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Digital Bridge or Tradeoff: Telehealth Adoption and Healthcare Service Quality. A Scoping Review

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Sustainable Digital Transformation

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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References

  1. 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)

    Google Scholar 

  2. 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)

    Google Scholar 

  3. 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)

    Google Scholar 

  4. 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)

    Google Scholar 

  5. 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)

    Google Scholar 

  6. Ramsetty, A., Adams, C.: Impact of the digital divide in the age of COVID-19. JAMIA 27(7), 1147–1148 (2020)

    Google Scholar 

  7. Badr, N.G., Carrubbo, L., Ruberto, M.: Responding to COVID-19: potential hospital-at-home solutions to re-configure the healthcare service ecosystem (2021)

    Google Scholar 

  8. 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)

    Google Scholar 

  9. Baker, A.: Book: crossing the quality chasm: a new health system for the 21st century. BMJ 323(7322), 1192 (2001)

    Article  Google Scholar 

  10. Bostrom, R.P., Heinen, J.S.: MIS problems and failures: a socio-technical perspective. Part I: The causes. MIS Quarterly 1(3), 17 (1977)

    Google Scholar 

  11. Levac, D., Colquhoun, H., O’Brien, K.K.: Scoping studies: advancing the methodology. Implement. Sci. 5(1), 1–9 (2010)

    Article  Google Scholar 

  12. 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)

    Article  Google Scholar 

  13. 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)

    Article  Google Scholar 

  14. Ekeland, A.G., Bowes, A., Flottorp, S.: Effectiveness of telemedicine: a systematic review of reviews. Int. J. Med. Inform. 79(11), 736–771 (2010)

    Google Scholar 

  15. 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)

    Article  Google Scholar 

  16. Tuckson, R.V., Edmunds, M., Hodgkins, M.L.: Telehealth. N. Engl. J. Med. 377(16), 1585–1592 (2017)

    Article  Google Scholar 

  17. 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)

    Article  Google Scholar 

  18. 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)

    Article  Google Scholar 

  19. 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)

    Google Scholar 

  20. 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)

    Google Scholar 

  21. 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)

    Article  Google Scholar 

  22. 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)

    Google Scholar 

  23. 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)

    Article  Google Scholar 

  24. 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)

    Article  Google Scholar 

  25. 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)

    Google Scholar 

  26. 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)

    Google Scholar 

  27. 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)

    Article  Google Scholar 

  28. 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)

  29. 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)

    Google Scholar 

  30. Gattu, R., Teshome, G., Lichenstein, R.: Telemedicine applications for the pediatric emergency medicine. Pediatr. Emerg. Care 32(2), 123–130 (2016)

    Article  Google Scholar 

  31. 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)

    Google Scholar 

  32. 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)

    Google Scholar 

  33. 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)

    Book  Google Scholar 

  34. Zhai, Y.A.: Call for addressing barriers to telemedicine: health disparities during the COVID-19 pandemic. Psychother. Psychosom. 90(1), 64–66 (2020)

    Google Scholar 

  35. 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)

    Google Scholar 

  36. 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

    Article  Google Scholar 

  37. 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)

    Article  Google Scholar 

  38. 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)

    Article  Google Scholar 

  39. 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)

    Article  Google Scholar 

  40. 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)

    Google Scholar 

  41. 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)

    Article  Google Scholar 

  42. Nittas, V., von Wyl, V.: COVID-19 and telehealth: a window of opportunity and its challenges. Published, Swiss Medical Weekly (2020)

    Google Scholar 

  43. 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)

    Google Scholar 

  44. Larburu, N., Bults, R., van Sinderen, M., Hermens, H.: Quality-of-data management for telemedicine systems. Procedia Comput. Sci. 63, 451–458 (2015)

    Article  Google Scholar 

  45. 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)

    Article  Google Scholar 

  46. 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)

    Google Scholar 

  47. 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)

    Google Scholar 

  48. Pirtle, C.J., Payne, K.L., Drolet, B.C.: Telehealth: legal and ethical considerations for success. Telehealth Med. Today. 4(2019)

    Google Scholar 

  49. 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)

    Article  Google Scholar 

  50. 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)

    Google Scholar 

  51. 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)

    Article  Google Scholar 

  52. Krings, B.J., Weinberger, N.: Assistant without master? Some conceptual implications of assistive robotics in health care. Technologies 6(1), 13 (2018)

    Article  Google Scholar 

  53. 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)

    Article  Google Scholar 

  54. Carayon, P.: Sociotechnical systems approach to healthcare quality and patient safety. Work (Reading, Mass.) 41(0 1), 3850 (2012)

    Google Scholar 

  55. 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)

    Google Scholar 

  56. Badr, N.G.: Guidelines for health IT addressing the quality of data in EHR information systems. In: Healthinf, pp. 169–181 (2019)

    Google Scholar 

  57. Kaplan, B.: Revisiting health information technology ethical, legal, and social issues and evaluation: telehealth/telemedicine and COVID-19. SSRN Electron. J. Published (2020)

    Google Scholar 

  58. Chuo, J., Macy, M.L., Lorch, S.A.: Strategies for evaluating telehealth. Pediatrics 146(5), e20201781 (2020)

    Article  Google Scholar 

  59. DeJong, C., Santa, J., Dudley, R.A.: Websites that offer care over the internet. JAMA 311(13), 1287 (2014)

    Article  Google Scholar 

  60. 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)

    Google Scholar 

  61. Mosavi, N., Santos, M.: Implementation considerations for the applied business intelligence in healthcare (2021)

    Google Scholar 

  62. Haque, S.N.: Telehealth beyond COVID-19. Psychiatr. Serv. 72(1), 100–103 (2021)

    Article  Google Scholar 

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Correspondence to Nabil Georges Badr .

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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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