FAKTOR PENDUKUNG DAN PENGHAMBAT IMPLEMENTASI TELEHEALTH SELAMA

MASA PANDEMI COVID 19

ERLINDA

1. Pendahuluan
2. Metode
Pubmed and Science Direct and Scopus: nurse OR nursing AND “support and barrier factor”
AND telehealth AND implementation AND covid 19
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 Penulis / Instrumen
No Tujuan Metode Sampel Intervensi Hasil
Kota (jika ada)
1 (Bhatia, 2021) The objective of this Kualitatif We collected Telehealth Tidak ada The results of the study shows
/ India study is to empirically data from 1170 there is a significant market
study the prospects participants for telehealth services in India
of
through to be explored by the
telehealth in India in
personal technology firms, hospitals
terms of
understanding the interview. and other healthcare
key enablers for stakeholders and going
telehealth initiatives forward it has an enormous
from the perspective capability to transform the
of healthcare complete healthcare
consumers during
ecosystem, especially in
and post Covid 19
crisi developing countries like
India post the COVID-19 crisis.
2 (Strohl dkk., to provide a summary Kualitatif Four Telemedicine Tidak ada Key identified areas of
2020) / of learned laryngologists consideration when offering
experiences and and a voice- telemedicine included (1) how
important specialized to set up and structure a
considerations for speech- telemedicine visit and
implementing and language maintain patient
offering telehealth to pathologist confidentiality, (2) patient
provide laryngology from a tertiary- examination and treatment
subspecialty care care academic initiation, (3) optimization of
during the COVID-19 Voice and the tele-visit, (4) limitations
pandemic and Swallowing and recognition of when a
thereafter. Center were tele-visit is insufficient for
engaged in a patient care needs, (5)
structured billing/reimbursement
 group considerations. Group
consensus consensus for the
conference aforementioned topics is
summarized and discussed.
3 (Kemp dkk., This study evaluates descriptive Respondent Telehealth voluntary : The completion rate was
2021) / the perspectives of statistics characteristics electronic 41.3% (145/351). Providers
surgical providers N ¼ 145 survey reported increased telehealth
practicing telehealth usage relative to the
care during COVID-19 pandemic (P < 0.001). Of
to help identify respondents, 80% (116/145)
targets for surgical had no formal telehealth
telehealth training. Providers estimated
optimization. that new patient video visits
required less time than
traditional visits (P ¼ 0.001).
Satisfaction was high for
several aspects of video visits.
Comparatively lower
satisfaction scores were
reported for the ability to
perform physical exams
(sensitive and nonsensitive)
and to break bad news. The
largest barriers to effective
video visits were limited
physical exams (55.6%; 45/81)
and lack of provider or patient
internet
access/equipment/connection
 (34.6%; 28/81). Other barriers
included ineffective
communication and difficulty
with fostering rapport.
Concerns regarding video-
totelephone visit conversion
were loss of physical
exam/visual cues (34.3%;
24/70), less personal
interactions (18.6%; 13/70),
and reduced efficiency
(18.6%; 13/70).
4 (Gómez Rivas To provide practical SR the most Telemedicine Tidak ada Telemedicine refers to the use
dkk., 2020) / recommendations for relevant articles and smart of electronic information and
the effective use of related to working telecommunication tools to
technological tools in ‘‘telemedicine’’ provide remote clinical health
telemedicine. and ‘‘smart care support. Smart working
working’’ t is a working approach that
uses new or existing
technologies to improve
performance. Telemedicine is
becoming a useful and
fundamental tool during the
COVID-19 pandemic and will
be even more in the future. It
is time for us to officially give
telemedicine the place it
deserves in clinical practice,
and it is our responsibility to
 adapt and familiarize with all
the tools and possible
strategies for its optimal
implementation. We must
guarantee that the quality of
care received by patients and
perceived by them and their
families is of the highest
standard.
5 (Datta dkk., To assess feasibility, descriptive A total of 223 telemedicine Tidak ada Among 223 telehealth
2021) / patient satisfaction, statistics patients were patients, 85.7% used both
and financial included in the synchronous audio and video
advantages of study technology. During the visits,
telemedicine for 39% of patients had their
epilepsy ambulatory anticonvulsants adjusted
care during the while 18.8% and 11.2% were
current COVID-19 referred to
pandemic. laboratory/diagnostic testing
and specialty consults,
respectively. In a post-visit
survey, the highest degree of
satisfaction with care was
expressed by 76.9% of
patients. The degree of
satisfaction tended to
increase the further a patient
lived from the clinic (p = 0.05).
Beyond the pandemic, 89% of
patients reported a
