PHYSICIANS AND DISRUPTION ON TELEMEDICINE: A SYSTEMATIC LITERATURE REVIEW
Background: Telemedicine has developed rapidly since the COVID-19 pandemic. Telemedicine applications have marked significant transformations in healthcare. Rapid changes in healthcare services inevitably affect health service providers, specifically physicians.
Aims: This study examines physicians' responses to a disruptive era in the healthcare industry.
Methods: This paper applies a systematic literature review approach to characterize physicians' experiences, challenges, and obstacles in managing disruption in the health service delivery context. A comprehensive literature review was conducted using the Scopus database and borrowing PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method. There were 78 articles included in the analysis.
Results: This study found that doctors who use telemedicine experience several types of disruption. The studies that examine physicians' experience in health service disruption tend to be dominant in 4 (four) out of 5 (five) disruption types. First, disruption to the current delivery mode. Second, disruption to clinical practice role and responsibility. Third, disruption to clinical practice role and responsibility. Fourth, disruption to the work environment. Meanwhile, the disruption in personal life becomes less elaborated in the telemedicine studies debate.
Conclusion: It is essential to pay close attention to the disruptions that have an effect on physicians' personal lives. Personal life is essential because it benefits physicians and directly supports the quality and sustainability of telemedicine services.
Keywords: Disruption, Physician, and Telemedicine.
Alblihed, M. and Alzghaibi, H.A. (2022) ‘The Impact of Job Stress, Role Ambiguity and Work–Life Imbalance on Turnover Intention during COVID-19: A Case Study of Frontline Health Workers in Saudi Arabia', International Journal of Environmental Research and Public Health, 19(20), p. 13132. Available at: https://doi.org/10.3390/ijerph192013132.
Avelino, F. et al. (2017) ‘Game-changers and transformative social innovation', Ecology and Society, 22(4), p. art41. Available at: https://doi.org/10.5751/ES-09897-220441.
Bagot, K.L. et al. (2015) ‘Telemedicine in the acute health setting: A disruptive innovation for specialists (an example from stroke)', Journal of Telemedicine and Telecare, 21(8), pp. 443–448. Available at: https://doi.org/10.1177/1357633X15610722.
Bakhtiar, M., Elbuluk, N. and Lipoff, J.B. (2020) ‘The digital divide: How COVID-19's telemedicine expansion could exacerbate disparities', Journal of the American Academy of Dermatology, 83(5), pp. e345–e346. Available at: https://doi.org/10.1016/j.jaad.2020.07.043.
Barney, A. et al. (2020) ‘The COVID-19 Pandemic and Rapid Implementation of Adolescent and Young Adult Telemedicine: Challenges and Opportunities for Innovation', Journal of Adolescent Health, 67(2), pp. 164–171. Available at: https://doi.org/10.1016/j.jadohealth.2020.05.006.
Chandwani, R. and De', R. (2017) ‘Doctor-patient interaction in telemedicine: Logic of choice and logic of care perspectives', Information Systems Frontiers, 19(4), pp. 955–968. Available at: https://doi.org/10.1007/s10796-016-9643-0.
Chen, M.H. et al. (2022) ‘Healthcare Disruptions and Use of Telehealth Services Among People With Multiple Sclerosis During the COVID-19 Pandemic', Archives of Physical Medicine and Rehabilitation, 103(7), pp. 1379–1386. Available at: https://doi.org/10.1016/j.apmr.2021.12.028.
Fields, B.G. (2020) ‘Regulatory, Legal, and Ethical Considerations of Telemedicine', Sleep Medicine Clinics, 15(3), pp. 409–416. Available at: https://doi.org/10.1016/j.jsmc.2020.06.004.
Jain, S. et al. (2020) ‘Availability of Telemedicine Services Across Hospitals in the United States in 2018: A Cross-sectional Study', Annals of Internal Medicine, 173(6), pp. 503–505. Available at: https://doi.org/10.7326/M20-1201.
