Skip to main content
Top
Published in: BMC Health Services Research 1/2024

Open Access 01-12-2024 | Telemedicine | Research

Exploring healthcare providers’ perspectives on virtual care delivery: insights into telemedicine services

Authors: Israa K. Abdelghany, Ranim AlMatar, Asmaa Al-Haqan, Israa Abdullah, Salah Waheedi

Published in: BMC Health Services Research | Issue 1/2024

Login to get access

Abstract

Background

The rapid advancement of technology has led to a concurrent advancement of telemedicine, that is the delivery of medical services over a long distance using technological methods. The consistently growing numbers of COVID-19 cases warranted the use of telemedicine as an alternative method of care-delivery. This study aims to evaluate perceptions of healthcare services provided virtually among healthcare providers (HCPs) in Kuwait and to assess their acceptance and intention to implement such services.

Methods

An exploratory mixed methods design was conducted, where in phase one HCPs’ perceptions towards telemedicine were explored through an online questionnaire and the quantitative data were summarized by descriptive analysis using SPSS. Scores for usefulness and for attitude toward the use of telemedicine were calculated. Then semi-structured interviews were conducted in phase two and the qualitative data were analyzed thematically.

Results

In phase one, 421 HCPs answered the questionnaire. In terms of telemedicine knowledge, 15.4% of HCPs had previously used telemedicine technology and 39% already knew about it. Additionally, 42.3% preferred to use telemedicine, and 88.5% had a moderate to high usefulness score. Telemedicine’s ease of use was perceived positively. Attitude median score was 73 with an IQR of 16 (63–79). Half of the participants intend to use telemedicine.
In phase two, twenty-two interviews were conducted resulting in six themes; HCPs’ acceptance of telemedicine, facilitators and motives for telemedicine implementation, skills and training required to conduct telemedicine, barriers limiting the use of telemedicine, strategies to overcome the barriers, and benefits of telemedicine.

