Exploring the Attitudes of Patients towards using the Seha Application (Telehealth) in Saudi Arabia during the Coronavirus Epidemic

Authors

  • Mohammed Omar ALOmari Swansea University
  • Judy Jenkins Swansea University

DOI:

https://doi.org/10.18034/abcjar.v10i1.545

Keywords:

telehealth, telemedicine, telehealth apps, patient attitudes telehealth, telehealth uptake, teleconsultation, smartphone telehealth

Abstract

Background: The COVID-19 pandemic that was declared in March 2020, caused profound changes to public life across the globe. Restrictions to reduce the spread of the virus were enforced that included staying at home and minimizing social interaction. These changes saw an environment emerge that demanded remote healthcare, and telehealth platforms and applications quickly began to fulfill this demand. One such platform in Saudi Arabia was Seha, a Ministry of Health smartphone application that provides information, self-evaluation, and teleconsultations.

Purpose: To explore Seha users’ (patients) attitudes toward the Seha smartphone application during the COVID-19 pandemic.

Methods: A qualitative, grounded theory approach using thematic analysis of data collected through open-ended semi-structured interviews with seventeen residents of Jeddah.

Results: Three themes emerged – 1) COVID-19 and usage patterns, as Seha helped patients reduce person-to-person contact and usage increased, especially for emergencies; 2) ease of use and access, especially to approved doctors and reliable information; 3) time and cost savings, although it was also noted that these are more readily available to individuals and areas with access to sufficient internet infrastructure.

Discussion: Concerns were raised about technical issues or misdiagnoses when using Seha for emergency cases, as the platform may prove unsuitable. Traditional barriers to telehealth adoption seemed to be absent, but these may re-emerge when the immediate crisis is over. Further issues concerned the diminishment of the doctor-patient relationship, especially the lack of information on doctors’ profiles, problems that may be experienced by older people, and lack of language variety. These lead to access problems that may be critical in a pandemic or emergency situation. Finally, the ‘digital divide’ may result in increased health inequality, and such an outcome must be avoided.

Conclusion: The pandemic has shown telehealth applications like Seha to be a crucial tool in controlling infection rates, but the loss of face-to-face interaction with medical professionals, technical disparities, and access difficulties for certain groups may present problems for the Saudi health system unless they are taken into account and telehealth is carefully implemented into the system along with appropriate investment in infrastructure.

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Author Biographies

  • Mohammed Omar ALOmari, Swansea University

    School of Medicine, Swansea University, Swansea, Swansea SA2 8QA, United Kingdom

  • Judy Jenkins, Swansea University

    Program Director & Lecturer of Biomedical Sciences, School of Medicine, Swansea University, Swansea, Swansea SA2 8QA, United Kingdom

References

Aldiabat, K. M., & Le Navenec, C. L. (2018). Data saturation: The mysterious step in grounded theory methodology. The Qualitative Report, 23(1), 245-261.

Allaert, F. A., Legrand, L., Carime, N. A., & Quantin, C. (2020). Will applications on smartphones allow a generalization of telemedicine?. BMC Medical Informatics and Decision Making, 20(1), 30. DOI: 10.1186/s12911-020-1036-0. DOI: https://doi.org/10.1186/s12911-020-1036-0

Alruzaiza, S. A., & Mahrous, R. M. (2020). Assessment of knowledge, attitude, and practice on level of awareness among pediatric emergency department visitors-Makkah City, Saudi Arabia: Cross-sectional study. Int J Psychosoc Rehabil, 24, 5186-5202.

Alshammari, F. & Hassan, S. (2019). Perceptions, Preferences and Experiences of Telemedicine among Users of Information and Communication Technology in Saudi Arabia. Journal of Health Informatics in Developing Countries, 13(1).

Anney, V. N. (2014). Ensuring the quality of the findings of qualitative research: Looking at trustworthiness criteria. Journal of Emerging Trends in Educational Research and Policy Studies (JETERAPS), 5(2), 272-281.

Atieno, O.P. (2009). An analysis of the strengths and limitation of qualitative and quantitative research paradigms. Problems of Education in the 21st Century, 13, 13.

