Chris Attoe, Raluca Matei, Laura Thompson, Kevin Teoh, Sean Cross, Tom Cox
Returning to clinical work and doctors' personal, social and organisational needs: a systematic review
BMJ open
systematic integrative literature review explores clinicians make decisions patient management plans telehealth telehealth modality care gained popularity due development digital technology covid19 pandemic recognized telehealth compared traditional clinical settings carries higher risk patients due virtual characteristics even though landscape healthcare service increasingly moving towards virtual systems decisionmaking process telehealth remains fully understood systematic integrative review databases include cinahl apa psycinfo academic search complete pubmed web science google scholar systematic integrative review method informed whittemore knafl 2005 databases initially searched keywords november 2022 repeated october 2023 thematic synthesis conducted analyse synthesize data search identified 382 articles screening 10 articles met eligibility criteria included five studies qualitative one quantitative four mixed methods five main themes relevant decisionmaking processes telehealth identified characteristics decisionmaking telehealth patient factor clinician factor cdss factor external influencing factor decisionmaking process telehealth complicated cognitive process influenced multifaceted components including patient factors clinician factors external influencing factors technological factors telehealth carries higher risk uncertainty facetoface encounters cdss rather bringing unification clarity seems bring divergence ambiguity clinical reasoning processes telehealth remain unknown need verbalized made transparent prepare junior clinicians skills minimize risks associated telehealth applicable