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  1. Article ; Online: Kidney transplant recipient perspectives on telehealth during the COVID-19 pandemic.

    Huuskes, Brooke M / Scholes-Robertson, Nicole / Guha, Chandana / Baumgart, Amanda / Wong, Germaine / Kanellis, John / Chadban, Steve / Barraclough, Katherine A / Viecelli, Andrea K / Hawley, Carmel M / Kerr, Peter G / Toby Coates, Patrick / Amir, Noa / Tong, Allison

    Transplant international : official journal of the European Society for Organ Transplantation

    2021  Volume 34, Issue 8, Page(s) 1517–1529

    Abstract: ... the perspectives of kidney transplant recipients on the benefits, challenges, and risks of telehealth. We conducted ... five online focus groups with 34 kidney transplant recipients who had experienced a telehealth ... The COVID-19 pandemic has challenged the delivery of health services. Telehealth allows delivery ...

    Abstract The COVID-19 pandemic has challenged the delivery of health services. Telehealth allows delivery of care without in-person contacts and minimizes the risk of vial transmission. We aimed to describe the perspectives of kidney transplant recipients on the benefits, challenges, and risks of telehealth. We conducted five online focus groups with 34 kidney transplant recipients who had experienced a telehealth appointment. Transcripts were thematically analyzed. We identified five themes: minimizing burden (convenient and easy, efficiency of appointments, reducing exposure to risk, limiting work disruptions, and alleviating financial burden); attuning to individual context (depending on stability of health, respect patient choice of care, and ensuring a conducive environment); protecting personal connection and trust (requires established rapport with clinicians, hampering honest conversations, diminished attentiveness without incidental interactions, reassurance of follow-up, and missed opportunity to share lived experience); empowerment and readiness (increased responsibility for self-management, confidence in physical assessment, mental preparedness, and forced independence); navigating technical challenges (interrupted communication, new and daunting technologies, and cognizant of patient digital literacy). Telehealth is convenient and minimizes time, financial, and overall treatment burden. Telehealth should ideally be available after the pandemic, be provided by a trusted nephrologist and supported with resources to help patients prepare for appointments.
    MeSH term(s) COVID-19 ; Humans ; Kidney Transplantation ; Pandemics ; SARS-CoV-2 ; Telemedicine
    Language English
    Publishing date 2021-07-04
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 639435-8
    ISSN 1432-2277 ; 0934-0874
    ISSN (online) 1432-2277
    ISSN 0934-0874
    DOI 10.1111/tri.13934
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Telehealth Experience Among Liver and Kidney Transplant Recipients: A Mixed Methods Study.

    Ko, Dami / Dierker, Julia / Stouff, Rebecca / Senier, Laura

    Transplant international : official journal of the European Society for Organ Transplantation

    2023  Volume 36, Page(s) 11819

    Abstract: Telehealth has become widely available to solid organ transplant (SOT) recipients during the COVID ... 19 pandemic. While evidence suggests that telehealth serves as an acceptable alternative for most SOT ... had previously used telehealth for their transplant care. The quantitative data documented ...

    Abstract Telehealth has become widely available to solid organ transplant (SOT) recipients during the COVID-19 pandemic. While evidence suggests that telehealth serves as an acceptable alternative for most SOT recipients, their satisfaction and its context remain unclear. This study used a mixed methods approach to investigate the perspectives of SOT recipients (i.e., liver, kidney, and simultaneous liver-kidney) on the benefits and disadvantages of telehealth. A total of 252 adult SOT recipients completed an online survey that quantitatively assessed telehealth experience and satisfaction. Fifteen of them further shared their perspectives by participating in either a focus group or individual interview. Approximately 70% of online survey participants had previously used telehealth for their transplant care. The quantitative data documented that, while recipients were mostly satisfied with telehealth, especially with its effectiveness and convenience, they were less satisfied with the reliability of navigating the telehealth system. The qualitative data further showed that telehealth could be less effective for SOT recipients who perceived themselves as clinically and/or socially vulnerable, needed urgent care, and were concerned about privacy. These findings suggest that the plan for using telehealth to provide transplant care should prioritize personalization, considering unique needs and preferences of each SOT recipient.
    MeSH term(s) Adult ; Humans ; Organ Transplantation ; Kidney Transplantation ; Pandemics ; Reproducibility of Results ; Transplant Recipients ; Liver ; Telemedicine
    Language English
    Publishing date 2023-10-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 639435-8
    ISSN 1432-2277 ; 0934-0874
    ISSN (online) 1432-2277
    ISSN 0934-0874
    DOI 10.3389/ti.2023.11819
    Database MEDical Literature Analysis and Retrieval System OnLINE

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