Trust and Uncertainty in the Implementation of a Pilot Remote Blood Pressure Monitoring Program in Primary Care: Qualitative Study of Patient and Health Care Professional Views
BackgroundTrust is of fundamental importance to the adoption of technologies in health care. The increasing use of telemedicine worldwide makes it important to consider user views and experiences. In particular, we ask how the mediation of a technological platform alters the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2023-01-01
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| Series: | JMIR Human Factors |
| Online Access: | https://humanfactors.jmir.org/2023/1/e36072 |
| _version_ | 1797734608228319232 |
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| author | Evelyn Chew Sok Huang Teo Wern Ee Tang David Wei Liang Ng Gerald Choon Huat Koh Valerie Hui Ying Teo |
| author_facet | Evelyn Chew Sok Huang Teo Wern Ee Tang David Wei Liang Ng Gerald Choon Huat Koh Valerie Hui Ying Teo |
| author_sort | Evelyn Chew |
| collection | DOAJ |
| description |
BackgroundTrust is of fundamental importance to the adoption of technologies in health care. The increasing use of telemedicine worldwide makes it important to consider user views and experiences. In particular, we ask how the mediation of a technological platform alters the trust relationship between patient and health care provider.
ObjectiveTo date, few qualitative studies have focused on trust in the use of remote health care technologies. This study examined the perspectives of patients and clinical staff who participated in a remote blood pressure monitoring program, focusing on their experiences of trust and uncertainty in the use of technology and how this telehealth intervention may have affected the patient-provider relationship.
MethodsA secondary qualitative analysis using inductive thematic analysis was conducted on interview data from 13 patients and 8 staff members who participated in a remote blood pressure monitoring program to elicit themes related to trust.
ResultsIn total, 4 themes were elicited that showed increased trust (patients felt reassured, patients trusted the telehealth program, staff felt that the data were trustworthy, and a better patient-provider partnership based on the mutually trusted data), and 4 themes were elicited that reflected decreased trust (patients’ distrust of technology, clinicians’ concerns about the limitations of technologically mediated interactions, experiences of uncertainty, and institutional risk).
ConclusionsManaging trust relationships plays an important role in the successful implementation of telemedicine. Ensuring that trust building is incorporated in the design of telehealth interventions can contribute to improved effectiveness and quality of care. |
| first_indexed | 2024-03-12T12:45:52Z |
| format | Article |
| id | doaj.art-d64fc427f5d446b8a4ddcaa7552a1445 |
| institution | Directory Open Access Journal |
| issn | 2292-9495 |
| language | English |
| last_indexed | 2024-03-12T12:45:52Z |
| publishDate | 2023-01-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Human Factors |
| spelling | doaj.art-d64fc427f5d446b8a4ddcaa7552a14452023-08-28T23:23:30ZengJMIR PublicationsJMIR Human Factors2292-94952023-01-0110e3607210.2196/36072Trust and Uncertainty in the Implementation of a Pilot Remote Blood Pressure Monitoring Program in Primary Care: Qualitative Study of Patient and Health Care Professional ViewsEvelyn Chewhttps://orcid.org/0000-0003-3837-2195Sok Huang Teohttps://orcid.org/0000-0002-8890-6450Wern Ee Tanghttps://orcid.org/0000-0003-0019-6747David Wei Liang Nghttps://orcid.org/0000-0002-7228-4343Gerald Choon Huat Kohhttps://orcid.org/0000-0002-6453-6897Valerie Hui Ying Teohttps://orcid.org/0000-0002-0195-1233 BackgroundTrust is of fundamental importance to the adoption of technologies in health care. The increasing use of telemedicine worldwide makes it important to consider user views and experiences. In particular, we ask how the mediation of a technological platform alters the trust relationship between patient and health care provider. ObjectiveTo date, few qualitative studies have focused on trust in the use of remote health care technologies. This study examined the perspectives of patients and clinical staff who participated in a remote blood pressure monitoring program, focusing on their experiences of trust and uncertainty in the use of technology and how this telehealth intervention may have affected the patient-provider relationship. MethodsA secondary qualitative analysis using inductive thematic analysis was conducted on interview data from 13 patients and 8 staff members who participated in a remote blood pressure monitoring program to elicit themes related to trust. ResultsIn total, 4 themes were elicited that showed increased trust (patients felt reassured, patients trusted the telehealth program, staff felt that the data were trustworthy, and a better patient-provider partnership based on the mutually trusted data), and 4 themes were elicited that reflected decreased trust (patients’ distrust of technology, clinicians’ concerns about the limitations of technologically mediated interactions, experiences of uncertainty, and institutional risk). ConclusionsManaging trust relationships plays an important role in the successful implementation of telemedicine. Ensuring that trust building is incorporated in the design of telehealth interventions can contribute to improved effectiveness and quality of care.https://humanfactors.jmir.org/2023/1/e36072 |
| spellingShingle | Evelyn Chew Sok Huang Teo Wern Ee Tang David Wei Liang Ng Gerald Choon Huat Koh Valerie Hui Ying Teo Trust and Uncertainty in the Implementation of a Pilot Remote Blood Pressure Monitoring Program in Primary Care: Qualitative Study of Patient and Health Care Professional Views JMIR Human Factors |
| title | Trust and Uncertainty in the Implementation of a Pilot Remote Blood Pressure Monitoring Program in Primary Care: Qualitative Study of Patient and Health Care Professional Views |
| title_full | Trust and Uncertainty in the Implementation of a Pilot Remote Blood Pressure Monitoring Program in Primary Care: Qualitative Study of Patient and Health Care Professional Views |
| title_fullStr | Trust and Uncertainty in the Implementation of a Pilot Remote Blood Pressure Monitoring Program in Primary Care: Qualitative Study of Patient and Health Care Professional Views |
| title_full_unstemmed | Trust and Uncertainty in the Implementation of a Pilot Remote Blood Pressure Monitoring Program in Primary Care: Qualitative Study of Patient and Health Care Professional Views |
| title_short | Trust and Uncertainty in the Implementation of a Pilot Remote Blood Pressure Monitoring Program in Primary Care: Qualitative Study of Patient and Health Care Professional Views |
| title_sort | trust and uncertainty in the implementation of a pilot remote blood pressure monitoring program in primary care qualitative study of patient and health care professional views |
| url | https://humanfactors.jmir.org/2023/1/e36072 |
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