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Göteborgs universitets publikationer

Discovering untapped relationship potential with patients in telehealth: a qualitative interview study

Författare och institution:
Birgit Heckemann (-); Axel Wolf (Centrum för personcentrerad vård vid Göteborgs universitet (GPCC) & Institutionen för vårdvetenskap och hälsa); Lilas Ali (Institutionen för vårdvetenskap och hälsa & Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)); Stefan Sonntag (-); Inger Ekman (Centrum för personcentrerad vård vid Göteborgs universitet (GPCC) & Institutionen för vårdvetenskap och hälsa)
Publicerad i:
BMJ Open, 6 ( 3 ) s. e009750
ISSN:
2044-6055
Publikationstyp:
Artikel, refereegranskad vetenskaplig
Publiceringsår:
2016
Språk:
engelska
Fulltextlänk:
Sammanfattning (abstract):
Objectives To explore factors that influence relationship building between telehealth professionals and patients with chronic illness over a distance, from a telehealth professional's perspective. Design 4 focus group interviews were conducted in June 2014. Digital recordings were transcribed verbatim and qualitative content analysis was performed using an iterative process of 3 coding rounds. Participants 20 telehealth professionals. Setting A telehealth service centre in the south of Germany that provided care for 12 000 patients with chronic heart failure across Germany. Results Non-video telehealth technology creates an atmosphere that fosters sharing of personal information and a non-judgemental attitude. This facilitates the delivery of fair and equal healthcare. A combination of a protocol-driven service structure along with shared team and organisational values provide a basis for establishing long-term healthcare relationships. However, each contact between a telehealth professional and a patient has an uncertain outcome and requires skilful negotiation of the relationship. Although care provision was personalised, there was scope to include the patients as ‘experts on their own illness’ to a greater extent as advocated by person-centred care. Currently, provision of person-centred care is not sufficiently addressed in telehealth professional training. Conclusions Telehealth offers a viable environment for the delivery of person-centred care for patients with long-standing disease. Current telehealth training programmes may be enhanced by teaching person-centred care skills.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
MEDICIN OCH HÄLSOVETENSKAP ->
Hälsovetenskaper ->
Omvårdnad
Nyckelord:
person centred care, e-health, personcentered care, patient involvement
Postens nummer:
232806
Posten skapad:
2016-03-05 09:37
Posten ändrad:
2016-05-26 15:43

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