To conclude, videoconsultation increase the accessibility to specialist care for residents in rural areas. Although videoconsultation is considered important for the specialist care accessibility, participants thought that there was times when face-to-face meeting was to prefer. Distance videoconsultation saves time and money for the patient, the healthcare organization and the environment.Key words: videoconsultation, e-health, rural areas, nursing, primary healthcare, specialist care

  • 3.
    Johansson, Annette M.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Health care personnel´s views about videoconsultation prior to implementation in primary health care2014Konferensbidrag (Refereegranskat)
    Abstract [en]

    Health care personnel´s views about videoconsultation prior to implementation in primary health care Objective: The aim of this study was to describe health care personnel´s views on video consultation before implementing the technology in their work.Method: Five focus group discussions were performed with healthcare staff from five primary health care centres in the northern part of Sweden. The transcribed focus group discussions were analysed with qualitative content analysis.Result: A patient-centered videoconsultation was important as the method was considered as technical, and the staff saw a risk that information could get lost. The health care staff emphasized the importance of evaluating costs and recourses when implementing new working methods. Further, the staff noted that the investment of equipment was considered as a small cost related to travel costs, exhausting journeys for the patient, and the environmental impact. There was an aversion towards new technology in daily work as it often did not work properly and the staff did not consider it to be their responsibility to get it works. Technology was considering bringing new possibilities in future health care. Conclusion: This study demonstrates that health care staff identified advantages of using videoconsultation if it functions well. The staff emphasized the importance of training and technical support before the implementation of videoconsultation. Further, health care staff stressed that before an implementation an evaluation with regard to economic aspects, concerning both materials and personal resources should be performed. The videoconsultation had to be patient-centered; otherwise, the staff believed that the patient may resist participation in specialist consultation.

  • 4.
    Johansson, Annette M.
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lindberg, Inger
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Söderberg, Siv
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Patients’ experiences with specialist care via video consultation in primary healthcare in rural areas2014Ingår i: International Journal of Telemedicine and Applications, ISSN 1687-6415, E-ISSN 1687-6423, Vol. 2014, artikel-id 143824Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction. Video consultation (VC) can improve access to specialist care, especially for individuals who live in rural areas that are long distances from specialist clinics. Aim. The aim of this study was to describe patients’ experiences with specialist care via VC encounters. Method. Interviews were conducted with 26 patients who had participated in a VC encounter. The data were analysed using thematic content analysis. Result. The analysis resulted in two themes. The theme “confident with the technology” was constructed from the categories “possibilities and obstacles in using VC encounters” and “advantages and disadvantages of the technology.” The theme “personal satisfaction with the VC encounters” was constructed from the categories “support from the healthcare personnel,” “perceived security,” and “satisfaction with the specialist consultation.” Conclusion. The patients who did not think that the VC was the best care still considered that the visit was adequate because they did not have to travel. An important finding was that the patients’ perceived even short distances to specialty care as expensive journeys because many patients had low incomes. Among the patients who had more than one VC, the second encounter was perceived as safer. Additionally, good communication was essential for the patient’s perception of security during the VC encounter.

  • 5.
    Johansson, Annette M.
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lindberg, Inger
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Söderberg, Siv
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    The views of health care personnel about video consultation prior to implementation in primary health care in rural areas2014Ingår i: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 15, nr 2, s. 170-179Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim The aim of this study was to describe the views of health-care personnel about video consultation (VC) prior to implementation in primary health care in rural areas. BACKGROUND: For people living in rural areas, it is often a long distance to specialist care, and VC could be an opportunity for increased access to care. Therefore, this study was to investigate what views primary health-care personnel had on VC as a working method in the distance between primary and specialist care. The development of technology in society and the introduction of technology in health care mean that the working methods must be adapted to a new approach. It is therefore important that in the initial phase of the introduction of new working methods to capture the personnel views regarding this. METHODS: Focus group (FG) discussions with health-care personnel from five primary health-care centres in northern Sweden. The transcribed FG discussions were analysed with qualitative content analysis. Findings The analysis revealed four main categories: a patient-centred VC; the importance of evaluating costs and resources; new technology in daily work; technology gives new possibilities in future health care.

  • 6.
    Johansson, Annette M.
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lindberg, Inger
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Söderberg, Siv
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    The views of healthcare personnel about videoconsultation prior to implementation in primary healthcare in rural areas2014Konferensbidrag (Refereegranskat)
  • 7.
    Johansson, Annette M.
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Söderberg, Siv
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lindberg, Inger
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Views of residents of rural areas on accessibility to specialist care through videoconference2014Ingår i: Technology and Health Care, ISSN 0928-7329, E-ISSN 1878-7401, Vol. 22, nr 1, s. 147-155Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Accessibility to specialized health care is important for residents in rural areas. Videoconsultation can provide increased accessibility to health care. Before implementation of new technologies, it is important to study residents' views. OBJECTIVE: This study describes views of residents of rural areas on accessibility to specialist care and the use of videoconsultation as tool to increase accessibility. METHOD: A questionnaire was distributed via the primary health care centres in rural areas of northern Sweden. Data was analysed with both quantitative and qualitative methods. RESULTS: The quantitative analysis revealed three main areas: savings in time, environmental damage and cost of not having to travel were important; security of information must be coupled with increased availability of specialist care; responses depended on an individual's specific health care needs. The open-ended answers resulted into two categories: 1) experiences related to availability of specialist care and 2) views on participating in VC. CONCLUSION: Despite the fact that rural residents considered the distance as important factor in access to care, there was uncertainty regarding videoconsultation as solution. Although respondents were familiar with different types of communication technologies, they probably hesitated because they did not have information on what videoconsultation would mean to them.

  • 8.
    Johansson, Annette
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Att som patienten få ökad tillgänglighet av vård och omvårdnad via videokonslutation2011Konferensbidrag (Övrigt vetenskapligt)
1 - 8 av 8
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  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf