Clinician Attitudes Toward Adoption of Pediatric Emergency Telemedicine in Rural Hospitals

Kristin N. Ray, Kathryn Felmet, Melinda F. Hamilton, Courtney C. Kuza, Richard A. Saladino, Brian R. Schultz, R. S. Watson, Jeremy M. Kahn

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

OBJECTIVE: Although there is growing evidence regarding the utility of telemedicine in providing care for acutely ill children in underserved settings, adoption of pediatric emergency telemedicine remains limited, and little data exist to inform implementation efforts. Among clinician stakeholders, we examined attitudes regarding pediatric emergency telemedicine, including barriers to adoption in rural settings and potential strategies to overcome these barriers. METHODS: Using a sequential mixed-methods approach, we first performed semistructured interviews with clinician stakeholders using thematic content analysis to generate a conceptual model for pediatric emergency telemedicine adoption. Based on this model, we then developed and fielded a survey to further examine attitudes regarding barriers to adoption and strategies to improve adoption. RESULTS: Factors influencing adoption of pediatric emergency telemedicine were identified and categorized into 3 domains: contextual factors (such as regional geography, hospital culture, and individual experience), perceived usefulness of pediatric emergency telemedicine, and perceived ease of use of pediatric emergency telemedicine. Within the domains of perceived usefulness and perceived ease of use, belief in the relative advantage of telemedicine was the most pronounced difference between telemedicine proponents and nonproponents. Strategies identified to improve adoption of telemedicine included patient-specific education, clinical protocols for use, decreasing response times, and simplifying the technology. CONCLUSIONS: More effective adoption of pediatric emergency telemedicine among clinicians will require addressing perceived usefulness and perceived ease of use in the context of local factors. Future studies should examine the impact of specific identified strategies on adoption of pediatric emergency telemedicine and patient outcomes in rural settings.

Original languageEnglish (US)
JournalPediatric Emergency Care
DOIs
StateAccepted/In press - Jan 16 2016

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Rural Hospitals
Telemedicine
Emergencies
Pediatrics
Geography
Patient Education
Clinical Protocols
Reaction Time

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

Cite this

Ray, K. N., Felmet, K., Hamilton, M. F., Kuza, C. C., Saladino, R. A., Schultz, B. R., ... Kahn, J. M. (Accepted/In press). Clinician Attitudes Toward Adoption of Pediatric Emergency Telemedicine in Rural Hospitals. Pediatric Emergency Care. https://doi.org/10.1097/PEC.0000000000000583

Clinician Attitudes Toward Adoption of Pediatric Emergency Telemedicine in Rural Hospitals. / Ray, Kristin N.; Felmet, Kathryn; Hamilton, Melinda F.; Kuza, Courtney C.; Saladino, Richard A.; Schultz, Brian R.; Watson, R. S.; Kahn, Jeremy M.

In: Pediatric Emergency Care, 16.01.2016.

Research output: Contribution to journalArticle

Ray, Kristin N. ; Felmet, Kathryn ; Hamilton, Melinda F. ; Kuza, Courtney C. ; Saladino, Richard A. ; Schultz, Brian R. ; Watson, R. S. ; Kahn, Jeremy M. / Clinician Attitudes Toward Adoption of Pediatric Emergency Telemedicine in Rural Hospitals. In: Pediatric Emergency Care. 2016.
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