The Utility of an Online Forward Triage Tool During the SARS-CoV-2 Pandemic: Health Care Provider and Health Authority Perspectives.

Michel, Janet; Kilb, Tim S; Mettler, Annette; Müller, Martin; Hautz, Wolf E; Hautz, Stefanie C; Sauter, Thomas C (2022). The Utility of an Online Forward Triage Tool During the SARS-CoV-2 Pandemic: Health Care Provider and Health Authority Perspectives. Frontiers in Public Health, 10, p. 845996. Frontiers Research Foundation 10.3389/fpubh.2022.845996

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Introduction

The SARS CoV-2 pandemic poses major challenges not only to patients but also to health care professionals and policy-makers, with rapidly changing, sometimes complex, recommendations, and guidelines to the population. Online forward triage tools (OFTT) got a major boost from the pandemic as they helped with the implementation and monitoring of recommendations.

Methods

A multiphase mixed method sequential explanatory study design was employed. Quantitative data were collected first and informed the qualitative interview guides. Video interviews were held with key informants (health care providers and health authorities) between 2 September and 10 December 2020. Audio-recordings were transcribed verbatim, coded thematically and compared with patient perspectives (framework).

Objectives

To explore the perspectives of health care providers and authorities in Canton Bern on the utility of a COVID-19 OFTT, as well as elicit recommendations for telehealth in future.

Results

The following themes emerged; (i) accessibility (ii) health system burden reduction (iii) utility in preventing onward transmission (iv) utility in allaying fear and anxiety (v) medical decision-making utility (vi) utility as information source (vii) utility in planning and systems thinking. The health care providers and health authorities further provided insights on potential barriers and facilitators of telehealth in future.

Conclusion

Similar to patients, health care providers acknowledge the potential and utility of the COVID-19 OFTT particularly as an information source and in reducing the health system burden. Data privacy, doctor-patient relationship, resistance to change, regulatory, and mandate issues, and lack of systems thinking were revealed as barriers to COVID-19 OFTT utility.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center

UniBE Contributor:

Michel, Janet, Kilb, Tim Sebastian, Mettler, Annette, Müller, Martin (B), Hautz, Wolf, Hautz, Stefanie Carola, Sauter, Thomas Christian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2296-2565

Publisher:

Frontiers Research Foundation

Language:

English

Submitter:

Pubmed Import

Date Deposited:

26 Jul 2022 12:56

Last Modified:

29 Mar 2023 23:38

Publisher DOI:

10.3389/fpubh.2022.845996

PubMed ID:

35874994

Uncontrolled Keywords:

COVID-19 OFTT utility health authorities health care providers pandemic perceived barriers and drivers perspectives telehealth in future

BORIS DOI:

10.48350/171533

URI:

https://boris.unibe.ch/id/eprint/171533

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