 preference for continuing
telemedicine if their epilepsy
symptoms remained stable,
while only 44.4% chose
telemedicine should their
symptoms worsen. Inclement
weather and lack of
transportation were factors
favoring continued use of
telemedicine. An estimated
cost saving to patient
attributed to telemedicine
was $30.20 ± 3.8 per visit.
6 (Siow dkk., We therefore asked: Cohort the pre-COVID- Telehealth Tidak ada There was an increase in the
2020) / (1) To what extent did 19 and COVID- percentage of office visits
telehealth usage 19 periods (0% conducted via telehealth
increase for an [0 of 340] between the pre-COVID-19
outpatient versus 37% [86 and COVID-19 periods (0% [0
orthopaedic trauma of 233]; p < of 340] versus 37% [86 of
clinic at a Level 1 0.001 233]; p < 0.001), and by the
trauma center from third week of
the month before the implementation, telehealth
COVID-19 stay-at- comprised approximately half
home order of all clinic visits (57%; [30 of
compared with the 53]). There was no difference
month immediately in the no-show proportion
following the order? between the two periods
(2) What is the (13% [53 of 393] for the pre-
proportion of no- COVID-19 period and 14% [37
 show visits before of 270] for the COVID-19
and after the period; p = 0.91).
implementation of
telehealth?
7 (Chen dkk., To assess telehealth Survey This study Telehealth (AHA) Annual Findings: Our research
2020) / adoption among dscriptive focused on Survey and IT showed substantial
hospitals located in general medical Supplement differences in telehealth
rural and urban areas, and surgical Survey. adoption among hospitals
and identify barriers hospitals that located in rural, micropolitan,
related to enhanced responded to and metropolitan areas,
telehealth capabilities the telehealth where adoption rates increase
in the areas of patient section to with urbanicity. Rural
engagement and measure hospitals were least likely to
health information telehealth have telehealth systems with
exchange (HIE) adoption (n = patient engagement
capacity with external 3,537) capabilities such as the ability
providers and to view their health
community partners. information online and
electronically transmit
medical information to a third
party. They were also the
least likely to report that
clinical information was
available electronically from
outside providers. Our model
explained 65% of the
rural/urban difference in
telehealth adoption, 55% of
the number of telehealth
 services adopted, and 43%-
49% of the rural/urban
difference in telehealth
barriers.
8 (Imlach dkk., This research aimed A mix- Characteristic Telehealth an online In general, patients reported
2020) / to explore how method Survey survey and in- high satisfaction with
patients accessed respondents (n depth telehealth in general practice
general practice = 1010) % interviews during lockdown. Telehealth
during lockdown and Interviewees (n was convenient and allowed
evaluate their = 38) % patients to safely access
experiences with health care without having to
telehealth, to inform weigh-up the fear of COVID-
how telehealth could 19 infection against the need
be most effectively to be seen. Telehealth worked
used in the future. best for routine and familiar
health issues and when
rapport was established
between patients and
clinicians. This was easier with
a pre-existing clinical
relationship, but not
impossible without one.
Telehealth was less suitable
when a physical examination
was needed, when the
diagnosis was unknown or for
patients who had a strong
preference to be seen in-
person.
9 (O’Donovan To explore patient SR 731 patients Telehealth Tidak ada Public health measures
dkk., 2020) / and healthcare were reviewed implemented in March 2020
provider (HCP) by to reduce COVID-19 spread
experience of medical/nursing resulted in a 63% decrease in
telehealth in a telehealth medical/nursing clinic
European consultation, consultation activity
Haemophilia including 130 compared to the same period
Comprehensive Care new patients in 2019. Implementation of
Centre. and 601 return digital care pathways resulted
patients in marked increase in activity
(median age 44 (52% greater than 2019).
years (range 16- Importantly, enhanced
91 years), 54% patient engagement was
female and 46% noted, with a 60% reduction
male patients) in non-attendance rates.
Survey of patients who had
participated in
medical/nursing
teleconsultations
demonstrated that
teleconsultations improved
access (79%), reduced
inconvenience (82%), was
easy to use (94%) and
facilitated good
communication with the HCP
(97%). A survey exploring the
telemedicine experience of
HCPs, illustrated that HCPs
were satisfied with
teleconsultation and the
majority (79%) would like to
continue to offer
teleconsultation as part of
routine patient care. In
addition to medical/nursing
reviews, continued access to
physiotherapy with virtual
exercise classes for people
with haemophilia and
teleconsultation for acute
dental issues was equally
successful.