Podiatric telemedicine : an evidence-based approach

Abstract

Regardless of the use of digital technology in healthcare, telemedicine has not been broadly implemented in Malta before the pandemic. Telemedicine entails the use of information and communication technology to provide healthcare from a distance. This study aimed to understand better the current major stakeholders’ perspectives on podiatric telemedicine. A mixed-methods dominant-less dominant research approach was implemented. Online questionnaires were the dominant research tool, while the less dominant research tools were the focus groups and interviews. Results suggest that to ensure a patient-centred care model, telemedicine should be blended appropriately with the current traditional in-person consultations. Furthermore, it was established that the Technology Acceptance Model (TAM) is not fit to be used on its own, but should be implemented in parallel with other telemedicine-related models as many factors impact the actual implementation of a telemedicine service, besides ease of use and usefulness. Hence, in view of the findings obtained, the Normalisation Process Theory proved to be more complete as a framework. Stakeholders stated that telemedicine is part of the future and that the resistance to change towards such services needs to be addressed. Podiatrists see the potential in podiatric telemedicine only if there is a strategy in place to implement it. Public participants noted that podiatric telemedicine cannot replace or be the same as standard traditional consultations. Qualitative results reflected the views of podiatrists and the public, including the necessity of further education and training, a telemedicine framework, better accessibility, and its use as a complementary service to the traditional clinic visits.