Blandford, A., Wesson, J., Amalberti, R., AlHazme, R., & Allwihan, R. (2020). Opportunities and challenges for telehealth within, and beyond, a pandemic. The Lancet Global Health (10th August, 2020). doi: 10.1016/S2214-109X(20)30362-4. DOI: https://doi.org/10.1016/S2214-109X(20)30362-4

Block, E. S., & Erskine, L. (2012). Interviewing by telephone: Specific considerations, opportunities, and challenges. International journal of qualitative methods, 11(4), 428-445. DOI: 10.1177/160940691201100409. DOI: https://doi.org/10.1177/160940691201100409

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. DOI: https://doi.org/10.1191/1478088706qp063oa

Byrne, M. D. (2020). Telehealth and the COVID-19 Pandemic. Journal of PeriAnesthesia Nursing, 35(5), 548-551. doi.org/10.1016/j.jopan.2020.06.023 DOI: https://doi.org/10.1016/j.jopan.2020.06.023

Chapman, A. L., Hadfield, M., & Chapman, C. J. (2015). Qualitative research in healthcare: an introduction to grounded theory using thematic analysis. Journal of the Royal College of Physicians of Edinburgh, 45(3), 201-205. doi: 10.4997/JRCPE.2015.305. DOI: https://doi.org/10.4997/JRCPE.2015.305

Choi, N. G., Hegel, M. T., Marti, C. N., Marinucci, M. L., Sirrianni, L., & Bruce, M. L. (2014). Telehealth problem-solving therapy for depressed low-income homebound older adults. The American Journal of Geriatric Psychiatry, 22(3), 263-271. doi: 10.1097/JGP.0b013e318266b356. DOI: https://doi.org/10.1097/JGP.0b013e318266b356

Choy, L. T. (2014). The strengths and weaknesses of research methodology: Comparison and complimentary between qualitative and quantitative approaches. IOSR Journal of Humanities and Social Science, 19(4), 99-104. DOI: 10.9790/0837-194399104. DOI: https://doi.org/10.9790/0837-194399104

Communication and Information Technology Commission (CITC), Saudi Arabia. (2007). Anti-Cyber Crime Law. Full text accessed 01/11/2020 at https://www.citc.gov.sa/en/RulesandSystems/CITCSystem/Documents/LA_004_%20E_%20Anti-Cyber%20Crime%20Law.pdf.

Corbin, J., & Strauss, A. (2014). Basics of qualitative research: Techniques and procedures for developing grounded theory. Sage Publications.

Easton, K. L., McComish, J. F., & Greenberg, R. (2000). Avoiding common pitfalls in qualitative data collection and transcription. Qualitative health research, 10(5), 703-707. doi: 10.1177/104973200129118651. DOI: https://doi.org/10.1177/104973200129118651

Etikan, I., Musa, S. A., & Alkassim, R. S. (2016). Comparison of convenience sampling and purposive sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1-4. DOI: https://doi.org/10.11648/j.ajtas.20160501.11

Fisk, M., Livingstone, A., & Pit, S. W. (2020). Telehealth in the Context of COVID-19: Changing Perspectives in Australia, the United Kingdom, and the United States. Journal of Medical Internet Research, 22(6), e19264. doi: 10.2196/19264. DOI: https://doi.org/10.2196/19264

Foley, G., & Timonen, V. (2015). Using grounded theory method to capture and analyze health care experiences. Health Services Research, 50(4), 1195-1210. doi: 10.1111/1475-6773.12275. DOI: https://doi.org/10.1111/1475-6773.12275

Gajarawala, S. N., & Pelkowski, J. N. (2020). Telehealth Benefits and Barriers. The Journal for Nurse Practitioners, 2020. Doi: org/10.1016/j.nurpra.2020.09.013.

General Authority for Statistics, Kingdom of Saudi Arabia. (2016). Statistical Yearbook of 2016, Issue No. 52. Retrieved from https://www.stats.gov.sa/en/5305.

Hassounah, M., Raheel, H., & Alhefzi, M. (2020). Digital Response during the COVID-19 Pandemic in Saudi Arabia. Journal of Medical Internet Research, 22(9), e19338. doi: 10.2196/19338. DOI: https://doi.org/10.2196/19338

Holloway, I. (2005). Qualitative research in health care. McGraw-Hill Education (UK).

Jackson, K., & Bazeley, P. (2019). Qualitative data analysis with NVivo. Sage Publications.

Jacob, S. A., & Furgerson, S. P. (2012). Writing interview protocols and conducting interviews: Tips for students new to the field of qualitative research. Qualitative Report, 17, 6.

Jameel, T., & Baig, M. (2020). Telemedicine in Saudi Arabia during COVID-19 pandemic. Journal of Medical Internet Research. DOI: 10.2196/preprints.20722. DOI: https://doi.org/10.2196/preprints.20722

Joshi, A. U., & Lewiss, R. E. (2020). Telehealth in the time of COVID-19. Emergency Medicine Journal, 37(10), 637-638. DOI: https://doi.org/10.1136/emermed-2020-209846

Keri, V. C., Brunda, R. L., Sinha, T. P., Wig, N., & Bhoi, S. (2020). Tele‐healthcare to combat COVID‐19 pandemic in developing countries: a proposed single centre and integrated national level model. The International Journal of Health Planning and Management, 2020, 1-3.

