Date of Completion

2021

Document Type

Thesis

Degree Name

Bachelor of Science in Nursing

Keywords

Quality of Health Care, Telemedicine, COVID-19, Aged, Public Health

Abstract

Objectives of the Study A. General Objectives The study was conducted in order to determine if there is a difference between the experiences of older persons who use both telemedicine and traditional clinic visits in terms of their advantages, limitations, and provision of quality care. B. Specific Objectives Specifically, the study aimed to determine the following: 1. Profile of the respondents when grouped according to gender, sex, reason for consultation, and use of technical support 2. The advantages, limitations, and provision of quality care of traditional clinic visits as perceived by the respondents before the COVID-19 pandemic started 3. The advantages, limitations, and provision of quality care of telemedicine as perceived by the respondents during the COVID-19 pandemic 4. If there are significant differences in the respondents' perceptions of the advantages, limitations, and provision of quality care of traditional clinic visits before COVID-19 pandemic when respondents are grouped according to age, sex, the reason for consultation, and use of technical support 5. If there are significant differences on the advantages, limitations and provision of quality care of telemedicine as perceived by the respondents during the COVID-19 pandemic when they are grouped according to age, sex, the reason for consultation, and use of technical support 6. If there are significant differences in the perception of the respondents on the advantages, limitations, and provision of quality care between traditional clinic visits before the COVID-19 pandemic and telemedicine during the COVID-19 pandemic.

Methodology The study utilized a Descriptive-comparative research design. The sampling technique used was snowball sampling The research tool used in the study was Likert scale which allowed the participants to convey how much they agree or disagree with a particular statement The following statistical tools were used to answer specific problems and to test the hypotheses of this study: (a) frequency distribution, (b) percentage distribution, (c) mean, (d) t-test of two independent means, (e) standard deviation, and (f) ANOVA.

