IMPLEMENTATION OF TELEREHABILITATION SERVICES IN A LOCAL COMMUNITY IN CAVITE: A QUALITATIVE CASE STUDY

Authors

  • Billy Jay Pedron De La Salle Medical and Health Sciences Institute

DOI:

https://doi.org/10.17501/2989073x.2023.1101

Keywords:

telerehabilitation, ehealth, physical therapy, patient experience

Abstract

The COVID-19 pandemic remarkably affects the world's healthcare system. The healthcare service access and delivery system were affected worldwide. In the Philippines, hospitals nationwide defer non-urgent consults and rehabilitation services because of panic, fear, and anxiety about contracting the virus. Telerehabilitation services were implemented to meet the rehabilitation services gaps brought about by the pandemic in the community. This qualitative case study evaluates the implementation of Telerehabilitation services in a local community in the Philippines. A qualitative case study method was used as it utilized secondary data from audiovisual recordings, documents, and observations from Telerehabilitation sessions from Aug 2020 – May 2021. Thematic analysis identified four emerging themes regarding challenges experienced in the program implementation, namely, the technological factors, patient factors, approach and strategies, and infrastructure. At the same time, the lessons learned from the case study can be summed up into two themes: the value of partnership and bridging the gap. From the findings, a sustainable, effective, and safe digital physical therapy program can be established using the resources of both public and private organizations as its strength. This study can guide other local communities to establish a Telerehabilitation program to increase access to rehabilitation services using Public-Private Partnerships.

Downloads

Download data is not yet available.

References

Banzon, Eduardo & Lucero, Josephine & Ho, Lorraine & Puyat, Maria & Quibod, June & Factor, Patricia Ann. (2013). Public-Private Partnership Options toward Achieving Universal Health Coverage in the Philippine Setting. Journal of Philippine development: a technical journal of the National Economic and Development Authority. 40. 161-186.

Bashshur, R. L., Shannon, G. W., Smith, B. R., Alverson, D. C., Antoniotti, N., Barsan, W. G., Bashshur, N., Brown, E. M., Coye, M. J., Doarn, C. R., Ferguson, S., Grigsby, J., Krupinski, E. A., Kvedar, J. C., Linkous, J., Merrell, R. C., Nesbitt, T., Poropatich, R., Rheuban, K. S., Sanders, J. H., … Yellowlees, P. (2014). and e- health : the official journal of the American Telemedicine Association, 20(9), 769–800. https://doi.org/10.1089/tmj.2014.9981

Brigo, E., Rintala, A., Kossi, O., Verwaest, F., Vanhoof, O., Feys, P., & Bonnechère, B. (2022). Using Telehealth to Guarantee the Continuity of Rehabilitation during the COVID-19 Pandemic: A Systematic Review. International journal of environmental research and public health, 19(16), 10325. https://doi.org/10.3390/ijerph191610325

Cucinotta, D., & Vanelli, M. (2020). WHO Declares COVID-19 a Pandemic. Acta bio-medica : Atenei Parmensis, 91(1), 157–160. https://doi.org/10.23750/abm.v91i1.9397

Ericta, C. N. (2013, January 10). Persons with Disability in the Philippines (Results from the 2010 Census). Philippine Statistics Authority. https://psa.gov.ph/tags/persons-disability

Ftouni, R., AlJardali, B., Hamdanieh, M., Ftouni, L., & Salem, N. (2022). Challenges of Telemedicine during the COVID-19 pandemic: a systematic review. BMC medical informatics and decision making, 22(1), 207. https://doi.org/10.1186/s12911-022-01952-0

FutureLearn. (2021, April 28). Lockdown extension in the Philippines: Impact on education. FutureLearn. Retrieved November 21, 2021, from

https://www.futurelearn.com/info/futurelearn-international/lockdown- extension- in- the- philippines.

Gudlavalleti, Murthy. (2018). Challenges in Accessing Health Care for People with Disability in the South Asian Context: A Review. International Journal of Environmental Research and Public Health. 15. 2366. 10.3390/ijerph15112366.

Kim, S. Y., Daley, K., Pruski, A. D., AlFarra, T., Azola, A., Gonzalez Fernandez, M., Keszler, M. S., Friedel, S., Haaf, H., Segall, H., Lien, P., Cypher, J., Mazariegos, J., & Raghavan, P. (2022). Implementation of a Framework for Telerehabilitation in Clinical Care Across the Continuum During COVID-19 and Beyond. American Journal of physical medicine & Rehabilitation, 101(1), 53–60. https://doi.org/10.1097/PHM.0000000000001904

Leochico, C. F. D., Espiritu, A. I., Ignacio, S. D., & Mojica, J. A. P. (2020). Challenges to the Emergence of Telerehabilitation in a Developing Country: A Systematic Review. Frontiers in neurology, 11, 1007. https://doi.org/10.3389/fneur.2020.01007

Mapa, C. D. S. (2022, August 15). Proportion of Poor Filipinos was Recorded at 18.1 Percent in 2021. Philippine Statistics Authority. https://psa.gov.ph/poverty-press-releases/nid/167972

Maravilla, Joemer & Catiwa, Jayson & Guariño, Rebecca & Yap, John & Pagatpatan, Jr, Celso & Orolfo, Diana Dalisay & De Silos, Jeriel & Leigh, Ma & Babate, Jerome & Lopez, Violeta. (2022). Exploring indirect impacts of COVID-19 on local health systems from the perspectives of health workers and higher education stakeholders in the Philippines using a phenomenological approach. The Lancet Regional Health - Western Pacific. 30. 100585. 10.1016/j.lanwpc.2022.100585.

