scholarly journals Exploring Care Providers’ Perceptions and Current Use of Telehealth Technology at Work, in Daily Life, and in Education: Qualitative and Quantitative Study (Preprint)

2019 ◽  
Author(s):  
Hyeyoung Hah ◽  
Deana Goldin
Keyword(s):  
Information Technology ◽  
Health Information ◽  
Technology Use ◽  
Online Survey ◽  
Care Delivery ◽  
Advanced Practice ◽  
Care Providers ◽  
Nurse Students ◽  
Qualitative Analyses ◽  
Care Performance

BACKGROUND A telehealth technology education curriculum designed to integrate information technology and telecommunication well has great potential to prepare care providers for health care delivery across space, time, and social and cultural barriers. It is important to assess the readiness level of care providers to use and maximize the benefits of telehealth technology in the health care delivery process. Therefore, this study explored care providers’ existing experience using technology in various use contexts and compared their familiarity with telehealth technology’s relevant features. OBJECTIVE This study’s objective was to explore care providers’ familiarity with using technology in different settings and their perceptions of telehealth-driven care performance to lay a foundation for the design of an effective telehealth education program. METHODS The study used quantitative and qualitative analyses. The online survey included four items that measured care providers’ perceptions of care performance when using telehealth technology. Advanced practice registered nurse students rated each item on a 7-point Likert scale, ranging from 1 (“strongly disagree”) to 7 (“strongly agree”). They also responded to three open-ended questions about what kinds of health information technology they use at work, after work, and in their current educational program. RESULTS A total of 109 advanced practice registered nurse students responded to the online survey and open-ended questionnaire. Most indicated that using telehealth technology enhances care performance (mean 5.67, median 6.0, SD 1.36), helps make their care tasks more effective (mean 5.73, median 6.0, SD 1.30), improves the quality of performing care tasks (mean 5.71, median 6.0, SD 1.30), and decreases error in communicating and sharing information with others (mean 5.35, median 6.0, SD 1.53). In addition, our qualitative analyses revealed that the students used the electronic health records technology primarily at work, combined with clinical decision support tools for medication and treatment management. Outside work, they primarily used video-text communication tools and were exposed to some telehealth technology in their education setting. Further, they believe that use of nonhealth technology helps them use health information technology to access health information, confirm their diagnoses, and ensure patient safety. CONCLUSIONS This research highlights the importance of identifying care providers’ existing experience of using technology to better design a telehealth technology education program. By focusing explicitly on the characteristics of care providers’ existing technology use in work, nonwork, and educational settings, we found a potential consistency between practice and education programs in care providers’ requirements for technology use, as well as areas of focus to complement their frequent use of nonhealth technologies that resemble telehealth technology. Health policymakers and practitioners need to provide compatible telehealth education programs tailored to the level of care providers’ technological familiarity in both their work and nonwork environments.

Health Information Technology in the Era of Care Delivery Reform

JAMA ◽  
2012 ◽  
Vol 307 (24) ◽  
Author(s):  
Asaf Bitton ◽  
Lydia A. Flier ◽  
Ashish K. Jha
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Care Delivery

Health Information Technology Use in a Rural Clinic: The Pharmacist’s Perspective

2013 ◽  
Vol 24 (1A) ◽  
pp. 15-19 ◽  
Author(s):  
Meagan A. Brown ◽  
Lauren Bloodworth ◽  
Leigh Ann Ross ◽  
Leonard Jack ◽  
Kathleen Kennedy
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Technology Use ◽  
Information Technology Use ◽  
Rural Clinic

APRN Palliative Care Externship: Potential impact on oncology nursing palliative care delivery.

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 149-149
Author(s):  
Constance Dahlin ◽  
Patrick J. Coyne ◽  
Brian Cassel
Keyword(s):  
Palliative Care ◽  
Patient Care ◽  
Care Delivery ◽  
Improve Patient Care ◽  
Rural Practice ◽  
Oncology Nursing ◽  
Advanced Practice ◽  
Care Providers ◽  
Positive Effects ◽  
Improve Patient

149 Background: Understanding primary palliative care is essential for advanced practice nurses, no matter where they practice. Limitations resulting from the variability of APRN state practice acts, financial considerations, and expenses, challenge post-graduate education for APRNs. With the shortage of health care providers, it is necessary to consider innovative programs to offer this education. Although there are many palliative educational opportunities, there are few abilities to translate the education into practice. Few are focused on the APRN, particularly for community and rural practice where many oncology patients are located and receive care. Methods: The APRN Externship selected 48 externs who completed the week long course. Topics includes pain and symptom assessment and management; fostering communication skills; building understanding of community resources such as hospice, palliative care, and home care; incorporating palliative care into an oncology practice, introducing concepts of business and finance in palliative care; and developing of safe practice with policy, procedure, and guideline development with a focus on rural providers. Externs complete pre course and post course testing along with completing goals to improve patient care. Results: Through an IRB approved process, utilizing both quantitative and qualitative evaluation, we followed the effect of the externship on externs. Externs performed both pre-course as well as 1 month and 6 month post-course testing. They also completed a report on achievement of clinical goals to improve patient care delivery. Conclusions: APRN Palliative Externs reported positive effects from the externship experience to clinical practice. The qualitative and quantitative data has demonstrated sustained effect towards improving palliative care within advanced practice nursing. The APRN palliative externship model could serve as a model to promote better palliative care education for oncology APRNs thereby improving palliative care delivery within oncology nursing.

