Twenty-first century house calls: a survey of ambulatory care providers to inform organisational telehealth strategy
Objectives While patient interest in telehealth increases, clinicians’ perspectives may influence longer-term adoption. We sought to identify facilitators and barriers to continued clinician incorporation of telehealth into practice.Methods A cross-sectional 24-item web-based survey was emailed to 4...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-11-01
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| Series: | BMJ Health & Care Informatics |
| Online Access: | https://informatics.bmj.com/content/29/1/e100626.full |
| _version_ | 1797787811882991616 |
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| author | Bradley H Crotty Sherry-Ann Brown Noorie Hyun Jeana M Holt Rachel Cusatis Natalie Mortensen Nathan Wolfrath Aaron N Winn Melek M Somai |
| author_facet | Bradley H Crotty Sherry-Ann Brown Noorie Hyun Jeana M Holt Rachel Cusatis Natalie Mortensen Nathan Wolfrath Aaron N Winn Melek M Somai |
| author_sort | Bradley H Crotty |
| collection | DOAJ |
| description | Objectives While patient interest in telehealth increases, clinicians’ perspectives may influence longer-term adoption. We sought to identify facilitators and barriers to continued clinician incorporation of telehealth into practice.Methods A cross-sectional 24-item web-based survey was emailed to 491 providers with ≥50 video visits (VVs) within an academic health system between 1 March 2020 and 31 December 2020. We quantitatively summarised the characteristics and perceptions of respondents by using descriptive and test statistics. We used systematic content analysis to qualitatively code open-ended responses, double coding at least 25%.Results 247 providers (50.3%) responded to the survey. Seventy-nine per cent were confident in their ability to deliver excellent clinical care through VV. In comparison, 48% were confident in their ability to troubleshoot technical issues. Most clinicians (87%) expressed various concerns about VV. Providers across specialties generally agreed that VV reduced infection risk (71%) and transportation barriers (71%). Three overarching themes in the qualitative data included infrastructure and training, usefulness and expectation setting for patients and providers.Discussion As healthcare systems plan for future delivery directions, they must address the tension between patients’ and providers’ expectations of care within the digital space. Telehealth creates new friction, one where the healthcare system must fit into the patient’s life rather than the usual dynamic of the patient fitting into the healthcare system.Conclusion Telehealth infrastructure and patient and clinician technological acumen continue to evolve. Clinicians in this survey offered valuable insights into the directions healthcare organisations can take to right-size this healthcare delivery modality. |
| first_indexed | 2024-03-13T01:27:06Z |
| format | Article |
| id | doaj.art-5c70a594f793436d88de61b5ebabd28c |
| institution | Directory Open Access Journal |
| issn | 2632-1009 |
| language | English |
| last_indexed | 2024-03-13T01:27:06Z |
| publishDate | 2022-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Health & Care Informatics |
| spelling | doaj.art-5c70a594f793436d88de61b5ebabd28c2023-07-04T12:30:06ZengBMJ Publishing GroupBMJ Health & Care Informatics2632-10092022-11-0129110.1136/bmjhci-2022-100626Twenty-first century house calls: a survey of ambulatory care providers to inform organisational telehealth strategyBradley H Crotty0Sherry-Ann Brown1Noorie Hyun2Jeana M Holt3Rachel Cusatis4Natalie Mortensen5Nathan Wolfrath6Aaron N Winn7Melek M Somai82Division of Clinical Informatics, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USAMedical College of Wisconsin, Milwaukee, Wisconsin, USAKaiser Permanente Washington Health Research Institute, Kaiser Permanente, Seattle, Washington, USA1 Collaborative for Healthcare Delivery Science, Medical College of Wisconsin, Milwaukee, Wisconsin, USADepartment of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USADepartment of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USADepartment of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USASchool of Pharmacy, Medical College of Wisconsin, Milwaukee, Wisconsin, USADepartment of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USAObjectives While patient interest in telehealth increases, clinicians’ perspectives may influence longer-term adoption. We sought to identify facilitators and barriers to continued clinician incorporation of telehealth into practice.Methods A cross-sectional 24-item web-based survey was emailed to 491 providers with ≥50 video visits (VVs) within an academic health system between 1 March 2020 and 31 December 2020. We quantitatively summarised the characteristics and perceptions of respondents by using descriptive and test statistics. We used systematic content analysis to qualitatively code open-ended responses, double coding at least 25%.Results 247 providers (50.3%) responded to the survey. Seventy-nine per cent were confident in their ability to deliver excellent clinical care through VV. In comparison, 48% were confident in their ability to troubleshoot technical issues. Most clinicians (87%) expressed various concerns about VV. Providers across specialties generally agreed that VV reduced infection risk (71%) and transportation barriers (71%). Three overarching themes in the qualitative data included infrastructure and training, usefulness and expectation setting for patients and providers.Discussion As healthcare systems plan for future delivery directions, they must address the tension between patients’ and providers’ expectations of care within the digital space. Telehealth creates new friction, one where the healthcare system must fit into the patient’s life rather than the usual dynamic of the patient fitting into the healthcare system.Conclusion Telehealth infrastructure and patient and clinician technological acumen continue to evolve. Clinicians in this survey offered valuable insights into the directions healthcare organisations can take to right-size this healthcare delivery modality.https://informatics.bmj.com/content/29/1/e100626.full |
| spellingShingle | Bradley H Crotty Sherry-Ann Brown Noorie Hyun Jeana M Holt Rachel Cusatis Natalie Mortensen Nathan Wolfrath Aaron N Winn Melek M Somai Twenty-first century house calls: a survey of ambulatory care providers to inform organisational telehealth strategy BMJ Health & Care Informatics |
| title | Twenty-first century house calls: a survey of ambulatory care providers to inform organisational telehealth strategy |
| title_full | Twenty-first century house calls: a survey of ambulatory care providers to inform organisational telehealth strategy |
| title_fullStr | Twenty-first century house calls: a survey of ambulatory care providers to inform organisational telehealth strategy |
| title_full_unstemmed | Twenty-first century house calls: a survey of ambulatory care providers to inform organisational telehealth strategy |
| title_short | Twenty-first century house calls: a survey of ambulatory care providers to inform organisational telehealth strategy |
| title_sort | twenty first century house calls a survey of ambulatory care providers to inform organisational telehealth strategy |
| url | https://informatics.bmj.com/content/29/1/e100626.full |
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