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Area of Science:

  • Healthcare Delivery
  • Medical Informatics
  • Patient Experience

Background:

  • Telehealth has become a significant mode of healthcare delivery, necessitating an understanding of team dynamics in virtual settings.
  • Effective teamwork is crucial for optimal patient outcomes in telehealth, yet patient perspectives on this are underexplored.

Purpose of the Study:

  • To explore patient experiences of teamwork within their medical care teams during telehealth appointments.
  • To identify key teamwork processes and facilitators from the patient's viewpoint in virtual healthcare encounters.

Main Methods:

  • Qualitative study utilizing semi-structured virtual interviews with 19 patients managing chronic conditions.
  • Thematic analysis of interview transcripts by two independent reviewers to identify teamwork themes.

Main Results:

  • Patients interacted with a multidisciplinary team including physicians, advanced practice providers, nurses, technicians, and administrative staff.
  • Key teamwork processes identified were verbal and asynchronous communication, and collaborative care plan monitoring and adjustment.
  • The online patient portal was emphasized as a critical tool for facilitating teamwork processes.

Conclusions:

  • Patient experiences reveal the importance of integrated teamwork and effective communication channels, particularly the patient portal, in telehealth.
  • Future research should investigate provider perspectives and develop tools to improve pre-appointment preparation in telehealth settings.