Abstract
AbstractBackgroundIt is widely assumed that telehealth tools like mHealth, telemedicine, and tele-education can supplement the efficiency of Healthcare Providers (HCPs). We conducted a scoping review of evidence on the barriers and facilitators associated with the use of telehealth by HCPs in India.MethodsA systematic literature search following a pre-registered protocol (https://doi.org/10.17605/OSF.IO/KQ3U9[PROTOCOL DOI]) was conducted in PubMed. The search strategy, inclusion, and exclusion criteria were based on the World Health Organization’s action framework on Human Resources for Health (HRH) and Universal Health Coverage in India with a specific focus on telehealth tools. Eligible articles published in English from 1st January 2001 to 17th February 2022 were included.ResultsOne hundred and six studies were included in the review. Of these, 53 studies (50%) involved mHealth interventions, 25 (23.6%) involved telemedicine interventions whereas the remaining 28 (26.4%) involved the use of tele-education interventions by HCPs in India. In each category, most of the studies followed a quantitative study design and were mostly published in the last 5 years. The study sites were more commonly present in states present in south India. The facilitators and barriers related to each type of intervention were analyzed under the following sub-headings-1) Human resource related, 2) Application related 3) Technical, and 4) Others. The interventions were most commonly used for improving the management of mental health, non-communicable diseases, and maternal and child health.ConclusionsUse of telehealth has not been uniformly studied in India. The facilitators and barriers to telehealth use need to be kept in mind while designing the intervention. Future studies should focus on looking at region-specific, intervention-specific, and health cadre-specific barriers and facilitators for the use of telehealth.
Publisher
Cold Spring Harbor Laboratory
Reference151 articles.
1. Catalyst N. What Is Telehealth? NEJM Catal [Internet]. 2018 Feb 1 [cited 2023 Sep 28]; Available from: https://catalyst.nejm.org/doi/full/10.1056/CAT.18.0268
2. Health care and equity in India
3. Barik D , Thorat A . Issues of Unequal Access to Public Health in India. Front Public Health. 2015;3:245.
4. Access to health care and employment status of people with disabilities in South India, the SIDE (South India Disability Evidence) study;BMC Public Health,2014
5. Size, composition and distribution of health workforce in India: why, and where to invest?;Hum Resour Health,2021