King, N., Horrocks, C., & Brooks, J. (2018). Interviews in qualitative research. Sage Publications.

Kothari, M., & Moolani, S. (2015). Reliability of “Google” for obtaining medical information. Indian journal of ophthalmology, 63(3), 267. DOI: 10.4103/0301-4738.156934. DOI: https://doi.org/10.4103/0301-4738.156934

Lu, X., Zhang, R., Wu, W., Shang, X., & Liu, M. (2018). Relationship between internet health information and patient compliance based on trust: empirical study. Journal of Medical Internet Research, 20(8), e253. doi: 10.2196/jmir.9364. DOI: https://doi.org/10.2196/jmir.9364

Martinez, P. R. (2015). A qualitative study on patient perceptions towards mHealth technology among high risk, chronic disease patients (Doctoral dissertation).

Mason, M. (2010). Sample size and saturation in PhD studies using qualitative interviews. In Forum qualitative Sozialforschung/Forum: qualitative social research (Vol. 11, No. 3).

McNamee, M. J., Olivier, S., & Wainwright, P. (2006). Research Ethics in Exercise, Health and Sports Sciences. Routledge. DOI: https://doi.org/10.4324/9780203966853

Ministry of Health. (2020). MoH Apps for Smartphones. Retrieved from https://www.moh.gov.sa/en/Support/Pages/MobileApp.aspx.

Oh, I. Y. (2020). Telehealth Is Not Optional but Essential. International Journal of Heart Failure, 2(4), 242-243. DOI: https://doi.org/10.36628/ijhf.2020.0038

Saudi Vision. (2018). National Transformation Program – Delivery Plan 2018-2020. Retrieved from https://vision2030.gov.sa/sites/default/files/attachments/NTP%20English%20Public%20Document_2810.pdf

Singh, H. J. L., Couch, D., & Yap, K. (2020). Mobile Health Apps That Help With COVID-19 Management: Scoping Review. Jmir Nursing, 3(1), e20596. doi: 10.2196/20596. DOI: https://doi.org/10.2196/20596

Skype Support. (2018). Does Skype use encryption, Retrieved 19 October 2020, from https://support.skype.com/en/faq/FA31/does-skype-use-encryption.

Smith, K. A., Zhou, L., & Watzlaf, V. J. (2017). User authentication in smartphones for telehealth. International Journal of Telerehabilitation, 9(2), 3. doi: 10.5195/ijt.2017.6226. DOI: https://doi.org/10.5195/IJT.2017.6226

Snoswell, C. L., Caffery, L. J., Haydon, H. M., Thomas, E. E., & Smith, A. C. (2020). Telehealth uptake in general practice as a result of the coronavirus (COVID-19) pandemic. Australian Health Review, 44(5), 737-740. doi: 10.1071/AH20183. DOI: https://doi.org/10.1071/AH20183

Speer, S. A., & Stokoe, E. (2014). Ethics in action: Consent‐gaining interactions and implications for research practice. British Journal of Social Psychology, 53(1), 54-73. DOI: 10.1111/bjso.12009. DOI: https://doi.org/10.1111/bjso.12009

Swansea University. (2018). Data Protection Policy. Swansea University.

Tasneem, S., Kim, A., Bagheri, A., & Lebret, J. (2019). Telemedicine Video Visits for patients receiving palliative care: A qualitative study. American Journal of Hospice and Palliative Medicine, 36(9), 789-794. doi: 10.1177/1049909119846843. DOI: https://doi.org/10.1177/1049909119846843

Vasileios, N., & Viktor, W. (2020). COVID-19 and telehealth: a window of opportunity and its challenges. Swiss Medical Weekly, 150.

Wiles, R., Crow, G., Heath, S., & Charles, V. (2008). The management of confidentiality and anonymity in social research. International Journal of Social Research Methodology, 11(5), 417-428. DOI: https://doi.org/10.1080/13645570701622231

World Health Organization (2020). Timeline of WHO’s response to COVID-19. Retrieved from https://www.who.int/news/item/29-06-2020-covidtimeline

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Published

2021-04-08

How to Cite

ALOmari, M. O., & Jenkins, J. (2021). Exploring the Attitudes of Patients towards using the Seha Application (Telehealth) in Saudi Arabia during the Coronavirus Epidemic. ABC Journal of Advanced Research, 10(1), 9-22. https://doi.org/10.18034/abcjar.v10i1.545

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