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Teleconsultation adoption since Covid-19

Comparison of barriers and facilitators in primary care settings in Hong Kong and the Netherlands

Bibliographic Data

ID21467494
AuthorsAndrea Fernández Coves (Chinese University of Hong Kong), Karene Hoi Ting Yeung (0000-0001-9225-7935, Chinese University of Hong Kong), Van Putten (0000-0002-7734-2856, Maastricht University, corresponding author), Ingeborg M van der Putten, E A S Nelson (0000-0002-2521-3403, Chinese University of Hong Kong)
Year2022
Volume126
Issue10
Pages933-944
Publication date2022-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Policy (JOURNAL)
Journal identifiersISSN: 0168-8510 • E-ISSN: 1872-6054
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.healthpol.2022.07.012
PMID36050194
OpenAlexW4290237444
LanguageEN
Citations received2
References cited54

The COVID-19 pandemic has boosted the adoption of digital health technologies such as teleconsultation. This research aimed to assess and compare barriers and facilitators for teleconsultation uptake for primary care practitioners in Hong Kong and the Netherlands and evaluate the role of their different healthcare funding models in this adoption process within the context of the COVID-19 pandemic. A qualitative research following a social constructivist paradigm was performed. The study employed a conceptual framework from Lau and colleagues that identifies four levels of factors influencing change in primary care: (1) external contextual factors; (2) organization-related factors; (3) professional factors; and (4) characteristics of the intervention. The four levels were studied through semi-structured, open-ended interviews with primary care physicians. External factors were additionally assessed by means of a literature review. Hong Kong and the Netherlands showed different penetration rates of teleconsultation. Most stakeholders in both settings shared similar barriers and facilitators in the organizational, professional, and intervention levels. However, external contextual factors (i.e., current teleconsultation legislation, available incentives, and level of public awareness) played an important and differing role in teleconsultation uptake and had a direct effect on the organization, the professionals involved, and the type of technology used. Political and organizational actions are required to develop a comprehensive legal framework for the sustainable development of teleconsultation in both settings

Business · Geography · Health care · Incentive · Knowledge management · Legislation · Pandemic · Political science · Public relations · Qualitative research · Sociology · COVID-19 and healthcare impacts · Medicine · Nursing · Patient Satisfaction in Healthcare · Psychology · Telemedicine and Telehealth Implementation

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Unique citing works2
Citations per year0,67
Citation span2023 - 2024 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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