scholarly journals Determining Health Information Technology Use by the Transgender Population: A Scoping Review

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Albert Liu ◽  
Joy Lee ◽  
Michael Weiner
Keyword(s):  
Information Technology ◽  
Social Media ◽  
Health Information Technology ◽  
Health Information ◽  
Scoping Review ◽  
Technology Use ◽  
Future Research ◽  
Inclusion Criteria ◽  
Transgender People ◽  
Online Social Media

Background: Transgender people face many potential barriers in healthcare, such as real or perceived discrimination, inability to pay for healthcare services, and misinformation about transgender health needs. It has been hypothesized that, because of these barriers, transgender people may be more receptive to using health information technology than other populations. The purpose of this scoping review was to understand the ways transgender people use health information technology. Methods: This scoping review included English studies that addressed use of technology by transgender people in health sciences literature. The inclusion criteria was studies that documented transgender technology use and did not include studies that only focused on technology use by healthcare providers. Included studies were sorted into categories based on the type of technology transgender participants used. Results: Twenty-nine articles met the study inclusion criteria from an initial pool of 1,276 articles searched from online databases. Many studies were involved with multiple categories. Fourteen articles addressed websites targeting transgender people, twelve included the usage of online social media sites, seven articles involved transgender usage of online surveys, and four articles discussed transgender usage of smartphones in health management. Conclusion and potential impact: Twenty-two studies focused on the application of interventions through websites and social media sites, nineteen of which concluded that web-based health information or interventions were feasible methods to affect the health of transgender people. Sixteen studies concluded that online interactions were accepted, if not preferred, by their transgender participants. This review suggests that further integration of online interventions and healthcare information into these mediums may increase transgender engagement in healthcare and reduce healthcare barriers. Future research to improve understanding of the outcomes of health information technology on the health of transgender people would be an asset for treating a historically medically underserved community.

A Bounded Health Information Technology System Design Approach to Support Community-Based Care Delivery

2015 ◽  
Vol 5 (1) ◽  
pp. 32-45 ◽  
Author(s):  
Liam Peyton ◽  
Jaspreet Bindra ◽  
Aladdin Baarah ◽  
Austin Chamney ◽  
Craig Kuziemsky
Keyword(s):  
Information Technology ◽  
Cloud Computing ◽  
System Design ◽  
Health Information Technology ◽  
Health Information ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Systems Design ◽  
Community Based ◽  
Mobile Form

Health information technology (HIT) offers great potential for supporting healthcare delivery, particularly collaborative care delivery that is provided across multiple settings and providers. To date much of HIT design has focused on digitizing data or processes on a departmental or healthcare provider basis. However, this bounded approach has not scaled well for supporting community based care across disparate providers or settings because of the lack of boundaries (e.g. disprate data and processes) that exist in community based care. Cloud computing approaches that leverage mobile form applications for developing integrated HIT solutions have the potential to support collaborative healthcare delivery in the community. However, to date there is a shortage of methods that describe how to develop integrated cloud computing solutions to support community based care delivery. In particular there is a need for methods that identify how to incorporate boundaries into cloud computing systems design. This paper uses a three year case study of the design of the Palliative Care Information System (PAL-IS) to provide system design insight on cloud computing approaches that leverage mobile forms applications to support community care management.

Performance of Accountable Care Organizations: Health Information Technology and Quality–Efficiency Trade-Offs

2021 ◽  
Author(s):  
Chenzhang Bao ◽  
Indranil R. Bardhan
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Financial Incentives ◽  
Care Delivery ◽  
Healthcare Providers ◽  
Cost Of Care ◽  
Accountable Care Organizations ◽  
Accountable Care ◽  
Trade Offs

Under a traditional fee-for-service payment model, healthcare providers typically compromise the quality of care in order to reduce costs. Drawing on data from a national sample of accountable care organizations (ACOs), we study whether financial incentives offered under the Affordable Care Act led to fundamental changes in care delivery. Our research suggests that effective use of health information technology (IT) by ACO providers is critical in balancing competing goals of quality and efficiency. Unlike hospitals that did not participate in value-based care initiatives, ACOs were able to generate better quality outcomes while also improving overall efficiency. Furthermore, ACO providers that used health IT effectively demonstrated better patient health outcomes due to greater information integration with other providers. In other words, ACOs created value by not only reducing the cost of care but also improving patient outcomes simultaneously. Our research provides a roadmap for practitioners to succeed in a value-based healthcare environment and for policy makers to design better incentives to promote interorganizational information sharing across providers. Our findings suggest that healthcare policy needs to incorporate appropriate incentives to foster effective IT use for care coordination between healthcare providers.

Sign in / Sign up

Export Citation Format

Share Document