Conclusion

Most of the HCPs favor telemedicine integration into Kuwait’s healthcare system as their perceptions of telemedicine were overall positive, paving the way to develop implementation strategies.
Appendix
Available only for authorised users
Literature
1.
go back to reference Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-Dewan S, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018;6(11):e1196–252.CrossRefPubMedPubMedCentral Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-Dewan S, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018;6(11):e1196–252.CrossRefPubMedPubMedCentral
2.
go back to reference El-Miedany Y. Telehealth and telemedicine: how the digital era is changing standard health care. Smart Homecare Technol TeleHealth. 2017;4:43–51.CrossRef El-Miedany Y. Telehealth and telemedicine: how the digital era is changing standard health care. Smart Homecare Technol TeleHealth. 2017;4:43–51.CrossRef
3.
go back to reference Organization WH. Implementing telemedicine services during COVID-19: guiding principles and considerations for a stepwise approach. WHO Regional Office for the Western Pacific. 2020. Organization WH. Implementing telemedicine services during COVID-19: guiding principles and considerations for a stepwise approach. WHO Regional Office for the Western Pacific. 2020.
4.
go back to reference Donaghy E, Atherton H, Hammersley V, McNeilly H, Bikker A, Robbins L, et al. Acceptability, benefits, and challenges of video consulting: a qualitative study in primary care. Br J Gen Pract. 2019;69(686):e586–94.CrossRefPubMedPubMedCentral Donaghy E, Atherton H, Hammersley V, McNeilly H, Bikker A, Robbins L, et al. Acceptability, benefits, and challenges of video consulting: a qualitative study in primary care. Br J Gen Pract. 2019;69(686):e586–94.CrossRefPubMedPubMedCentral
5.
go back to reference Dubin JM, Wyant WA, Balaji NC, Ong WL, Kettache RH, Haffaf M, et al. Telemedicine Usage Among Urologists During the COVID-19 Pandemic: Cross-Sectional Study. J Med Internet Res. 2020;22(11):e21875.CrossRefPubMedPubMedCentral Dubin JM, Wyant WA, Balaji NC, Ong WL, Kettache RH, Haffaf M, et al. Telemedicine Usage Among Urologists During the COVID-19 Pandemic: Cross-Sectional Study. J Med Internet Res. 2020;22(11):e21875.CrossRefPubMedPubMedCentral
6.
go back to reference Caetano R, Silva AB, Guedes ACCM, Paiva CCND, Ribeiro GDR, Santos DL, et al. Desafios e oportunidades para telessaúde em tempos da pandemia pela COVID-19: uma reflexão sobre os espaços e iniciativas no contexto brasileiro. Cadernos de Saúde Pública. 2020;36(5):35–50. Caetano R, Silva AB, Guedes ACCM, Paiva CCND, Ribeiro GDR, Santos DL, et al. Desafios e oportunidades para telessaúde em tempos da pandemia pela COVID-19: uma reflexão sobre os espaços e iniciativas no contexto brasileiro. Cadernos de Saúde Pública. 2020;36(5):35–50.
7.
go back to reference Helou S, El Helou E, Abou-Khalil V, Wakim J, El Helou J, Daher A, et al. The Effect of the COVID-19 Pandemic on Physicians’ Use and Perception of Telehealth: The Case of Lebanon. Int J Environ Res Public Health. 2020;17(13):4866.CrossRefPubMedPubMedCentral Helou S, El Helou E, Abou-Khalil V, Wakim J, El Helou J, Daher A, et al. The Effect of the COVID-19 Pandemic on Physicians’ Use and Perception of Telehealth: The Case of Lebanon. Int J Environ Res Public Health. 2020;17(13):4866.CrossRefPubMedPubMedCentral
8.
go back to reference Elawady A, Khalil A, Assaf O, Toure S, Cassidy C. Telemedicine during COVID-19: a survey of Health Care Professionals’ perceptions. Monaldi Arch Chest Dis. 2020;90(4):576–81. Elawady A, Khalil A, Assaf O, Toure S, Cassidy C. Telemedicine during COVID-19: a survey of Health Care Professionals’ perceptions. Monaldi Arch Chest Dis. 2020;90(4):576–81.
9.
go back to reference AlMatar R, et al. Population perceptions of health care services provided virtually (telehealth): a cross-sectional study. J Public Health 2022;45(2):505–12. AlMatar R, et al. Population perceptions of health care services provided virtually (telehealth): a cross-sectional study. J Public Health 2022;45(2):505–12.
10.
go back to reference Creswell JW. Research design : qualitative, quantitative, and mixed methods approaches. 4th ed., international student ed. London: SAGE; 2014. Creswell JW. Research design : qualitative, quantitative, and mixed methods approaches. 4th ed., international student ed. London: SAGE; 2014.
