The challenges of telemedicine in the Czech Republic from an expert perspective
Authors:
Jolana Kopsa Těšinová; Karolína Dobiášová
Authors place of work:
Ústav veřejného zdravotnictví a medicínského práva 1. LF UK v Praze
Published in the journal:
Čas. Lék. čes. 2022; 161: 247-254
Category:
Original Articles
Summary
Health policy makers are striving to implement new approaches in healthcare with a focus on digital solutions. The COVID-19 pandemic has contributed to an unprecedented acceleration in the spread of information and communication technologies (ICT) in healthcare and has accelerated the use of telemedicine.
The aim of the research was to identify problems related to the implementation of telemedicine in practice, to propose possible solutions and to identify the challenges of telemedicine in the Czech Republic in the future. The study is based on the results of a two-phase qualitative expert investigation. Data collection in the first phase took the form of individual semi-structured interviews with experts who have practical experience in the field of telemedicine.
The follow-up second phase was conducted in the form of guided group discussions with experts focusing on health, financial and legislative aspects of telecare.
It turned out that the introduction and expansion of telemedicine requires changes in the technological infrastructure, in the organization of care and work, and in the adjustment of the legislative environment. It is also necessary to consider the need to overcome several barriers at the level of the healthcare system, healthcare providers, healthcare professionals and patients. On the other hand, a condition for the successful introduction and development of telemedicine is coordinated cooperation between various institutions and stakeholders. The introduction of telemedicine should also be preceded by studies (research) and in-depth analyses. Telemedicine education of healthcare professionals and support for patients in developing their digital competences are also important.
Keywords:
Telemedicine – information and communication technologies – health care organization – digitization of health care – data sharing – digital literacy
Zdroje
- Cannavacciuolo L, Capaldo G, Ponsiglione C. Digital innovation and organizational changes in the healthcare sector: multiple case studies of telemedicine project implementation. Technovation 2022; 102550.
- Mann DM, Chen J, Chunara R et al. COVID-19 transforms health care through telemedicine: Evidence from the field. J Am Med Inform Assoc 2020; 27: 1132-1135.
- Tanriverdi H, Iacono CS. Diffusion of telemedicine: a knowledge barrier perspective. Telemed J 1999; 5: 223-244.
- WHO. Recommendations on digital interventions for health system strengthening. Světová zdravotnická organizace, Ženeva, 2019. Dostupné na: www.who.int/publications/i/item/9789241550505
- Bogner AB, Littig B, Menz W (eds). Interviewing Experts. Palgrave Macmillan, Londýn, 2009.
- Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3: 77–101.
- WHO. Global strategy on digital health 2020-2025. Dostupné na: https://apps.who.int/iris/handle/10665/344249
- Zákon č. 325/2021 Sb., o elektronizaci zdravotnictví.
- Zákon č. 372/2011 Sb., o zdravotních službách a podmínkách jejich poskytování, ve znění pozdějších předpisů.
- Zákon č. 89/2012 Sb., občanský zákoník, ve znění pozdějších předpisů.
- Nařízení Evropského parlamentu a Rady (EU) č. 2016/679 ze dne 27. dubna 2016, o ochraně fyzických osob v souvislosti se zpracováním osobních údajů a o volném pohybu těchto údajů a o zrušení směrnice 95/46/ES (obecné nařízení o ochraně osobních údajů), a zákon č. 110/2019 Sb., o zpracování osobních údajů.
- Oliveira HT. Bringing health care to the patient: an overview of the use of telemedicine in OECD countries. OECD Health Working Papers, No. 116. OECD, Paříž, 2020.
- Nařízení evropského parlamentu a rady (EU) č. 2017/745 ze dne 5. dubna 2017, o zdravotnických prostředcích, a zákon č. 89/2021 Sb., o zdravotnických prostředcích.
- MZ ČR. Národní strategie elektronického zdravotnictví. Ministerstvo zdravotnictví ČR, Praha, 2020. Dostupné na: www.nsez.cz/obsah/aktuality_3557_31.html
- WHO. Implementing telemedicine services during COVID-19: guiding principles and considerations for a stepwise approach. Světová zdravotnická organizace, 2020. Dostupné na: http://apps.who.int/iris/handle/10665/336862
- European Observatory on Health Systems and Policies. Keeping what works: remote consultations during the COVID-19 pandemic. Eurohealth 2020; 26 (2): 73-76. Světová zdravotnická organizace, 2020. Dostupné na: http://apps.who.int/iris/handle/10665/336301
- MZ ČR. Zdraví 2030 – strategický rámec rozvoje péče o zdraví v České republice do roku 2030. Ministerstvo zdravotnictví ČR, Praha. Dostupné na: https://zdravi2030.mzcr.cz
- Zákon č. 378/2007 Sb., o léčivech a o změnách některých souvisejících zákonů (zákon o léčivech), ve znění pozdějších předpisů.
