Feasibility, acceptability and needs in telemedicine for palliative care

Bibliographic Details
Title: Feasibility, acceptability and needs in telemedicine for palliative care
Authors: Andreas S. Ebneter, Thomas C. Sauter, Andri Christen, Steffen Eychmueller
Source: Swiss Medical Weekly, Vol 152, Iss 0910 (2022)
Publisher Information: SMW supporting association (Trägerverein Swiss Medical Weekly SMW), 2022.
Publication Year: 2022
Collection: LCC:Medicine
Subject Terms: Medicine
More Details: BACKGROUND: Telemedicine in palliative care was initially developed in countries where geography or resources limit access to care services. Recently, largely owing to the COVID-19 pandemic, this technology is being increasingly used in highly urbanised countries such as Switzerland. However, there is still scepticism regarding whether these tools can be used effectively in palliative care, a relationship-based speciality that is generally highly dependent on compassion, communication and direct human interaction. The objective of this review was to analyse the needs, elements of feasibility, and reasons for acceptance or possible barriers before the implementation of a telemedicine intervention in Switzerland. METHODS: The method used was a scoping review, following the PRISMA-ScR reporting guidelines. We searched the PubMed, Ovid SP, Medline, Cochrane and Scopus databases for relevant reports. Charting and analyses of the data were done by a single researcher. A total of 520 records were screened and assessed for eligibility. Finally, 27 studies and 4 registry entries were included. Main reasons for exclusion were wrong population and intervention. RESULTS: The prevailing study type was the single-arm intervention study. Most studies originated from countries with geographic barriers to access. Feasibility was good in 69% of all studies. Good acceptability (84.1–100%) was confirmed in the majority of the studies. The needs of the patients or the healthcare professionals were directly addressed in only five (16%) studies. Three needs were consistently reported: communication, coordination and technical reliability CONCLUSION: Despite a broad range of studies on telemedicine in palliative care, patients’ needs are rarely addressed. Therefore, especially in countries such as Switzerland, a needs assessment is recommended before the implementation of a new telemedicine intervention, to guarantee high feasibility and acceptability.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1424-3997
Relation: https://smw.ch/index.php/smw/article/view/3171; https://doaj.org/toc/1424-3997
DOI: 10.4414/SMW.2022.w30148
Access URL: https://doaj.org/article/2bb811de43264ca2b260d8b44d77c78c
Accession Number: edsdoj.2bb811de43264ca2b260d8b44d77c78c
Database: Directory of Open Access Journals
More Details
ISSN:14243997
DOI:10.4414/SMW.2022.w30148
Published in:Swiss Medical Weekly
Language:English