Iranian healthcare professionals’ perspectives about factors influencing the use of telemedicine in diabetes management

Ayatollahi, Haleh; Mirani, Nader; Nazari, Fatemeh; Razavi, Narjes

doi:10.4239/wjd.v9.i6.92

Cited by 22 publications

(15 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These insights complement the existing literature that pinpointed the importance of organizational and workflow factors that can considerably hinder mHealth adoption if not addressed properly [6,54,57]…”

Section: Discussionsupporting

confidence: 66%

Clinicians’ Role in the Adoption of an Oncology Decision Support App in Europe and Its Implications for Organizational Practices: Qualitative Case Study

Jacob¹,

Sánchez-Vázquez²,

Ivory³

2019

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

Background Despite the existence of adequate technological infrastructure and clearer policies, there are situations where users, mainly physicians, resist mobile health (mHealth) solutions. This is of particular concern, bearing in mind that several studies, both in developed and developing countries, showed that clinicians’ adoption is the most influential factor in such solutions’ success. Objective The aim of this study was to focus on understanding clinicians’ roles in the adoption of an oncology decision support app, the factors impacting this adoption, and its implications for organizational and social practices. Methods A qualitative case study of a decision support app in oncology, called ONCOassist, was conducted. The data were collected through 17 in-depth interviews with clinicians and nurses in the United Kingdom, Ireland, France, Italy, Spain, and Portugal. Results This case demonstrates the affordances and constraints of mHealth technology at the workplace, its implications for the organization of work, and clinicians’ role in its constant development and adoption. The research findings confirmed that factors such as app operation and stability, ease of use, usefulness, cost, and portability play a major role in the adoption decision; however, other social factors such as endorsement, neutrality of the content, attitude toward technology, existing workload, and internal organizational politics are also reported as key determinants of clinicians’ adoption. Interoperability and cultural views of mobile usage at work are the key workflow disadvantages, whereas higher efficiency and performance, sharpened practice, and location flexibility are the main workflow advantages. Conclusions Several organizational implications emerged, suggesting the need for some actions such as fostering a work culture that embraces new technologies and the creation of new digital roles for clinicians both on the hospitals or clinics and on the development sides but also more collaboration between health care organizations and digital health providers to enable electronic medical record integration and solving of any interoperability issues. From a theoretical perspective, we also suggest the addition of a fourth step to Leonardi’s methodological guidance that accounts for user engagement; embedding the users in the continuous design and development processes ensures the understanding of user-specific affordances that can then be made more obvious to other users and increase the potential of such tools to go beyond their technological features and have a higher impact on workflow and the organizing process.

show abstract

Section: Discussionsupporting

confidence: 66%

Clinicians’ Role in the Adoption of an Oncology Decision Support App in Europe and Its Implications for Organizational Practices: Qualitative Case Study

Jacob¹,

Sánchez-Vázquez²,

Ivory³

2019

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

show abstract

“…The significance of fulfilling the implementation of safety strategies and procedures in telemedicine was affirmed in several studies [21]–[22]. In this manner, our outcomes were in accordance with the results of previous studies, for example Kamal's study showed that physicians in Pakistan believed that keeping up the privacy of patient data and also the documentation were the most significant elements to set up a protected system for telemedicine [6].…”

Section: Discussionsupporting

confidence: 88%

Iranian physicians’ expectations of telemedicine development and implementation infrastructures in teaching hospitals

et al. 2019

View full text Add to dashboard Cite

IntroductionIn spite of the fact that telemedicine has various advantages; similarly as in some other data systems, it is essential to investigate clients' perspective of technology. Besides, the clients' awareness and satisfaction of the telemedicine are significant issues that ought to be considered before starting a telemedicine program. The present examination in this way looks to assess Iranian doctors' demeanor and recognition toward the infrastructures of telemedicine development and implementation.MethodsThe participants of this examination included doctors working in health care organizations subsidiary to Semnan University of Medical Sciences during 2019 in Iran. A valid and reliable questionnaire was used in order to evaluate the subjects' attitudes.ResultsThe mean score of physicians' attitudes towards human factors was 3.43 ± 0.59, towards educational factors was 3.68 ± 0.94 and towards security factors was 3.50 ± 0.52. Regression analysis showed that there were significant relationships between physicians' knowledge and their attitudes towards human (P < 0.001), educational (P < 0.001) and security (P = 0.046) infrastructures.Conclusionthe findings of this study show that there are several obstacles that can be reduced through teaching, change-management methods and personal patient-to-provider communication. These techniques can improve acceptance and continuous usage of telemedicine among Iranian physicians.

show abstract

“…TM technology related factors like perception towards privacy and security [17,20,21]. Organizational factors such as training, technical staff, or support were found to affect the readiness of professionals [21][22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Awareness and readiness to use telemonitoring to support diabetes care among care providers at teaching hospitals in Ethiopia: An institution-based cross-sectional study

Seboka

Yilma

Birhanu

2021

Preprint

View full text Add to dashboard Cite

Background. Telemonitoring(TM) has great potential in the management of chronically ill patients and could help to improve the quality of the patient's life while reducing healthcare costs and care providers' overload. It is important to assess the keenness level of care providers to use and maximize benefit of using technologies in chronic care. This survey aimed to assess the awareness and readiness of care providers to support diabetes patients through TM technology. Methods. An institution-based cross-sectional quantitative survey was conducted by using a pretested self-administered questionnaire on 423 study participants at teaching hospitals in northwest Ethiopia. Data entry and analysis were done using Epi-data version 4.6 and STATA version 14 software, respectively. The mean, percentage, and standard deviation were calculated to describe the characteristics of participants. A binary logistic regression analysis method was used to identify factors associated with awareness. The ordinal logistic regression analysis method was used to identify factors associated with readiness, however, the partial proportional odds model was fitted due to violation of the proportional assumption. Result. A total of 406 participants (69.7%, n= 283 nurses and 30.3%, n=123 physicians) were completed survey. A high proportion of respondents owned a computer (66%) or a smartphone (80%). Overall, 38.7% of Participants have heard about TM, when it came to readiness, the majority of the study participants, 321(25.1%) and 121(65.5%) have average and low readiness towards TM, respectively. The result of regression analysis show that the participant’s technical skills, access to basic technologies, and attitude were significantly associated with both outcome variables.Conclusion. The findings of this survey revealed low awareness and readiness of participant’s towards TM. However, this study suggests the need of improving participant's attitudes, access to smartphones and computers, and technical skills to fill this gap.

show abstract

Iranian healthcare professionals’ perspectives about factors influencing the use of telemedicine in diabetes management

Cited by 22 publications

References 30 publications

Clinicians’ Role in the Adoption of an Oncology Decision Support App in Europe and Its Implications for Organizational Practices: Qualitative Case Study

Clinicians’ Role in the Adoption of an Oncology Decision Support App in Europe and Its Implications for Organizational Practices: Qualitative Case Study

Iranian physicians’ expectations of telemedicine development and implementation infrastructures in teaching hospitals

Awareness and readiness to use telemonitoring to support diabetes care among care providers at teaching hospitals in Ethiopia: An institution-based cross-sectional study

Contact Info

Product

Resources

About