11.
go back to reference Robson C. Real world research : a resource for users of social research methods in applied settings. 3rd ed. Oxford: Wiley-Blackwell; 2011. Robson C. Real world research : a resource for users of social research methods in applied settings. 3rd ed. Oxford: Wiley-Blackwell; 2011.
13.
go back to reference Horne MEP. The Technology Acceptance Model and Telemedicine: Predicting Health Care Providers’ Intention to Use Telemedicine: University of Phoenix. 2017. Horne MEP. The Technology Acceptance Model and Telemedicine: Predicting Health Care Providers’ Intention to Use Telemedicine: University of Phoenix. 2017.
14.
15.
go back to reference Cooper HE, Camic PM, Long DL, Panter A, Rindskopf DE, Sher KJ. APA handbook of research methods in psychology, Vol 2: Research designs: Quantitative, qualitative, neuropsychological, and biological: American Psychological Association. 2012. Cooper HE, Camic PM, Long DL, Panter A, Rindskopf DE, Sher KJ. APA handbook of research methods in psychology, Vol 2: Research designs: Quantitative, qualitative, neuropsychological, and biological: American Psychological Association. 2012.
16.
go back to reference Aamodt IT, Lycholip E, Celutkiene J, Strömberg A, Atar D, Falk RS, et al. Health Care Professionals’ Perceptions of Home Telemonitoring in Heart Failure Care: Cross-Sectional Survey. J Med Internet Res. 2019;21(2):e10362.CrossRefPubMedPubMedCentral Aamodt IT, Lycholip E, Celutkiene J, Strömberg A, Atar D, Falk RS, et al. Health Care Professionals’ Perceptions of Home Telemonitoring in Heart Failure Care: Cross-Sectional Survey. J Med Internet Res. 2019;21(2):e10362.CrossRefPubMedPubMedCentral
17.
go back to reference Ayres L, Pelkowitz L, Simon P, Thompson SC. Necessity as the catalyst of change: exploring client and provider perspectives of accelerated implementation of telehealth by a regional Australian community service organisation during COVID-19 restrictions. Int J Environ Res Public Health. 2021;18(21):11433.CrossRefPubMedPubMedCentral Ayres L, Pelkowitz L, Simon P, Thompson SC. Necessity as the catalyst of change: exploring client and provider perspectives of accelerated implementation of telehealth by a regional Australian community service organisation during COVID-19 restrictions. Int J Environ Res Public Health. 2021;18(21):11433.CrossRefPubMedPubMedCentral
18.
go back to reference Garcia-Huidobro D, Rivera S, Chang SV, Bravo P, Capurro D. System-wide accelerated implementation of telemedicine in response to COVID-19: mixed methods evaluation. J Med Internet Res. 2020;22(10):e22146.CrossRefPubMedPubMedCentral Garcia-Huidobro D, Rivera S, Chang SV, Bravo P, Capurro D. System-wide accelerated implementation of telemedicine in response to COVID-19: mixed methods evaluation. J Med Internet Res. 2020;22(10):e22146.CrossRefPubMedPubMedCentral
19.
go back to reference Crilly P, Hassanali W, Khanna G, Matharu K, Patel D, Patel D, et al. Community pharmacist perceptions of their role and the use of social media and mobile health applications as tools in public health. Res Social Adm Pharm. 2019;15(1):23–30.CrossRefPubMed Crilly P, Hassanali W, Khanna G, Matharu K, Patel D, Patel D, et al. Community pharmacist perceptions of their role and the use of social media and mobile health applications as tools in public health. Res Social Adm Pharm. 2019;15(1):23–30.CrossRefPubMed
20.
go back to reference Ruiz Morilla MD, Sans M, Casasa A, Giménez N. Implementing technology in healthcare: insights from physicians. BMC Med Inform Decis Mak. 2017;17(1):92–101. Ruiz Morilla MD, Sans M, Casasa A, Giménez N. Implementing technology in healthcare: insights from physicians. BMC Med Inform Decis Mak. 2017;17(1):92–101.
21.
go back to reference Jiménez-Rodríguez D, Santillán García A, Montoro Robles J, Rodríguez Salvador MDM, Muñoz Ronda FJ, Arrogante O. Increase in Video Consultations During the COVID-19 Pandemic: Healthcare Professionals’ Perceptions about Their Implementation and Adequate Management. Int J Environ Res Public Health. 2020;17(14):5112.CrossRefPubMedPubMedCentral Jiménez-Rodríguez D, Santillán García A, Montoro Robles J, Rodríguez Salvador MDM, Muñoz Ronda FJ, Arrogante O. Increase in Video Consultations During the COVID-19 Pandemic: Healthcare Professionals’ Perceptions about Their Implementation and Adequate Management. Int J Environ Res Public Health. 2020;17(14):5112.CrossRefPubMedPubMedCentral
