Proposal of Competencies in Telehealth: A Mixed-Methods Study in the Biobío Region, Chile
DOI:
https://doi.org/10.56294/dm2024.399Keywords:
Telehealth, competencies, validation, healthcare professionalsAbstract
Introduction: Telehealth has become essential in the delivery of healthcare services, especially during the COVID-19 pandemic.
Objective: This study aims to identify the specific competencies needed for the effective implementation of telehealth in Biobío, Chile.
Methods: A qualitative and quantitative validation of competencies was conducted. The qualitative phase included a focus group with professionals from various health areas to discuss and refine the competencies. The quantitative phase used the Telehealth Competency and Preparedness Perception Scale (EPPCT), employing a non-probabilistic convenience sampling (n=48) among health professionals in the Biobío region, Chile.
Results: The qualitative validation highlighted the importance of system efficiency and waitlist management, confidence, and education in the use of technologies, and continuous training. The quantitative validation identified two main dimensions: "Professional Excellence" and "Remote Clinical Approach," encompassing communication, ethical, legal, and technological aspects.
Conclusions: The proposed competencies are suitable for telehealth, emphasizing the need for continuous evaluation and training. An additional quantitative study is recommended to confirm and adjust the model, ensuring that healthcare professionals are prepared to face the challenges of remote care
References
1 Association of American Medical Colleges (AAMC). Telehealth Competencies Across the Learning Continuum. Washington, DC: AAMC; 2021. Available from: https://store.aamc.org/telehealth-competencies-across-the-learning-continuum.html
2 Centro Nacional de Sistemas de Información en Salud (CENS). Modelo de Competencias Referenciales en Salud Digital. Versión 2.0. Santiago, Chile: CENS; 2024. Available from: https://cens.cl/wp-content/uploads/2024/06/Informe-Modelo-2.0.pdf
3 Konttila J, Siira H, Kyngäs H, Lahtinen M, Elo S, Kääriäinen M, et al. Healthcare professionals' competence in digitalisation: A systematic review. J Clin Nurs. 2019;28(5-6):745-761. https://doi: 10.1111/jocn.14710.
4 Nazeha N, Pavagadhi D, Kyaw BM, Car J, Jimenez G, Tudor Car L. A digitally competent health workforce: Scoping review of educational frameworks. J Med Internet Res. 2020;22(11). https://doi: 10.2196/22706
5 Jimenez G, Spinazze P, Matchar D, Koh Choon Huat G, van der Kleij RMJJ, Chavannes NH, et al. Digital health competencies for primary healthcare professionals: A scoping review. Int J Med Inform. 2020;143:104260. https://doi.org/10.1016/j.ijmedinf.2020.104260.
6 Rutledge CM, O'Rourke J, Mason AM, Chike-Harris K, Behnke L, Melhado L, et al. Telehealth competencies for nursing education and practice: The Four P's of telehealth. Nurse Educ. 2021;46(5):300-305. https://doi.org/10.1097/NNE.0000000000000988.
7 Galpin K, Sikka N, King SL, Horvath KA, Shipman SA, AAMC Telehealth Advisory Committee. Expert consensus: Telehealth skills for health care professionals. Telemed J E Health. 2021;27(7):820-824. https://doi.org/10.1089/tmj.2020.0420.
8 van Houwelingen CT, Moerman AH, Ettema RG, Kort HS, Ten Cate O. Competencies required for nursing telehealth activities: A Delphi-study. Nurse Educ Today. 2016;39:50-62. https://doi.org/10.1016/j.nedt.2015.12.025.
9 Al-Khalifa KS, AlSheikh R. Teledentistry awareness among dental professionals in Saudi Arabia. PLoS ONE. 2020;15(10). https://doi.org/10.1371/journal.pone.0240825
10 Shaw T, McGregor D, Brunner M, Keep M, Janssen A, Barnet S. What is eHealth (6)? Development of a conceptual model for eHealth: Qualitative study with key informants. J Med Internet Res. 2017;19(10). https://doi.org/10.2196/jmir.8106
11 Cavanagh R, Gerson SM, Gleason A, Mackey R, Ciulla R. Competencies needed for behavioral health professionals to integrate digital health technologies into clinical care: A rapid review. J Technol Behav Sci. 2022;1–14. https://doi.org/10.1007/s41347-022-00242-w
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Copyright (c) 2024 Marcela Hechenleitner-Carvallo, Jacqueline Ibarra-Peso, Carlos Zúñiga-San Martín, Angélica Avendaño-Veloso, Eileen Sepúlveda-Valenzuela (Author)
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