Differences in Readiness Between Rural Hospitals and Primary Care Providers for Telemedicine Adoption and Implementation: Findings From a Statewide Telemedicine Survey

Martin, Amy B.; Probst, Janice C.; Shah, Kyle; Chen, Zhimin; Garr, David R.

doi:10.1111/j.1748-0361.2011.00369.x

Cited by 45 publications

(32 citation statements)

References 26 publications

(36 reference statements)

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“…The use of this approach may be especially important for research focused on issues in small organizations with their inherent sample size limitations and variable and changing structural and communication characteristics. Our study findings support important aspects of the conceptual model of adoption of innovations, yet support the call for intensive work on instrument development for this area of inquiry [32] and need for intensive multi-variate and time analyses [17,32]. …”

Section: Discussionsupporting

confidence: 76%

“…All investigators championed the need for theory testing and validated measures. Published reviews indicate that to date instruments for measuring organizational readiness for change demonstrate variable operational definitions and little evidence of reliability or validity [17,32,40]. Conceptually, many of the domains and factors discussed in various models are similar.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, a better understanding of the factors in the contextual domains which impact decisions to adopt new interventions is needed [10,14,15]. Related to this concern are theories of readiness to change and implementation [9,10,16,17] and a need for rigorous assessment tools [18-20]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A mixed methods descriptive investigation of readiness to change in rural hospitals participating in a tele-critical care intervention

Zapka

Simpson²,

Hiott³

et al. 2013

BMC Health Serv Res

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BackgroundTelemedicine technology can improve care to patients in rural and medically underserved communities yet adoption has been slow. The objective of this study was to study organizational readiness to participate in an academic-community hospital partnership including clinician education and telemedicine outreach focused on sepsis and trauma care in underserved, rural hospitals.MethodsThis is a multi-method, observational case study. Participants included staff from 4 participating rural South Carolina hospitals. Using a readiness-for-change model, we evaluated 5 general domains and the related factors or topics of organizational context via key informant interviews (n=23) with hospital leadership and staff, compared these to data from hospital staff surveys (n=86) and triangulated data with investigators’ observational reports. Survey items were grouped into 4 categories (based on content and fit with conceptual model) and scored, allowing regression analyses for inferential comparisons to assess factors related to receptivity toward the telemedicine innovation.ResultsGeneral agreement existed on the need for the intervention and feasibility of implementation. Previous experience with a telemedicine program appeared pivotal to enthusiasm. Perception of need, task demands and resource need explained nearly 50% of variation in receptivity. Little correlation emerged with hospital or ED leadership culture and support. However qualitative data and investigator observations about communication and differing support among disciplines and between staff and leadership could be important to actual implementation.ConclusionsA mixed methods approach proved useful in assessing organizational readiness for change in small organizations. Further research on variable operational definitions, potential influential factors, appropriate and feasible methods and valid instruments for such research are needed.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A mixed methods descriptive investigation of readiness to change in rural hospitals participating in a tele-critical care intervention

Zapka

Simpson²,

Hiott³

et al. 2013

BMC Health Serv Res

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show abstract

“…Fast and easy accessibility is an issue for patients requiring regular follow-ups and long-term monitoring, such as heart disease and diabetes patients (2). It has been reported that telemedicine can improve cost effectiveness in many cases (3;4).…”

mentioning

confidence: 99%

Telemedical Versus Conventional Heart Patient Monitoring: A Survey Study With German Physicians

Klack

Ziefle

Wilkowska

et al. 2013

Int J Technol Assess Health Care

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The perceived drawbacks are attributed to a general uncertainty about the reliability of telemedical systems, in combination with concerns about personal data privacy, security, and loss of control. The reported fear of not being able to correctly use and handle the systems assumes a low usability of devices. To acquaint medical professionals with the benefits and limitations of telemedical systems, telemonitoring and tele-treatment should be included in the education of medical personnel at an early stage.

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“…[2][3][4] In addition, the degree to which telehealth technologies have been adopted and the factors that influence whether or not institutions adopt them are not well understood. [5][6][7][8] A hospital's decision about whether to invest in telehealth is likely shaped by a range of factors. These include specific features of the hospital, such as its teaching mission, its affiliations with other institutions, and its technological capabilities.…”

mentioning

confidence: 99%

Telehealth Among US Hospitals: Several Factors, Including State Reimbursement And Licensure Policies, Influence Adoption

2014

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Differences in Readiness Between Rural Hospitals and Primary Care Providers for Telemedicine Adoption and Implementation: Findings From a Statewide Telemedicine Survey

Cited by 45 publications

References 26 publications

A mixed methods descriptive investigation of readiness to change in rural hospitals participating in a tele-critical care intervention

A mixed methods descriptive investigation of readiness to change in rural hospitals participating in a tele-critical care intervention

Telemedical Versus Conventional Heart Patient Monitoring: A Survey Study With German Physicians

Telehealth Among US Hospitals: Several Factors, Including State Reimbursement And Licensure Policies, Influence Adoption

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