Abstract
As the pressing need to expand the delivery of healthcare has surpassed the traditional limits of implementation, the substantial burden of the COVID-19 pandemic has placed the provision of healthcare services under duress. We explore the outcomes associated with the implementation of telehealth technology in healthcare ecosystems, we are mindful of the challenge in bridging the gap between the potential for extending healthcare technology to overcome the disruption in the provision of health services and the possible effect on the quality of healthcare services. This paper aims to learn from the literature on the impact of Telehealth diffusion on the delivery of quality care. We develop a scoping review and evaluate the outcome through the lens of the six aims of improvement of healthcare quality. We synthesize the literature around managing the disruption, identifying the risks of unintended consequences and factors affecting adoption. We also offer learnings and call to action.
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Flores, A.P.D.C., Lazaro, S.A., Molina-Bastos, C.G., Guattini, V.L.D.O., Umpierre, R.N., Gonçalves, M.R., Carrard, V.C.: Teledentistry in the diagnosis of oral lesions: a systematic review of the literature. JAMIA 27(7), 1166–1172 (2020)
Turer, R.W., Jones, I., Rosenbloom, S.T., Slovis, C., Ward, M.J.: Electronic personal protective equipment: a strategy to protect emergency department providers in the age of COVID-19. JAMIA 27(6), 967–971 (2020)
Wosik, J., Fudim, M., Cameron, B., Gellad, Z.F., Cho, A., Phinney, D., Tcheng, J.: Telehealth transformation: COVID-19 and the rise of virtual care. JAMIA. 27(6), 957–962 (2020)
Vilendrer, S., Patel, B., Chadwick, W., Hwa, M., Asch, S., Pageler, N., Sharp, C.: Rapid deployment of inpatient telemedicine in response to COVID-19 across three health systems. JAMIA. 27(7), 1102–1109 (2020)
Li, G., Fan, G., Chen, Y., Deng, Z.: What patients “see” doctors in online fever clinics during COVID-19 in Wuhan? JAMIA 27(7), 1067–1071 (2020)
Ramsetty, A., Adams, C.: Impact of the digital divide in the age of COVID-19. JAMIA 27(7), 1147–1148 (2020)
Badr, N.G., Carrubbo, L., Ruberto, M.: Responding to COVID-19: potential hospital-at-home solutions to re-configure the healthcare service ecosystem (2021)
Mann, D.M., Chen, J., Chunara, R., Testa, P.A., Nov, O.: COVID-19 transforms health care through telemedicine: evidence from the field. JAMIA 27(7), 1132–1135 (2020)
Baker, A.: Book: crossing the quality chasm: a new health system for the 21st century. BMJ 323(7322), 1192 (2001)
Bostrom, R.P., Heinen, J.S.: MIS problems and failures: a socio-technical perspective. Part I: The causes. MIS Quarterly 1(3), 17 (1977)
Levac, D., Colquhoun, H., O’Brien, K.K.: Scoping studies: advancing the methodology. Implement. Sci. 5(1), 1–9 (2010)
Snoswell, C., Smith, A.C., Scuffham, P.A., Whitty, J.A.: Economic evaluation strategies in telehealth: obtaining a more holistic valuation of telehealth interventions. J. Telemed. Telecare 23(9), 792–796 (2016)
Slonim, A.D., Pollack, M.M.: Integrating the institute of medicine’s six quality aims into pediatric critical care: relevance and applications. Pediatr. Crit. Care Med. 6(3), 264–269 (2005)
Ekeland, A.G., Bowes, A., Flottorp, S.: Effectiveness of telemedicine: a systematic review of reviews. Int. J. Med. Inform. 79(11), 736–771 (2010)
Fisk, M., Livingstone, A., Pit, S.W.: Telehealth in the context of COVID-19: changing perspectives in Australia, the United Kingdom, and the United States. J. Med. Internet Res. 22(6), e19264 (2020)
Tuckson, R.V., Edmunds, M., Hodgkins, M.L.: Telehealth. N. Engl. J. Med. 377(16), 1585–1592 (2017)
Steinman, M., Morbeck, R.A., Pires, P.V., Abreu Filho, C.A.C., Andrade, A.H.V., Terra, J.C.C., Teixeira Junior, J.C., Kanamura, A.H.: Impact of telemedicine in hospital culture and its consequences on quality of care and safety. Einstein (São Paulo) 13(4), 580–586 (2015)
Mehrotra, A., Paone, S., Martich, G.D., Albert, S.M., Shevchik, G.J.: A comparison of care at e-visits and physician office visits for sinusitis and urinary tract infection. JAMA Intern. Med. 173(1), 72 (2013)
Kahn, J.M., Rak, K.J., Kuza, C.C., Ashcraft, L.E., Barnato, A.E., Fleck, J.C., Hershey, T.B., Hravnak, M., Angus, D.C.: Determinants of intensive care unit telemedicine effectiveness. An ethnographic study. Am. J. Respir. Crit.Al Care Med. 199(8), 970–979 (2019)
