wow-inequalities/02-data/intermediate/wos_sample/21d41f5025c4455d103ecdf5b3eb9c96-fry-m.-whitney-and/info.yaml

130 lines
4.2 KiB
YAML
Raw Normal View History

2023-09-28 14:46:10 +00:00
abstract: 'Non-physician clinicians (NPCs) in low and middle-income countries
(LMICs) often have little physical proximity to the resources-equipment,
supplies or skills-needed to deliver effective care, forcing them to
refer patients to distant sites. Unlike equipment or supplies, which
require dedicated supply chains, physician/specialist skills needed to
support NPCs can be sourced and delivered through telecommunication
technologies. In LMICs however, these skills are scarce and sparsely
distributed, making it difficult to implement commonly used real-time
(synchronous), hub-and-spoke telemedicine paradigms. An asynchronous
teleconsultations service was implemented in Turkana County, Kenya,
connecting NPCs with a volunteer network of remote physicians and
specialists. In 2017-18, the service supported over 100
teleconsultations and referrals across 20 primary healthcare clinics and
two hospitals. This qualitative study aimed to explore the impact of the
telemedicine intervention on health system stakeholders, and perceived
health-related benefits to patients. Data were collected using
Appreciative Inquiry, a strengths-based, positive approach to assessing
interventions and informing systems change. We highlight the impact of
provider-to-provider asynchronous teleconsultations on multiple
stakeholders and healthcare processes. Provider benefits include
improved communication and team work, increased confidence and capacity
to deliver services in remote sites, and professional satisfaction for
both NPCs and remote physicians. Health system benefits include
efficiency improvements through improved care coordination and avoiding
unnecessary referrals, and increased equity and access to
physician/specialist care by reducing geographical, financial and social
barriers. Providers and health system managers recognised several
non-health benefits to patients including increased trust and care
seeking from NPCs, and social benefits of avoiding unnecessary referrals
(reduced social disruption, displacement and costs). The findings reveal
the wider impact that modern teleconsultation services enabled by mobile
technologies and algorithms can have on LMIC communities and health
systems. The study highlights the importance of viewing
provider-to-provider teleconsultations as complex health service
delivery interventions with multiple pathways and processes that can
ultimately improve health outcomes.'
affiliation: 'Kumar, P (Corresponding Author), Hlth E Net Ltd, Nairobi, Kenya.
Kumar, P (Corresponding Author), Strathmore Univ, Sch Business, Inst Healthcare
Management, Nairobi, Kenya.
Fry, M. Whitney; Saidi, Salima; Kithyoma, Vanessa; Kumar, Pratap, Hlth E Net Ltd,
Nairobi, Kenya.
Musa, Abdirahman, Minist Hlth Serv \& Sanitat, Nairobi, Turkana County, Kenya.
Kumar, Pratap, Strathmore Univ, Sch Business, Inst Healthcare Management, Nairobi,
Kenya.
Fry, M. Whitney, Iris Grp, Nairobi, Kenya.
Kithyoma, Vanessa, MHlth Kenya Ltd, Nairobi, Kenya.'
article-number: e0238806
author: Fry, M. Whitney and Saidi, Salima and Musa, Abdirahman and Kithyoma, Vanessa
and Kumar, Pratap
author-email: pkumar@strathmore.edu
author_list:
- family: Fry
given: M. Whitney
- family: Saidi
given: Salima
- family: Musa
given: Abdirahman
- family: Kithyoma
given: Vanessa
- family: Kumar
given: Pratap
da: '2023-09-28'
doi: 10.1371/journal.pone.0238806
files: []
issn: 1932-6203
journal: PLOS ONE
keywords-plus: 'MIDDLE-INCOME COUNTRIES; MOBILE-HEALTH; CARE; CLINICIAN; MORTALITY;
SERVICES; PROGRAM; PEOPLE'
language: English
month: SEP 15
number: '9'
number-of-cited-references: '45'
orcid-numbers: 'Kumar, Pratap/0000-0002-9807-3579
Fry, Whitney/0000-0001-5442-7964'
papis_id: b375752708eb31c43494696b004bbba6
ref: Fry2020eventhough
times-cited: '6'
title: '``Even though I am alone, I feel that we are many″ - An appreciative inquiry
study of asynchronous, provider-to-provider teleconsultations in Turkana, Kenya'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000573375500018
usage-count-last-180-days: '1'
usage-count-since-2013: '2'
volume: '15'
web-of-science-categories: Multidisciplinary Sciences
year: '2020'