Preferences of general practitioners regarding an application running on a personal digital assistant in acute stroke care

Abstract

An application was developed to optimize information exchange in acute stroke care, with which general practitioners (GPs) could consult hospital emergency units. However, it was difficult to obtain clear preferences from GPs regarding the functional requirements of the information to be transferred or the architecture of the application. Thirteen GPs volunteered to take part in the study. The GPs used a personal digital assistant in their daily work for a period of six weeks when visiting stroke patients during their evening, night and weekend shifts. A conjoint analysis was conducted to obtain the least and most preferred characteristics of the application, to facilitate implementation on a larger scale. The main outcome was that GPs preferred the decision-support facilities and the presence of information about the patient's medical history.

Determinants of successful telemedicine implementations: a literature study

“…10,20,23 Patients should be comfortable wearing new kinds of (mobile) monitoring and treatment devices which do not hinder them in their daily life. 24,25 Supporting staff and doctors should be able to operate the devices and should have flexible access to services offered by the telemedicine system. [26][27][28][29] Currently the information and the modality used are not tailored to the situation and skills of the patient and medical personnel.…”

“…The stimulating role of leading champions who are willing and motivated to experiment with the new technology are essential in the process of creating familiarity and enthusiasm. 24,26 It is clear from the literature that different stages exist in the introduction of telemedicine interventions which might affect the process of diffusion. In general, two phases of usage of telemedicine technology are common.…”

Application of discrete choice experiments to enhance stakeholder engagement as a strategy for advancing implementation: a systematic review

“…In terms of application type (Fig. 5 ), 32 studies were classified as characterizing demand for therapies and treatment technologies [ 12 – 42 ] (16 of 32 [50%] had a primary focus on implementation) [ 13 , 15 , 17 – 19 , 21 , 22 , 25 , 26 , 29 , 33 – 37 , 43 ]; 22 studies compared implementation strategies [ 44 – 65 ] (22 of 22 [100%] had a primary focus on implementation) [ 44 – 65 ]; 11 studies were concerned with incentivizing workforce participation [ 66 – 76 ] (6 of 11 [55%] had a primary focus on implementation) [ 66 , 68 , 71 , 74 – 76 ]; and 10 studies involved prioritizing health-related interventions [ 77 – 86 ] (4 of 10 [40%] had a primary focus on implementation) [ 80 , 82 , 83 , 85 ]. Overall, 48 of the 75 studies (64%) had a primary focus on implementation.…”

“…Although the bulk of health-related DCEs examine healthcare preferences and resource allocation, DCEs have also been used in producing decision-making information to guide organizational strategies for implementation of evidence-based practices. Of the 22 studies comparing implementation strategies that were included in the systematic review [ 44 – 65 ], 13 examined the perspective of the provider only [ 44 , 48 , 49 , 51 – 54 , 57 – 59 , 62 , 63 ], 2 focused only on the patient perspective [ 56 , 60 ], and 7 examined the perspectives of multiple stakeholders [ 46 , 47 , 50 , 55 , 61 , 64 , 65 ]. Furthermore, implementation of patient-centered healthcare provision and the integration of patient priorities into healthcare decision-making require methods for measuring their preferences with respect to health and process outcomes.…”