Human Factors and Ergonomics- based recommendations for the use of teleconsultation tools in the Cantabrian Health Service (Spain)
TimeThursday, April 152:23pm - 2:24pm EDT
DescriptionThe current health crisis has highlighted the weaknesses of the care model focused on face-to-face interaction, the consequence of which, in emergency situations, is the increased risk of virus transmission, as well as the saturation of services.
In this context, teleconsultation is understood as a tool at the service of health professionals to facilitate patient care, optimize the distribution of resources and the use of services.
In Cantabria, the Directorate General for Digital Transformation and Relations with Users (DGTDRU) is promoting telemedicine with the EValTec team, a multidisciplinary group that applies Human Factors Engineering and Cognitive Ergonomics (HFE) to improve understanding and user interaction with the system (technology, processes, etc.). EValTec is a multiprofessional group that involves nurses, physicians, engineers, biotechnologists and managers.
The Regional Healthcare Provider of Cantabria (SCS) is an autonomous organization in terms of its administrative nature attached to the Ministry of Health of the Government of Cantabria (a region with 0,6M people placed in the North of Spain), created by the Law of Cantabria 10/2001 of December 28, and whose basic structure is regulated in Decree 47/20021. It is part of the Spanish National Health System and is responsible, in Cantabria, for the public provision of the health service, including care, prevention and rehabilitation. It is formed by four hospitals and a primary care service.
The Cantabrian Ministry of Health has recently included a Directorate-General for Digital Transformation, responsible for the development and implementation of e-Health technologies in the SCS.
The objective of this project is to facilitate the implementation of teleconsultation tools by improving the adherence of health professionals in remote patient follow-up. To achieve this, the following specific objectives are established.
1. Understand the work context.
2. Prepare recommendations for teleconsultation optimizing resources.
3. Integrate and disseminate teleconsultation tools in the Cantabrian public health system.
The methodology used for this study is internationally validated and is based on the tools provided by the HFE framework, to study the interaction between users and the environment in which they work, in order to understand how the design of its components impacts safety, efficiency and quality of health care.
For this, the SEIPS model and the Socio-Technical System (STS) model were applied, which defines 8 dimensions that have an impact on the implementation and use of technology, and that must be taken into account when introducing any of this type technology in the healthcare environment.
A decalogue was prepared and edited with recommendations for the use of teleconsultation tools accessible from the Cantabrian Health Service website.
The recommendations follow a sequence that is grouped into three phases: before the consultation, during and at the end of the consultation, identifying technological aspects, such as the placement of the camera or the resolution of technical doubts, the protocol to follow for correct communication bidirectional between the patient and the professional etc.
The inclusion of teleconsultation tools in clinical routines must be supported by resources that facilitate their implementation. To achieve the safe management of patient information, it is necessary to make the tools available to health professionals and provide support for the transition to a remote care model.