22.
go back to reference Heyck Lee S, Ramondino S, Gallo K, Moist LM. A quantitative and qualitative study on patient and physician perceptions of nephrology telephone consultation during COVID-19. Can J Kidney Health Dis. 2022;9:20543581211066720.CrossRefPubMedPubMedCentral Heyck Lee S, Ramondino S, Gallo K, Moist LM. A quantitative and qualitative study on patient and physician perceptions of nephrology telephone consultation during COVID-19. Can J Kidney Health Dis. 2022;9:20543581211066720.CrossRefPubMedPubMedCentral
23.
go back to reference Franzosa E, Gorbenko K, Brody AA, Leff B, Ritchie CS, Kinosian B, et al. “There is something very personal about seeing someone’s face”: Provider perceptions of video visits in home-based primary care during COVID-19. J Appl Gerontol. 2021;40(11):1417–24.CrossRefPubMedPubMedCentral Franzosa E, Gorbenko K, Brody AA, Leff B, Ritchie CS, Kinosian B, et al. “There is something very personal about seeing someone’s face”: Provider perceptions of video visits in home-based primary care during COVID-19. J Appl Gerontol. 2021;40(11):1417–24.CrossRefPubMedPubMedCentral
24.
go back to reference Muflih SM, Al-Azzam S, Abuhammad S, Jaradat SK, Karasneh R, Shawaqfeh MS. Pharmacists' experience, competence and perception of telepharmacy technology in response to COVID-19. Int J Clin Pract. 2021;75(7):e14209. Muflih SM, Al-Azzam S, Abuhammad S, Jaradat SK, Karasneh R, Shawaqfeh MS. Pharmacists' experience, competence and perception of telepharmacy technology in response to COVID-19. Int J Clin Pract. 2021;75(7):e14209.
25.
go back to reference Laing SS, Ocampo P, Ocampo C, Caravalho J, Perez G, Baugh S. Provider perceptions of mHealth engagement for low-resourced, safety-net communities. Public Health Nurs. 2021;38(1):13–21.CrossRefPubMed Laing SS, Ocampo P, Ocampo C, Caravalho J, Perez G, Baugh S. Provider perceptions of mHealth engagement for low-resourced, safety-net communities. Public Health Nurs. 2021;38(1):13–21.CrossRefPubMed
26.
go back to reference Lee S-J, Jung T-Y, Lee T-R, Han J-H. Accepting telemedicine in a circulatory medicine ward in major hospitals in South Korea: patients’ and health professionals’ perception of real-time electrocardiogram monitoring. BMC Health Serv Res. 2018;18(1):293–301. Lee S-J, Jung T-Y, Lee T-R, Han J-H. Accepting telemedicine in a circulatory medicine ward in major hospitals in South Korea: patients’ and health professionals’ perception of real-time electrocardiogram monitoring. BMC Health Serv Res. 2018;18(1):293–301.
27.
go back to reference Heyer A, Granberg RE, Rising KL, Binder AF, Gentsch AT, Handley NR. Medical oncology professionals’ perceptions of telehealth video visits. JAMA Netw Open. 2021;4(1):e2033967-e.CrossRef Heyer A, Granberg RE, Rising KL, Binder AF, Gentsch AT, Handley NR. Medical oncology professionals’ perceptions of telehealth video visits. JAMA Netw Open. 2021;4(1):e2033967-e.CrossRef
28.
go back to reference Kuo AC, Geleris B, Arnhym A. TeleBBD: Telehealth management of bladder bowel dysfunction–A provider survey of benefits and limitations. Journal of Pediatric Urology. 2021;17(6):792.e1-. e7.CrossRef Kuo AC, Geleris B, Arnhym A. TeleBBD: Telehealth management of bladder bowel dysfunction–A provider survey of benefits and limitations. Journal of Pediatric Urology. 2021;17(6):792.e1-. e7.CrossRef
29.
go back to reference Buabbas A. Investigation of the adoption of telemedicine technology in the Kuwaiti health system: Strategy and policy of implementation for overseas referral patients: Brunel University, School of Information Systems, Computing and Mathematics. 2013. Buabbas A. Investigation of the adoption of telemedicine technology in the Kuwaiti health system: Strategy and policy of implementation for overseas referral patients: Brunel University, School of Information Systems, Computing and Mathematics. 2013.
Metadata
Title
Exploring healthcare providers’ perspectives on virtual care delivery: insights into telemedicine services
Authors
Israa K. Abdelghany
Ranim AlMatar
Asmaa Al-Haqan
Israa Abdullah
Salah Waheedi
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2024
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-023-10244-w

Other articles of this Issue 1/2024

BMC Health Services Research 1/2024 Go to the issue