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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Best Practice Guide for Reducing Barriers to Video Call-Based Telehealth: Modified Delphi Study Among Health Care

Lena Rettinger1,2, Lea Aichinger1, Veronika Ertelt-Bach3

  • 1Research Center Digital Health and Care, FH Campus Wien, University of Applied Sciences Vienna, Vienna, Austria.

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|March 26, 2025
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Summary

This study identified 105 best practices for telehealth video calls, focusing on technology and healthcare strategies to overcome barriers and improve patient care. These guidelines aim to enhance telehealth delivery for healthcare professionals.

Keywords:
Delphi studybarriersbest practicesdietitianshealth care professionalshealth communicationlanguage therapistsmidwifephysiotherapistsqualitative interviewsspeech therapiststelehealthvideo callweb-based survey

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Area of Science:

  • Health Services Research
  • Digital Health
  • Clinical Practice

Background:

  • Telehealth adoption surged during the COVID-19 pandemic, enhancing access to care for remote and underserved populations.
  • Despite its growth, telehealth implementation is hindered by technological, practical, and interpersonal challenges.

Purpose of the Study:

  • To identify and consolidate best practices for telehealth delivery, specifically for video consultations.
  • To synthesize insights from diverse healthcare professionals to improve telehealth services.

Main Methods:

  • A scoping review identified 15 common telehealth barriers.
  • A modified Delphi method involved 9 healthcare professionals through qualitative interviews and web-based surveys.
  • Consensus was reached on best practices for telehealth video sessions.

Main Results:

  • 105 best practices were identified, addressing 15 telehealth barriers.
  • 20 practices are technology-focused, and 85 relate to healthcare delivery, emphasizing environment setup, safety, and relationship-building.
  • Recommendations cover patient skepticism, unstable networks, privacy concerns, and skill enhancement, with fewer identified for technology access and caregiver support.

Conclusions:

  • The developed guide offers actionable best practices for healthcare providers navigating telehealth complexities.
  • Findings provide a foundation for improving telehealth services and future research, acknowledging potential biases from the small participant sample.