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      Staff perceptions of Telehealth Adoption: Lessons learned from Care at Home pilot in Scotland

      BCS Health Informatics Scotland (HIS)

      Health Informatics Scotland

      11 & 12 October 2016

      Telehealth, Palliative care, Complex needs, Paediatrics

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          Abstract

          Telehealth technologies harbour the premise of transforming care practices and delivering person centred care closer to home. The care at home project was set to explore remote support and care for children with palliative and complex care needs. Aim: To articulate clinicians’ perspectives on and experiences of embedding telehealth to professional practice in different settings. Design: Descriptive qualitative evaluation using focus groups and semi structured interviews. Setting/participants: The study was conducted in four locations across Scotland and included staff from the National Health Service and a Third Sector organisation. Participants were mainly clinicians involved in the delivery of specialist paediatric palliative care and continence specialists. Results: Significant differences were found between the way telehealth was explored and used within the public and voluntary sectors. Clinicians see clear benefits in and potential risks of telehealth to their patients and own practice. Conclusion: A strong strategic steer towards a culture of innovation is needed to support effective use of telehealth. Senior managers in the NHS should facilitate and support staff and ‘unleash’ the good will of professionals who are eager to exploit innovation in clinical practice.

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          Key challenges in the development and implementation of telehealth projects.

          A literature review was carried out to identify the key challenges in the implementation of telehealth. This was followed by a survey of organisations in England involved in telehealth projects in order to understand the challenges they faced. Ten of the 13 health or local authority organisations surveyed had telehealth projects and three were at the planning stage. The analysis revealed seven key challenges facing implementers of telehealth in England. Based on the findings from the literature review and the survey, a model was constructed and a checklist drawn up. The model contained the following elements: identifying issues, needs and partners; producing a strategy; securing funding; implementing changes; and monitoring and evaluating a telehealth project. The checklist was validated by using key informants from the organisations originally surveyed. The checklist may be useful to guide telehealth development and implementation in the future.
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            Principles of a paediatric palliative care consultation can be achieved with home telemedicine

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              Growing up with confidence: using telehealth to support continence self-care deficits amongst young people with complex needs.

              Many young people with chronic ill health use technology for self-care activities, but little is known about the use of telehealth amongst those with spina bifida. The limited availability of specialist continence nurses in primary care settings, for this client group in the UK, exacerbates their reliance on parents or carers.
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                Author and article information

                Contributors
                Conference
                October 2016
                October 2016
                : 1-6
                Affiliations
                Nursing Studies, University of Edinburgh, Scotland, UK, The Medical School, Teviot Place, EH8 9AG
                Article
                10.14236/ewic/HIS2016.3
                © The Authors. Published by BCS Proceedings of BCS Health Informatics Scotland 2016 Conference.

                This work is licensed under a Creative Commons Attribution 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

                BCS Health Informatics Scotland
                HIS
                Glasgow, UK
                11 & 12 October 2016
                Electronic Workshops in Computing (eWiC)
                Health Informatics Scotland
                Product
                Product Information: 1477-9358BCS Learning & Development
                Self URI (journal page): https://ewic.bcs.org/
                Categories
                Electronic Workshops in Computing

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