The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia.

Publication date: Feb 05, 2024

The COVID-19 pandemic has fueled the widespread adoption of telemedicine in healthcare, particularly in Sarawak, Malaysia. This study investigates the use and acceptance of Sarawak’s inaugural multidisciplinary geriatric telemedicine service, TELEG. This cross-sectional study took place at the Sarawak Heart Centre’s geriatric department from July 1, 2021, to April 30, 2022. Convenient sampling included all TELEG-enrolled patients during this period, to achieve minimum sample size of 148. TELEG’s utilization was assessed in terms of medication therapy and treatment plan optimization, as well as enhanced healthcare accessibility. Participants’ acceptance of TELEG was measured using the Service User Technology Acceptability Questionnaire (SUTAQ) administered through Google Forms. Descriptive statistics percentages illustrated the proportion of participants who found TELEG moderately to highly acceptable. Associations between baseline characteristics and overall acceptance were explored through bivariate analyses, including Pearson’s correlation test, independent t-test, and ANOVA. The influence of six SUTAQ dimensions on overall acceptance, multivariable linear regression using enter method was employed. Statistical significance was determined by p-values less than 0. 5. Among 180 geriatric patients enrolled in TELEG during the study period, 149 agreed to participate. TELEG led to medication therapy optimization for 88. 6% of participants, primarily involving dose adjustment (44. 7%), de-prescribing (31. 8%), and prescribing (15. 9%). Additionally, 53. 8% received treatment plan optimization, predominantly in the form of self-care education (56. 3%), referrals for further treatment (33. 8%), additional laboratory investigations (29. 6%), and increased monitoring (26. 8%). Among those educated in self-care (n = 40), dietary intake (27. 5%), lower limb exercise (25. 0%), and COVID-19 vaccination (12. 5%) were the most common topics. All participants expressed moderate to high acceptance of TELEG (mean = 4. 9, SD = 0. 65, on a scale of 1 to 6). Notably, care personnel concern (B = 0. 256; p 

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Concepts Keywords
Google Acceptance
July Geriatric
Pandemic Sustainability
Sarawak Telemedicine
Vaccination Use

Semantics

Type Source Name
disease MESH COVID-19 pandemic
disease VO ANOVA
disease VO dose
disease VO vaccination
pathway REACTOME Reproduction
drug DRUGBANK Coenzyme M
disease MESH abnormalities
disease IDO country
disease VO population
disease IDO process
drug DRUGBANK Trestolone
drug DRUGBANK Ilex paraguariensis leaf
disease MESH chronic diseases
disease MESH education level
disease MESH pressure ulcer
disease MESH comorbidity
disease VO Canada
disease IDO quality
disease VO frequency
disease MESH morbidity
disease MESH death
disease MESH adverse drug reactions
disease MESH Hypertension
disease MESH Hyperlipidemia
disease MESH Diabetes mellitus
disease MESH Dementia
disease MESH emergency
disease VO time
disease MESH infection
disease IDO intervention
drug DRUGBANK Methylergometrine
disease VO USA
disease VO protocol
disease VO effectiveness
disease VO age
disease MESH causes
drug DRUGBANK Aspartame
disease MESH Allergy

Original Article

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