Bains, J., Greenwald, P.W., Mulcare, M.R., Leyden, D., Kim, J., Shemesh, A.J., Sharma, R.: Utilizing telemedicine in a novel approach to COVID-19 management and patient experience in the emergency department. Telemed. E-Health. 27(3), 254–260 (2021)
Smith, W.R., Atala, A.J., Terlecki, R.P., Kelly, E.E., Matthews, C.A.: Implementation guide for rapid integration of an outpatient telemedicine program during the COVID-19 pandemic. J. Am. Coll. Surg. 231(2), 216-222.e2 (2020)
Monaghesh, E., Hajizadeh, A.: The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health. 20(1) (2020)
Schoenfeld, A.J., Davies, J.M., Marafino, B.J., Dean, M., DeJong, C., Bardach, N.S., Kazi, D.S., Boscardin, W.J., Lin, G.A., Duseja, R., Mei, Y.J., Mehrotra, A., Dudley, R.A.: Variation in quality of urgent health care provided during commercial virtual visits. JAMA Intern. Med. 176(5), 635 (2016)
Halpren-Ruder, D., Chang, A.M., Hollander, J.E., Shah, A.: Quality assurance in telehealth: adherence to evidence-based indicators. Telemed. E-Health 25(7), 599–603 (2019)
Flodgren, G., Rachas, A., Farmer, A.J., Inzitari, M., Shepperd, S.: Interactive telemedicine: effects on professional practice and health care outcomes. Published, Cochrane Database of Systematic Reviews (2015)
Donelan, K., Barreto, E.A., Sossong, S., Michael, C., Estrada, J.J., Cohen, A.B., Schwamm, L.H.: Patient and clinician experiences with telehealth for patient follow-up care. Am. J. Manag. Care. 25(1), 40–44 (2019)
Lavin, B., Dormond, C., Scantlebury, M.H., Frouin, P.Y., Brodie, M.J.: Bridging the healthcare gap: building the case for epilepsy virtual clinics in the current healthcare environment. Epilepsy Behav. 111, 107262 (2020)
Wyman, O.: Digital health’s impact on the quadruple aim. Oliver Wyman. https://health.oliverwyman.com/2020/02/digital-health-and-its-impact-on-the-quadruple-aim.html (2020)
Liddy, C., Keely, E.: Using the quadruple aim framework to measure impact of heath technology implementation: a case study of eConsult. J. Am. Board Fam. Med. 31(3), 445–455 (2018)
Gattu, R., Teshome, G., Lichenstein, R.: Telemedicine applications for the pediatric emergency medicine. Pediatr. Emerg. Care 32(2), 123–130 (2016)
Liu, S.X., Xiang, R., Lagor, C., Liu, N., Sullivan, K.: Economic modeling of heart failure Telehealth programs: when do they become cost saving? Int. J. Telemed. Appl. 2016, 1–9 (2016)
Qureshi, I., Raza, H., Whitty, M., Naqvi, Z.: Telemedicine implementation and benefits for quality and patient safety in Pakistan. Knowl. Manag. & E-Learn.: Int. J., 367–377 (2015)
Ashfaq, A., Memon, S.F., Zehra, A., Barry, S., Jawed, H., Akhtar, M., Kirmani, W., Malik, F., Khawaja, A.W., Barry, H., Saiyid, H., Farooqui, N., Khalid, S., Abbasi, K., Siddiqi, R.: Knowledge and attitude regarding telemedicine among doctors in Karachi. Published, Cureus (2020)
Zhai, Y.A.: Call for addressing barriers to telemedicine: health disparities during the COVID-19 pandemic. Psychother. Psychosom. 90(1), 64–66 (2020)
Tan, L.F., Ho Wen Teng, V., Seetharaman, S.K., Yip, A.W.: Facilitating telehealth for older adults during the COVID-19 pandemic and beyond: strategies from a Singapore geriatric center. Geriatr. & Gerontol. Int. 20(10), 993–995 (2020)
Barbash, I.J., Sackrowitz, R.E., Gajic, O., Dempsey, T.M., Bell, S., Millerman, K., Weir, D.C., Caples, S.M.: Rapidly deploying critical care telemedicine across states and health systems during the covid-19 pandemic. Nejm Catal. Innov. Care Deliv. (2020). https://doi.org/10.1056/CAT.20.0301
Ohannessian, R., Duong, T.A., Odone, A.: Global telemedicine implementation and integration within health systems to fight the covid-19 pandemic: a call to action. JMIR Public Health Surveill. 6(2), e18810 (2020)
Knight, P., Bonney, A., Teuss, G., Guppy, M., Lafferre, D., Mullan, J., Barnett, S.: Positive clinical outcomes are synergistic with positive educational outcomes when using telehealth consulting in general practice: a mixed-methods study. J. Med. Internet Res. 18(2), e31 (2016)
Singh, G., Pichora-Fuller, M.K., Malkowski, M., Boretzki, M., Launer, S.: A survey of the attitudes of practitioners toward teleaudiology. Int. J. Audiol. 53(12), 850–860 (2014)
Trettel, A., Eissing, L., Augustin, M.: Telemedicine in dermatology: findings and experiences worldwide—a systematic literature review. J. Eur. Acad. Derm.Logy Venereol. 32(2), 215–224 (2018)