- Gabrielsson-Järhult F, Kjellström S, Josefsson KA. Telemedicine consultations with physicians in Swedish primary care: a mixed methods study of users' experiences and care patterns. Scand J Prim Health Care 2021; 39: 204-213.
- Omboni S, McManus RJ, Bosworth HB et al. Evidence and recommendations on the use of telemedicine for the management of arterial hypertension: an international expert position paper. Hypertension 2020; 76: 1368-1383.
- Kichloo A, Albosta M, Dettloff K et al. Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA. Fam Med Community Health 2020; 8: e000530.
- de Oliveira Andrade A, Soares AB, de Andrade Palis A et al. On the use of telemedicine in the context of COVID-19: legal aspects and a systematic review of technology. Res Biomed Eng 2022; 38: 209–227.
- Hall TL, Connelly L, Staton EW et al. Points of concordance, points of discordance: a qualitative examination of telemedicine implementation. J Am Board Fam Med 2022; 35: 517-526.
- Muehlensiepen F, Knitza J, Marquardt W et al. Opportunities and barriers of telemedicine in rheumatology: a participatory, mixed-methods study. Int J Environ Res Public Health 2021; 18: 13127.
- Mucha C. Telemedicína v ordinaci všeobecného praktického lékaře. Časopis lékařů českých 2021; 160: 287-289.
- Čabanová A. Chystá se zákonná definice telemedicíny. Medical Tribune, 4. 4. 2022.
- Táborský M a kol. Doporučené postupy – Distanční medicína. Adaptované doporučené postupy WHO guideline: recommendations on digital interventions for health system strengthening. World Health Organization, Ženeva, 2019. Licence: CC BY-NC-SA 3.0 IGO. Česká kardiologická společnost, 2022.
- Bokolo A jr. Use of telemedicine and virtual care for remote treatment in response to covid-19 pandemic. J Med Syst 2020; 44: 132.
- Kaiser FK, Wiens M, Schultmann F. Use of digital healthcare solutions for care delivery during a pandemic-chances and (cyber) risks referring to the example of the COVID-19 pandemic. Health Technol (Berl) 2021; 11: 1125-1137.
- MZ ČR. Podpora digitalizace zdravotnictví z národního plánu obnovy. Dostupné na: https://ncez.mzcr.cz/cs/aktuality/podpora-digitalizace-zdravotnictvi-z-narodniho-planu-obnovy
- Kho J, Gillespie N, Martin-Khan M. A systematic scoping review of change management practices used for telemedicine service implementations. BMC Health Serv Res 2020; 20: 815.
- Khodadad-Saryazdi A. Exploring the telemedicine implementation challenges through the process innovation approach: a case study research in the French healthcare sector. Technovation 2021; 107: 102273.
- Fowe IE. Evaluating organizational readiness for change in the implementation of telehealth and mobile health interventions for chronic disease management. AMIA Jt Summits Transl Sci Proc 2021; 2021: 210-219.
- MacNeil M, Koch M, Kuspinar A et al. Enabling health technology innovation in Canada: Barriers and facilitators in policy and regulatory processes. Health Policy 2019; 123: 203-214.
- Sedláčková H. První telemedicínské výkony by se v úhradové vyhlášce mohly objevit v roce 2023. Lékaři se ale musí připravit. Zdravotnický deník, 15. 10. 2021.
- Sieck CJ, Sheon A, Ancker JS et al. Digital inclusion as a social determinant of health. NPJ Digit Med 2021; 4: 52.
- Qudah B, Luetsch K. The influence of mobile health applications on patient-healthcare provider relationships: a systematic, narrative review. Patient Educ Couns 2019; 102: 1080-1089.
- Haluza D, Jungwirth D. ICT and the future of health care: aspects of health promotion. Int J Med Inform 2015; 84: 48-57.
- Knížek T. Potenciál digitalizace českého zdravotnictví: Schopnost digitalizace jako míra vyspělosti. Časopis lékařů českých 2021; 160: 270-279.
- Galpin K, Sikka N, King SL et al. AAMC telehealth advisory committee. expert consensus: telehealth skills for health care professionals. Telemed J E Health 2021; 27: 820-824.
Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistČlánok vyšiel v časopise
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