Rowther, Armaan

School of Medicine/School of Public Health

MD-PhD

Pakistan

Qualitative Process Evaluation of a Telemedicine Program for Pediatric Emergency Care Quality Improvement in Pakistan

With the rapid advancement of information and communication technologies, telemedicine is increasingly being used to overcome the barrier of distance in delivering health care services. Few studies have addressed the application of telemedicine to support the critical, time-sensitive communication and decisions required in the complex clinical context of pediatric resuscitation. Within the framework of a larger mixed methods exploratory sequential study, this project will focus on the qualitative process evaluation of an emergency care quality improvement program implemented in public teaching hospitals of Sindh Province, Pakistan, that combines a protocol checklist with expert supervision by way of synchronous audiovisual monitoring in pediatric resuscitation rooms. For this study, surveys and in-depth interviews with doctors and nurses will be used to explore end-user experience of the telemedicine consultation process, social and structural context, and influence on the role and performance of health care workers. Beyond informing efforts to improve the existing program, this study will contribute toward a better understanding of the possibilities and challenges of implementing telemedicine for pediatric emergency care, including in low- and middle-income countries, and enable the development of telehealth strategies that meet the needs of health care workers, that are appropriate for local practice and health system settings, and that improve the quality of care and health of patients and populations.

Advisor/Mentor: Dr. Amber Mehmood

People

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs

Caitlin Kennedy, PhD MPH,BA

Co-Director, MPH concentration in Social and Behavioral Sciences in Public Health; Associate Director, Center for Qualitative...
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November 2019

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