Kuntardjo, C. (2020) ‘Dimensions of Ethics and Telemedicine in Indonesia: Enough of Permenkes Number 20 Year 2019 As a Frame of Telemedicine Practices in Indonesia?', Soepra, 6(1), pp. 1–14. Available at: https://doi.org/10.24167/shk.v6i1.2606.
Lubis, Z.I. (2021) ‘Analisis Kualitatif Penggunaan Telemedicine sebagai Solusi Pelayanan Kesehatan di Indonesia pada Masa Pandemik COVID-19', Physiotherapy Health Science (PhysioHS), 2(2), pp. 76–82. Available at: https://doi.org/10.22219/physiohs.v2i2.15148.
Page, M.J. et al. (2021) ‘The PRISMA 2020 statement: an updated guideline for reporting systematic reviews', BMJ, 372, p. n71. Available at: https://doi.org/10.1136/bmj.n71.
Payán, D.D. et al. (2022) ‘Telemedicine implementation and use in community health centers during COVID-19: Clinic personnel and patient perspectives', SSM - Qualitative Research in Health, 2, p. 100054. Available at: https://doi.org/10.1016/j.ssmqr.2022.100054.
Phimphasone-Brady, P. et al. (2021) ‘Clinician and staff perspectives on potential disparities introduced by the rapid implementation of telehealth services during COVID-19: a mixed-methods analysis', Translational Behavioral Medicine, 11(7), pp. 1339–1347. Available at: https://doi.org/10.1093/tbm/ibab060.
Pollack, C.C. et al. (2021) ‘Language and Sentiment Regarding Telemedicine and COVID-19 on Twitter: Longitudinal Infodemiology Study', Journal of Medical Internet Research, 23(6), p. e28648. Available at: https://doi.org/10.2196/28648.
Sagaro, G.G., Battineni, G. and Amenta, F. (2020) ‘Barriers to Sustainable Telemedicine Implementation in Ethiopia: A Systematic Review', Telemedicine Reports, 1(1), pp. 8–15. Available at: https://doi.org/10.1089/tmr.2020.0002.
Sasangohar, F. et al. (2020) ‘Adapting an Outpatient Psychiatric Clinic to Telehealth During the COVID-19 Pandemic: A Practice Perspective', Journal of Medical Internet Research, 22(10), p. e22523. Available at: https://doi.org/10.2196/22523.
Sharaf, A. and Muthayya, P. (2021) ‘Multidisciplinary management of the burn injured patient during a pandemic – The role of telemedicine', Burns, 47(1), pp. 252–253. Available at: https://doi.org/10.1016/j.burns.2020.04.028.
Singla, D.R. et al. (2021) ‘Scaling Up Maternal Mental healthcare by Increasing access to Treatment (SUMMIT) through non-specialist providers and telemedicine: a study protocol for a non-inferiority randomized controlled trial', Trials, 22(1), p. 186. Available at: https://doi.org/10.1186/s13063-021-05075-1.
Stavroulaki, T. (2019) ‘Mind the Gap: Antitrust, Health Disparities and Telemedicine', American Journal of Law & Medicine, 45(2–3), pp. 171–187. Available at: https://doi.org/10.1177/0098858819860607.
Suzuki, T. et al. (2020) ‘Possibility of introducing telemedicine services in Asian and African countries', Health Policy and Technology, 9(1), pp. 13–22. Available at: https://doi.org/10.1016/j.hlpt.2020.01.006.
Valentino, L.A., Skinner, M.W. and Pipe, S.W. (2020) ‘The role of telemedicine in the delivery of health care in the COVID"19 pandemic', Haemophilia : the official journal of the World Federation of Hemophilia, 26(5), pp. e230–e231. Available at: https://doi.org/10.1111/hae.14044.
World Bank (2020) ‘World Development Indicator'. The World Bank. Available at: https://data.worldbank.org/indicator/IT.NET.USER.ZS?end=2020&start=2020&type=shaded&view=map (Accessed: 17 June 2022).
World Bank (2022) Digital infrastructure data based on country. The World Bank. Available at: https://data.worldbank .org/topic/infrastructure?view=chart (Accessed: 20 June 2022).
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