Marikyan, D. & Papagiannidis, S. (2023) Technology Acceptance Model: A review. In S. Papagiannidis (Ed), TheoryHub Book.

Mechanic OJ, Persaud Y, Kimball AB. Telehealth Systems. 2022 Sep 12. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 29083614.

Pedron, B. J. N. (2019). Predictors Of And Barriers Associated With Health Services Utilization Among Persons With Disability. Proceedings of the International Conference on Public Health, 4(1), 1–10. https://doi.org/10.17501/24246735.2018.4101

Philippines population (live). Worldometer. (n.d.). https://www.worldometers.info/world- population/philippines- population/

Prvu Bettger J, Thoumi A, Marquevich V, et al COVID-19: maintaining essential rehabilitation services across the care continuumBMJ Global Health 2020;5:e002670.

Prvu Bettger, J., & Resnik, L. J. (2020). Telerehabilitation in the Age of COVID-19: An Opportunity for Learning Health System Research. Physical therapy, 100(11), 1913–1916. https://doi.org/10.1093/ptj/pzaa151

Rabanifar, Niloufar & Abdi, Kianoush. (2021). Barriers and Challenges of Implementing Telerehabilitation: A Systematic Review. Iranian Rehabilitation Journal. 19. 121-128. 10.32598/irj.19.2.1404.1.

See, A. B. (2021, March 15). Inside one of the world's longest COVID-19 lockdowns. Time. Retrieved November 20, 2021, from https://time.com/5945616/covid-philippines-pandemic- lockdown/.

Senbekov, Maksut & Saliev, Timur & Bukeyeva, Zhanar & Almabayeva, Aigul & Zhanaliyeva, Marina & Aitenova, Nazym & Toishibekov, Yerzhan & Fakhradiyev, Ildar. (2020). The Recent Progress and Applications of Digital Technologies in Healthcare: A Review. International Journal of Telemedicine and Applications. 2020. 1-18. 10.1155/2020/8830200.

Seron, P., Oliveros, M. J., Gutierrez-Arias, R., Fuentes-Aspe, R., Torres-Castro, R. C., Merino-Osorio, C., Nahuelhual, P., Inostroza, J., Jalil, Y., Solano, R., Marzuca-Nassr, G. N., Aguilera-Eguía, R., Lavados-Romo, P., Soto- Rodríguez, F. J., Sabelle, C., Villarroel-Silva, G., Gomolán, P., Huaiquilaf, S., & Sanchez, P. (2021). Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview. Physical therapy, 101(6), pzab053. https://doi.org/10.1093/ptj/pzab053

Shinozaki, S., & Rao, L. N. (2021, April 23). Covid-19 impact on micro, small, and medium-sized enterprises under the lockdown: Evidence from a rapid survey in the Philippines. Asian Development Bank. Retrieved November 21, 2021, from https://www.adb.org/publications/covid-19-impact-msme-under-lockdown- evidence- rapid-survey-philippines.

Stone, W., & Yu, E. (2020, May 6). Covid-19 fears may be causing people to ignore medical emergencies. NPR. Retrieved November 21, 2021, from https://www.npr.org/2020/05/06/851173949/covid-19-fears-may- be- causing- people-to-ignore-medical-emergencies.

Wa-Mbaleka, S. (2020). The Researcher as an Instrument. In: Costa, A., Reis, L., Moreira, A. (eds) Computer Supported Qualitative Research. WCQR 2019. Advances in Intelligent Systems and Computing, vol 1068. Springer, Cham. https://doi.org/10.1007/978-3-030-31787-4_3

World Health Organization. (n.d.). Who coronavirus (COVID-19) dashboard. World Health Organization. https://covid19.who.int/

World Health Organization. (n.d.-a). Philippines: Who coronavirus disease (covid-19) dashboard with vaccination data. World Health Organization. https://covid19.who.int/region/wpro/country/phts. Social Psychiatry Epidemiology, 34, 136–140.

Downloads

Published

2024-03-21

How to Cite

Pedron, B. J. (2024). IMPLEMENTATION OF TELEREHABILITATION SERVICES IN A LOCAL COMMUNITY IN CAVITE: A QUALITATIVE CASE STUDY. Proceedings of the International Conference on Digital Health and Telemedicine, 1(01), 1–12. https://doi.org/10.17501/2989073x.2023.1101