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The following is feedback from an occupational therapist specializing in accessibility and vision.
Introduction and background information
Question: Did the Introduction, Values and Guiding Principles in the Guide document provide sufficient context for the Guidelines? Is there any information that was not covered that would be helpful?
Response:
The intro was helpful and provided understanding of the context.
Structure and organization
Question: Do you have any feedback on the structure and organization of the Guidelines? From your perspective would you organize them differently? How and why?
Response:
Provide hyper links in the table of contents to sections of the document.
Provide hyper links when there is an “also see” section.
Relevance of information
Question: Did any of the information in the Guidelines feel non-applicable, incorrect or insufficient in the context of virtual care?
Response:
Will there be a list of resources used to develop this Guide, other published guidelines, articles etc.
Content to consider adding
Question: Is there any information you feel is missing from the Guidelines?
Response:
An ongoing evaluation component of the virtual care being provided. There is a lot of learning and adjustments that need to be made as we come across specific individual situations and as the environment changes. Team communication is crucial in improving our service delivery, and of course, obtaining feedback from clients. It can be as simple as letting clients know at the beginning of virtual care that we have moved to virtual care and appreciate any feedback in this new service delivery model, or a form/survey after the care to obtain feedback. The guide already talks about building and nurturing trust through feedback so this would fit in well.
Content to consider expanding
Question: Is there any information you feel we should expand upon?
Response:
Since the guideline is also meant for recipients of care, I am wondering if there should be more focus for the client. How he/she should evaluate when virtual care or face to face care is appropriate. Some clients may not want to receive virtual care but not given the option. Encourage client to inquire about options. What should the client consider before accepting virtual care? Do the benefits outweigh the risks? Will the client receive less than adequate care in a virtual setting? What are the limitations to virtual care? What is the client consenting to when agreeing to virtual care?
Groups or individuals to engage in the future
Question: As we continue the work, whose feedback and participation would you like to see reflected in these Guidelines? Whose feedback do you wish was included or emphasized more? Is there a community, group, person or other we should engage in future Guideline work?
Response:
I think it would be helpful to know which stakeholders were consulted i.e. client groups, caregiver groups, healthcare practitioners by disciplines, healthcare practitioner by environment (i.e. hospital, community, school, remote communities), government etc.
Guideline naming and clarity
Question: Naming the Guidelines is important for clarity and meaning. Please review the Guideline names and tell us from your perspective what you would change and what works well.
Response:
Guideline name is good, very clear.
Language and terminology
Question: Do you have any feedback related to any of the language and terminology used in the Guidelines?
Response:
With regards to the 5 sections:
Practice – something more to indicate that these points are suggestions or a change from current practice...”practice considerations / strategies / recommendations / suggestions”
Software – use only software approach or software solutions, wondering if “technology” would work better than software.
Should the names of practice and software mirror each other i.e. practice solutions and technology solutions?
Also make a really clear distinction between these 2 sections. For software approaches, the more specific, the better.
Other Comments
Question: Do you have any other feedback that you would like to share?
Response:
Just random thoughts from my own practice and personal experience.
Provide a response system where clients can receive immediate feedback when information has sent to service provider i.e. faxes/emails sent to the ministry of health
The importance of giving choice in every aspect of your practice as that often addresses multiple barriers at once.