Findings The following findings were drawn from the study: 1. Out of 111 respondents, 60.4% were ages 61-65 years old, 39.6% were 66-79 years old, while 60.4% were male and 39.6% were female. The 111 respondents were all diagnosed with hypertension, and 67.6% of them answered the questionnaires with technical assistance, while 32.4% did without assistance. 2. The respondents did not agree with the advantages of traditional clinic visits. An overall mean score (2.45) implied that the advantages of traditional clinic visits before the COVID-19 pandemic were not true and not advantageous for their purpose of seeking care. With regard to limitations, it has an overall mean score (2.30) which signifies that the respondents were able to perceive the limitations of traditional clinic visits before COVID-19 pandemic started as true. The results showed that there were limitations in traditional clinic visits on which the respondents agreed. On the other hand, respondents were satisfied with the provision of quality care of traditional clinic visits before the COVID-19 pandemic started. Provision of quality care obtained an overall mean score (2.83) which signifies that the respondents are satisfied with the quality of care that they receive via traditional clinic visits. 3. The respondents perceived telemedicine as advantageous and able to provide a satisfactory quality of care. An overall mean score (3.22) and (3.02), respectively imply the advantageous factors and quality of care of telemedicine to be true. On the other hand, limitations of telemedicine have an overall mean score (2.40) that signifies as not true, which implies that the respondents believe that there are still limitations in telemedicine. 4. The presence or absences of significant differences in the advantages, limitations, and provision of quality care of traditional visits according to demographic variables is as follows: Advantages, Limitations, and Provision of Quality Care of Traditional Clinic Visits in terms of Age: The advantages and provision of quality care of traditional clinic visits showed a significant difference (p-value = 0.000 and 0.007 respectively) when grouped according to age, while the limitations of traditional clinic visits have shown no significant difference (p-value = 0.071). Ages 66-70 years old perceive traditional clinic visits to be more advantageous and provide satisfactory quality of care, compared to ages 61-65 years old. Regardless of age, the respondents perceived the limitations of traditional clinic visits equally. Advantages, Limitations, and Provision of Quality Care of Traditional Clinic Visits in terms of Sex: The advantages, limitations, and provision of quality care of traditional clinic visits showed no significant difference (p-value = 0.852, 0.140, and 0.439, respectively) when grouped according to sex. The results showed that the respondents perceived and experienced the advantages, limitations, and provisions of quality care of traditional clinic visits equally. Advantages, Limitations, and Provision of Quality Care of Traditional Clinic Visits in terms of Use of Technical Support: The advantages showed a significant difference (p-value = 0.001) when grouped according to use of technical support, while the limitations, and provision of quality care of traditional clinic visits showed no significant difference (p-value = 0.726 and 0.644, respectively). Those with technical support perceive traditional clinic visits to be more advantageous compared to those without. In terms of limitations and provision of quality care, the respondents perceive the limitations and provision of quality care of traditional clinic visits equally. 5. The presence or absences of significant differences in the advantages, limitations, and provision of quality care of telemedicine according to demographic variables is as follows: Advantages, Limitations, and Provision of Quality Care of telemedicine in terms of Age: The advantages and limitations of telemedicine showed a significant difference (p-value = 0.003 and 0.002, respectively) when grouped according to age, while the provision of quality care showed no significant difference (p-value = 0.830). Ages 66-70 years old perceived telemedicine to be more advantageous but experienced more limitations, compared to ages 61-65 years old. The respondents perceived the provision of quality care of telemedicine equally. Advantages, Limitations, and Provision of Quality Care of telemedicine in terms of Sex: The advantages, limitations, and provision of quality care of telemedicine showed no significant difference (p-value = 0.638, 0.383, and 0.438, respectively) when grouped according to sex. The results showed that the respondents perceived and experienced the advantages, limitations, and provision of quality care of telemedicine equally. Advantages, Limitations, and Provision of Quality Care of telemedicine in terms of Use of Technical Support: The advantages showed a significant difference (p-value = 0.004) when grouped according to use of technical support, while the limitations, and provision of quality care of telemedicine showed no significant difference (p-value = 0.751 and 0.320, respectively). The results showed those with technical support perceive telemedicine to be more advantageous compared to those without. In terms of limitations and provision of quality care, the respondents perceive the limitations and provision of quality care of telemedicine equally. 6. The advantages showed a significant difference (p-value = 0.000) between traditional clinic visits and telemedicine, while the limitations, and provision of quality care showed no significant difference (p-value = 0.228 and 0.058, respectively). The respondents perceive telemedicine to be more advantageous compared to traditional clinic visits. However, the respondents perceive and experience the same limitations and provision of quality care between traditional clinic visits and telemedicine.

Conclusion Based on the findings of the study, the following conclusion were inferred: 1. Majority of the respondents were in the age range of 61-65 years old, male, and received technical support from their relatives while answering the questionnaire. 2. The respondents viewed traditional clinic visits as not advantageous and with limitations for their purpose of seeking care. Whereas the respondents were satisfied with the quality of care they received during the traditional clinic visit 3. The respondents perceived telemedicine as advantageous and satisfactory in terms of its quality of care. However, the respondents believed that there are still limitations present in telemedicine. 4. There were significant differences in the advantages and provision of quality care of traditional clinic visits when grouped according to age. However, in terms of traditional clinic visits’ limitations, there was no significant difference when grouped according to age. Moreover, there were no significant difference in the advantages, limitations, and provision of quality care of traditional clinic visits when grouped according to sex. Lastly, there was a significant difference in the advantages of traditional clinic visits when grouped according to use of technical support. However, in terms of traditional clinic visits’ limitations and provision of quality care, there were no significant differences when grouped according to use of technical support. 5. There were significant differences in the advantages and limitations of telemedicine when grouped according to age. On the contrary, there was no significant difference in terms of the provision of quality care of telemedicine. Moreover, there were no significant difference in the advantages, limitations, and provision of quality care of telemedicine when grouped according to sex. Furthermore, there was a significant difference in the advantages of telemedicine when grouped according to use of technical support. However, there were no significant differences in the limitations and provision of quality care of telemedicine when grouped according to use of technical support. 6. There was a significant difference in the advantage between telemedicine and traditional clinic visits. However, there were no significant differences in the limitations and provision of quality care between telemedicine and traditional clinic visits.

First Advisor

Joselita M. Bongcaron, RN, MHPEd, PhD

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