Scott Kruse, C., Karem, P., Shifflett, K., Vegi, L., Ravi, K., Brooks, M.: Evaluating barriers to adopting telemedicine worldwide: a systematic review. J. Telemed. Telecare 24(1), 4–12 (2018)
Nittas, V., von Wyl, V.: COVID-19 and telehealth: a window of opportunity and its challenges. Published, Swiss Medical Weekly (2020)
Chowdhury, A., Hafeez-Baig, A., Gururajan, R., Chakraborty, S.: Conceptual framework for telehealth adoption in Indian healthcare. In: 24th Annual Conference of the Asia Pacific Decision Sciences Institute: Full papers. Asia-Pacific Decision Sciences Institute (APDSI) (2019)
Larburu, N., Bults, R., van Sinderen, M., Hermens, H.: Quality-of-data management for telemedicine systems. Procedia Comput. Sci. 63, 451–458 (2015)
Maeder, A., Mars, M., Hartvigsen, G., Basu, A., Abbott, P., Gogia, S.B.: Unintended consequences of tele health and their possible solutions. Yearb. Med. Inform. 25(01), 41–46 (2016)
McKiever, M.E., Cleary, E.M., Schmauder, T., Talley, A., Hinely, K.A., Costantine, M.M., Rood, K.M.: Unintended consequences of the transition to telehealth for pregnancies complicated by opioid use disorder during the coronavirus disease 2019 pandemic. Am. J. Obstet. Gynecol. (2020)
Pollard, J.S., Karimi, K.A., Ficcaglia, M.B.: Ethical considerations in the design and implementation of a telehealth service delivery model. Behav. Anal.: Res. Pract. 17(4), 298–311 (2017)
Pirtle, C.J., Payne, K.L., Drolet, B.C.: Telehealth: legal and ethical considerations for success. Telehealth Med. Today. 4(2019)
Alami, H., Gagnon, M.P., Fortin, J.P.: Some multidimensional unintended consequences of telehealth utilization: a multi-project evaluation synthesis. Int. J. Health Policy Manag. 8(6), 337 (2019)
Jimenez, G., Spinazze, P., Matchar, D., Koh Choon Huat, G., van der Kleij, R.M., Chavannes, N.H., Car, J.: Digital health competencies for primary healthcare professionals: a scoping review. Int. J. Med. Inform. 143 (2020)
Chen, J., Sun, D., Yang, W., Liu, M., Zhang, S., Peng, J., Ren, C.: Clinical and economic outcomes of telemedicine programs in the intensive care unit: a systematic review and meta-analysis. J. Intensive Care Med. 33(7), 383–393 (2017)
Krings, B.J., Weinberger, N.: Assistant without master? Some conceptual implications of assistive robotics in health care. Technologies 6(1), 13 (2018)
Read, G.J., Salmon, P.M., Lenné, M.G., Stanton, N.A.: Designing sociotechnical systems with cognitive work analysis: putting theory back into practice. Ergonomics 58(5), 822–851 (2015)
Carayon, P.: Sociotechnical systems approach to healthcare quality and patient safety. Work (Reading, Mass.) 41(0 1), 3850 (2012)
Badr, N., Drăgoicea, M., Walletzký, L., Carrubbo, L., Toli, A.M.: Modelling for ethical concerns for traceability in time of pandemic “Do no Harm” or “Better Safe than Sorry!”. In: Proceedings of the 54th Hawaii International Conference on System Sciences, p. 1779 (2021)
Badr, N.G.: Guidelines for health IT addressing the quality of data in EHR information systems. In: Healthinf, pp. 169–181 (2019)
Kaplan, B.: Revisiting health information technology ethical, legal, and social issues and evaluation: telehealth/telemedicine and COVID-19. SSRN Electron. J. Published (2020)
Chuo, J., Macy, M.L., Lorch, S.A.: Strategies for evaluating telehealth. Pediatrics 146(5), e20201781 (2020)
DeJong, C., Santa, J., Dudley, R.A.: Websites that offer care over the internet. JAMA 311(13), 1287 (2014)
Sugarman, D.E., Horvitz, L.E., Greenfield, S.F., Busch, A.B.: Clinicians’ perceptions of rapid scale-up of telehealth services in outpatient mental health treatment. Telemed. E-Health (2021)
Mosavi, N., Santos, M.: Implementation considerations for the applied business intelligence in healthcare (2021)
Haque, S.N.: Telehealth beyond COVID-19. Psychiatr. Serv. 72(1), 100–103 (2021)
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Mohtar, L.N., Badr, N.G. (2023). Digital Bridge or Tradeoff: Telehealth Adoption and Healthcare Service Quality. A Scoping Review. In: Za, S., Winter, R., Lazazzara, A. (eds) Sustainable Digital Transformation. Lecture Notes in Information Systems and Organisation, vol 59. Springer, Cham. https://doi.org/10.1007/978-3-031-15770-7_16
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