Differences in Readiness between Rural Hospitals and Primary Care Providers for Telemedicine Adoption and Implementation: Findings from a Statewide Telemedicine Survey

Autor/inn/en	Martin, Amy Brock; Probst, Janice C.; Shah, Kyle; Chen, Zhimin; Garr, David
Titel	Differences in Readiness between Rural Hospitals and Primary Care Providers for Telemedicine Adoption and Implementation: Findings from a Statewide Telemedicine Survey
Quelle	In: Journal of Rural Health, 28 (2012) 1, S.8-15 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2011.00369.x
Schlagwörter	Educational Needs; Hospitals; Mental Health Workers; Rural Areas; Primary Health Care; State Surveys; Telecommunications; Barriers; Health Services; Statistical Analysis; Knowledge Level; Geographic Location; Natural Disasters; Technology Integration + Suchen Sie Ihr Suchwort? Educational need; Bildungsbedarf; Krankengymnast; Krankenhaus; Psychiater; Rural area; Ländlicher Raum; Gesundheitsvorsorge; Telekommunikationstechnik; Health service; Gesundheitsdienst; Gesundheitswesen; Statistische Analyse; Wissensbasis; Natural disaster; Naturkatastrophe
Abstract	Purpose: Published advantages of and challenges with telemedicine led us to examine the scope of telemedicine adoption, implementation readiness, and barriers in a southern state where adoption has been historically low. We hypothesized that rural hospitals and primary care providers (RPCPs) differ on adoption, readiness, and implementation barriers. We examined the degree to which they differ on (a) telemedicine adoption or readiness; (b) telemedicine training needs; (c) current use of technology for patient care; and (d) environmental concerns in facilities for telemedicine. Methods: Paper surveys were sent to rural hospitals and RPCPs with response rates of 50% (n = 38) and 25.9% (n = 339), respectively. Three of 4 hospitals were represented. Chi-square analyses were used to test for differences between rural hospitals and RPCPs. Findings: Compared to RPCPs, rural hospitals were significantly more likely to report higher rates of telemedicine knowledge (P = 0.0007); planning for or implementing telemedicine (P less than 0.0001); and reporting their disaster recovery data systems (P = 0.0002) and availability and location of outlets and connections (P = 0.03) as adequate for telemedicine. Rural hospitals were less likely to report having no telemedicine education needs (P = 0.04). Conclusions: Telemedicine continues to be a viable solution for bridging geographic access gaps to a variety of specialty care. Users need assistance in understanding legal implications, care coordination, billing for services, and disaster data recovery. In rural areas, hospitals appear to best embody characteristics of facilities that successfully implement telemedicine and have the greatest degree of readiness. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10