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Published on 9 de mayo de 2025 | http://doi.org/10.5867/medwave.2025.04.3032
Development and validation of an instrument to assess the perception of competencies and level of preparedness in telehealth
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Factor loadings, eigenvalues, and explained variance of the two-factor solution.
| I adapt the treatment plan and recommendations to the patient’s reality (conditions, motivations, etc.). | 0.954 | -0.078 | 0.849 | |
| I use language appropriate to each patient, characterized by verbal clarity and few technicalities. | 0.950 | -0.015 | 0.890 | |
| I evaluate the patient’s needs, preferences and potential cultural, social or linguistic barriers to consider them within their clinical care. | 0.944 | -0.068 | 0.838 | |
| At the end of the consultation, I ask the patient to indicate what he/she understood about the indications to ensure that the patient understands them adequately. | 0.940 | -0.061 | 0.836 | |
| I effectively convey information regarding the patient to other professionals, safeguarding the level of detail necessary for each case. | 0.920 | 0.007 | 0.852 | |
| During synchronous communication, I am clear and empathetic with the patient. | 0.916 | -0.043 | 0.805 | |
| I incorporate the patient’s observed environment to enhance the clinical assessment, treatment plan, and clinical relationship. | 0.910 | -0.118 | 0.746 | |
| I instruct the patient regarding the appropriate use of telehealth technologies, assisting with troubleshooting problems related to the use of technology. | 0.890 | -0.030 | 0.769 | |
| Before starting the consultation, I check that the environment is appropriate for clinical care: adequate lighting, minimize distractions, establish a private, clean, and quiet space, avoid interruptions. | 0.866 | 0.070 | 0.810 | |
| I respect the patient’s idiosyncrasies (gender identity, religion, ethnicity, culture, educational level). | 0.862 | 0.010 | 0.752 | |
| I greet and say goodbye to the patient in a respectful manner using an appropriate tone and cordial language. | 0.862 | 0.044 | 0.779 | |
| Before the consultation I check the equipment and support material that I will need in the consultation. | 0.825 | 0.011 | 0.689 | |
| I can use telehealth as a tool to give instructions to patients. | 0.815 | 0.066 | 0.716 | |
| I describe to the patient the reasons and situations in which telehealth care should change to face-to-face care. | 0.805 | -0.084 | 0.595 | |
| I conduct telehealth consultations in a manner that establishes patient identity, preserves patient privacy, and ensures confidentiality. | 0.764 | 0.183 | 0.742 | |
| I use documentation and record-keeping systems appropriate to the telehealth modality. | 0.747 | 0.148 | 0.678 | |
| I can perform the informed consent process when necessary. | 0.691 | 0.226 | 0.669 | |
| I explain to patients how their privacy and safety is maintained during the telehealth consultation. | 0.687 | 0.138 | 0.576 | |
| I recognize the range of capabilities and limitations of available telehealth technologies. | 0.599 | 0.277 | 0.583 | |
| Identify the information that can be obtained by remote clinical examination and what cannot. | 0.001 | 0.939 | 0.882 | |
| Respond to clinical emergencies during telehealth exchange. | -0.061 | 0.929 | 0.816 | |
| Act following the Ministry of Health’s Telehealth Guidelines. | -0.073 | 0.928 | 0.806 | |
| Know the internal and external resources of the health system. | -0.053 | 0.902 | 0.773 | |
| Understand when to switch between modalities of care (from telehealth to face-to-face) depending on the clinical scenario. | 0.058 | 0.898 | 0.856 | |
| To perform clinical examination and anamnesis remotely. | 0.013 | 0.869 | 0.766 | |
| Build a bond with the patient and family members in telehealth. | 0.037 | 0.853 | 0.756 | |
| Determine whether the benefits of telehealth exceed the potential risks, considering the patient’s context. | 0.032 | 0.847 | 0.743 | |
| Manage institutional telehealth software. | -0.066 | 0.846 | 0.670 | |
| Decide on potential changes in health care modality according to patient needs. | 0.126 | 0.822 | 0.784 | |
| Act following patient referral protocols among professionals. | 0.137 | 0.808 | 0.771 | |
| Variance explained. | 46.2% | 29.8% | ||
| Eigenvalues. | 17.154 | 5.181 | ||
1 Communalities obtained after extraction.
Source: Prepared by the authors based on the results of the study.