Thesis
Investigating teleconsultations in primary care pharmacy using human factors
- Creator
- Rights statement
- Awarding institution
- University of Strathclyde
- Date of award
- 2024
- Thesis identifier
- T16943
- Person Identifier (Local)
- 202075418
- Qualification Level
- Qualification Name
- Department, School or Faculty
- Abstract
- Introduction: Given the drive for transforming primary care using digital solutions such as teleconsultations, there is a need to understand how these technologies are developed and used. The discipline of human factors (HF) is suited to this type of research, however, evidence of applications of HF in primary care are limited. Methods: The Systems Engineering Initiative for Patient Safety (SEIPS) 2.0 model was used throughout this thesis. A scoping review identified previous applications of HF approaches and methods to the development of teleconsultations in primary care. A secondary analysis of studies from the review provided an evidence base of factors influencing use of teleconsultations. Interview schedules, informed by the secondary analysis, were then used to understand patient and pharmacists’ perspectives on the use of video consultations (VCs) in Scotland. A scoping review and content analysis of guidance available to pharmacists in Scotland identified commonalities and differences across resources. Results: Twenty HF approaches were identified across 70 studies, with the majority set in general practice and focusing on evaluating use. The secondary analysis identified 36 and 39 factors influencing patients’ and primary care providers’ use of teleconsultations. Fourteen patients and 19 pharmacists participated in interviews, outlining factors influencing their use related to the six components of the SEIPS 2.0Work System. Pharmacists expressed a need for more organisational guidance on using VCs with patients. Analyses of existing guidance identified 94 resources, the majority of which were published by Scottish Government and Technology Enabled Care. Conclusions: To facilitate successful implementation and use of VCs into pharmacy services in Scotland, a systems perspective should be taken to understand the users’needs in each individual context, and to develop guidance which considers each component within the current Work System. Future research should continue to explore applications of HF in primary care, to encourage integration of the discipline in healthcare.
- Advisor / supervisor
- Bennie, Marion
- Dunlop, Emma
- Newham, Rosemary
- Resource Type
- DOI
- Date Created
- 2023
Las relaciones
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PDF of thesis T16943 | 2024-05-29 | Público | Descargar |