This is an outdated version published on 2022-02-18. Read the most recent version.

Conducting a Global Quadruple Aim Thematic Analysis of Telemedicine Performance in Rural Indigenous Populations and Evidence-Based Recommendations for Improvement

Authors

DOI:

https://doi.org/10.30953/tmt.v7.301

Keywords:

health policy, indigenous, quadruple aim, rural health care, telehealth, telemedicine

Abstract

As telehealth is a growing form of healthcare delivery across the world, particularly after the COVID-19 pandemic, it’s impact on patient populations particularly in aboriginal and rural communities boasts many questions. As the health disparities between aboriginal groups living in rural areas on reserves and the rest of the Canadian demographics remain to be mountainous, telemedicine is often seen as the new way forward in reducing these healthcare gaps.

Presently, much research has been conducted on these cohorts, particularly in the health equity atmosphere. However, much of this research lacks a comprehensive framework or tool in which it analyzes the efficacy of outcomes. In this review paper, the quadruple aim – the ideal standard of care which North American health systems seek to conform to – will be used to analyze telemedicine performance, and assert evidence-based recommendations for improvement.  

Therefore, this paper seeks to conduct a thematic analysis on the various issues and barriers to telemedicine delivery and usage in aboriginal populations with respect to the quadruple aim as well as identifying evidence-based solutions to alleviate some of these concerns and bolster care.

 

Downloads

Download data is not yet available.

References

Government of Canada. Canada’s Health Care System. Canada.ca; 2019. Available from: https://www.canada.ca/en/health-canada/services/health-care-system/reports-publications/health-care-system/canada.html [cited 17 September 2021].

Lavoie JG. Policy silences: Why Canada needs a National First Nations, Inuit and Métis health policy. Int J Circumpolar Health. 2013;72:22690. https://doi.org/10.3402/ijch.v72i0.22690

Ballard D, Cook C, Alix-Roussin A, Gray K. Towards equity in Aboriginal health: An overview of factors impacting the delivery of health services to Aboriginal peoples of Canada. InCongress on Circumpolar Health July 11–16, 2009 Yellowknife, Canada 2010 Jan 1 (No. 7, p. 388).

Muttitt S, Vigneault R, Loewen L. Integrating telehealth into Aboriginal healthcare: The Canadian experience. Int J Circumpolar Health. 2004;63(4):401–14. https://doi.org/10.3402/ijch.v63i4.17757

Caffery LJ, Bradford NK, Wickramasinghe SI, et al. Outcomes of using telehealth for the provision of healthcare to Aboriginal and Torres Strait Islander people: A systematic review. Aust N Z J Public Health. 2017;41:48–53. https://doi.org/10.1111/1753-6405.12600

Dawson AZ, Walker RJ, Campbell JA, et al. Telehealth and indigenous populations around the world: A systematic review on current modalities for physical and mental health. mHealth. 2020;6:30.

Kozera EK, Yang A, Murrell DF. Patient and practitioner satisfaction with tele-dermatology including Australia’s indigenous population: A systematic review of the literature. Int J Womens Dermatol. 2016;2:70–3. https://doi.org/10.1016/j.ijwd.2016.06.004

Smith AC, Armfield NR, Wu W-I, et al. A mobile telemedicine-enabled ear screening service for Indigenous children in Queensland: Activity and outcomes in the first three years. J Telemed Telecare. 2012;18:485–9.

Russell S, Quigley R, Strivens E, et al. Validation of the Kimberley Indigenous Cognitive Assessment short form (KICA-screen) for telehealth. J Telemed Telecare. 2021;27:54–8. https://doi.org/10.1177/1357633X19860309

St Clair, M., Murtagh, D. Barriers to telehealth uptake in rural, regional, remote Australia: What can be done to expand telehealth access in remote areas? Stud Health Technol Inform. 2019;266:174–82.

Wickramasinghe SI, Caffery LJ, Bradford NK, et al. Enablers and barriers in providing telediabetes services for Indigenous communities: A systematic review. J Telemed Telecare. 2016;22:465–71. https://doi.org/10.1177/1357633X16673267

Jongbloed K, Pearce ME, Thomas V, et al. The Cedar Project – Mobile phone use and acceptability of mobile health among young indigenous people who have used drugs in British Columbia, Canada: Mixed methods exploratory study. JMIR mHealth uHealth. 2020;8:e16783. https://doi.org/10.2196/16783

Knight P, Bonney A, Teuss G, et al. Positive clinical outcomes are synergistic with positive educational outcomes when using telehealth consulting in general practice: A mixed-methods study. J Med Int Res. 2016;18:e31. https://doi.org/10.2196/jmir.4510

Buckley D, Weisser S. Videoconferencing could reduce the number of mental health patients transferred from outlying facilities to a regional mental health unit. Aust N Z J Public Health. 2012;36:478–82. https://doi.org/10.1111/j.1753-6405.2012.00915.x

Sabesan S. Specialist cancer care through Telehealth models. Aust J Rural Health. 2015;23:19–23. https://doi.org/10.1111/ajr.12170

Snoswell CL, Caffery LJ, Haydon HM, et al. A cost-consequence analysis comparing patient travel, outreach, and telehealth clinic models for a specialist diabetes service to Indigenous people in Queensland. J Telemed Telecare. 2019;25:537–44. https://doi.org/10.1177/1357633X19873239

Yilmaz SK, Horn BP, Fore C, et al. An economic cost analysis of an expanding, multi-state behavioural telehealth intervention. J Telemed Telecare. 2019;25:353–64. https://doi.org/10.1177/1357633X18774181

Horn BP, Barragan GN, Fore C, et al. A cost comparison of travel models and behavioural telemedicine for rural, Native American populations in New Mexico. J Telemed Telecare. 2016;22:47–55. https://doi.org/10.1177/1357633X15587171

Wade V, Soar J, Gray L. Uptake of telehealth services funded by Medicare in Australia. Aust Health Rev. 2014;38:528. https://doi.org/10.1071/AH14090

Jennett PA, Hall LA, Hailey D, et al. The socio-economic impact of telehealth: A systematic review. J Telemed Telecare. 2003;9:311–20.

Razavi H, Copeland SP, Turner AW. Increasing the impact of teleophthalmology in Australia: Analysis of structural and economic drivers in a state service. Aust J Rural Health. 2017;25:45–52. https://doi.org/10.1111/ajr.12277

Mendez I, Jong M, Keays-White D, et al. The use of remote presence for health care delivery in a northern Inuit community: A feasibility study. Int J Circumpolar Health. 2013;72:21112. https://doi.org/10.3402/ijch.v72i0.21112

Published

2022-01-31 — Updated on 2022-02-18

Versions

How to Cite

Naqvi, H. (2022). Conducting a Global Quadruple Aim Thematic Analysis of Telemedicine Performance in Rural Indigenous Populations and Evidence-Based Recommendations for Improvement. Telehealth and Medicine Today, 7(1). https://doi.org/10.30953/tmt.v7.301 (Original work published January 31, 2022)

Issue

Section

Narrative/Systematic Reviews/Meta-Analysis