Key Characteristics for Successful Adoption and Implementation of Home Telehealth Technology in Veterans Affairs Home-Based Primary Care: An Exploratory Study

Dang, Stuti; Ruiz, Diana; Klepac, Lauren; Morse, Susan C.; Becker, P. A.; Levy, Cari; Kinosian, Bruce; Edes, Thomas E.

doi:10.1089/tmj.2018.0009

Cited by 16 publications

(33 citation statements)

References 28 publications

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“…A study on telehealth adoption among US hospitals showed that the rate of hospital telehealth is associated with differences in state policy [1]. The most common aspect of research is on an organisational level, i.e., telehealth adoption in hospitals [46] or among individuals from specific groups, such as older people [47][48][49]. As telehealth is considered at an individual level (clinician to clinician, clinician to patient), it is also connected with the health professional workforce andto some extendwith electronic health records [50].…”

Section: E-health Capacity Buildingmentioning

confidence: 99%

Antecedents of use of e-health services in Central Eastern Europe: a qualitative comparative analysis

Ćwiklicki

Schiavone

Klich

et al. 2020

BMC Health Serv Res

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Background: The objective of this paper is to identify the key conditions that positively affect the use of e-health services in Central Eastern Europe (CEE) countries. CEE countries after the political and economic transformation in 1989/90 implemented slightly different national health care models. The research question of the study is: how do the various institutional conditions at the national level affect the use of e-health services in CEE countries? Methods: The e-health description was derived from papers indexed in Web of Science and Scopus. The data for computation were collected from the 2015 global survey by the WHO Global Observatory for eHealth. We used a narrative literature review in order to identify key terms associated to e-health and conditions for the implementation of e-health services. The search terms were "e-health" and "*" where * was particular thematic section of e-health according to WHO GOeH. The inclusion criterion was relevance of the paper to e-health and searched phase. Eligibility criteria for countries for being described as CEE countries: (we omitted Slovakia from the analysis because this country was not covered by the WHO Survey). We applied qualitative comparative analysis (QCA) to analyse the necessary order of conditions. The dependent variable of the study is the national rate of use of e-health services. Results: QCA shows that legal medical jurisdiction, teleprogramme and electronic health records supplemented by adequate training constitute critical conditions to achieve success in e-health implementation. Conclusions: We conclude that the more formalised a framework for e-health service delivery is, the more likely it will be used. Therefore formalisation fosters the diffusion, dissemination and implementation of e-health solutions in this area. Formalisation must be accompanied by tailored training for health care professionals and patients. Our analyses are related only to the paths of e-health implementation in CEE countries thus consequently the findings and conclusions cannot be directly applied to other countries. The limitations of this study are related the absence of a broader context of e-health development, including the development of ICT infrastructure and ICT literacy.

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Section: E-health Capacity Buildingmentioning

confidence: 99%

Antecedents of use of e-health services in Central Eastern Europe: a qualitative comparative analysis

Ćwiklicki

Schiavone

Klich

et al. 2020

BMC Health Serv Res

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“…Six studies 73–78 focused on technology—particularly telehealth—as a way to extend the reach of HBPC. Dang and colleagues reported that 76% of surveyed VHA HBPC practices used remote biometric monitoring and messaging devices.…”

Section: Resultsmentioning

confidence: 99%

“…71 Shafir noted that caregivers enjoyed greater peace of mind when they could rely on competent homebased medical care. 69 Telehealth Six studies [73][74][75][76][77][78] focused on technology-particularly telehealth-as a way to extend the reach of HBPC. Dang and colleagues reported that 76% of surveyed VHA HBPC practices used remote biometric monitoring and messaging devices.…”

Section: Discussionmentioning

confidence: 99%

Home‐based primary care: A systematic review of the literature, 2010–2020

Zimbroff

Ornstein²,

Sheehan

2021

J American Geriatrics Society

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Background Although more than seven million older adults struggle or are unable to leave their homes independently, only a small minority access home‐based primary care (HBPC). Despite substantial growth of HBPC, fueled by growing evidence supporting positive patient outcomes and cost savings, the population remains dramatically underserved and many evidence gaps still exist around scope of practice and key issues in care delivery and quality. Understanding the current state of the field is critical to the delivery of high‐quality home‐based care. Methods We conducted a systematic search of the peer‐reviewed literature on HBPC, published between January 2010 and January 2020, using Medline, CINAHL, Embase, Web of Science, and Scopus online libraries. All studies were evaluated by two members of the research team, and key findings were extracted. Results The initial search yielded 1730 unique studies for screening. Of these initial results, 1322 were deemed not relevant to this review. Of the 408 studies deemed potentially relevant, 79 were included in the study. Researchers identified five overarching themes: the provision of HBPC, the composition of care teams, HBPC outcomes, the role of telehealth, and emergency preparedness efforts. Conclusion The need and desire for growth of HBPC has been highlighted by the recent COVID‐19 pandemic. Current research on HBPC finds a diverse scope of practice, successful use of interdisciplinary teams, positive outcomes, and increasing interest in telehealth with many areas ripe for further research.

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“…Prior to the COVID-19 pandemic, such VVs were already a viable method for performing ambulatory office-based care remotely, particularly in the period following hospital discharge, with a trend toward lower noshow rates compared to traditional visits among HF patients 28 . Virtual VVs are also demonstrably effective among Veterans Affairs patients 29 . In fact, the VA has served as a key pioneer for telehealth advancements well prior to the COVID-19 era.…”

Section: History and Remote Physical Examination During Telemedical Vmentioning

confidence: 96%

Risk assessment in patients with pulmonary arterial hypertension in the era of COVID 19 pandemic and the telehealth revolution: State of the art review

Milks

Sahay

Benza

et al. 2021

The Journal of Heart and Lung Transplantation

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Patients affected by pulmonary arterial hypertension (PAH) benefit from intensive, continuous clinical monitoring to guide escalation of treatments that carry the potential to improve survival and quality of life. During the COVID-19 pandemic, the need for physical distancing has fueled the expeditious expansion of various telehealth modalities, which may apply in a unique manner to individuals with PAH. Performance of objective risk assessments in patients with PAH remotely via telemedical visits and other telehealth mechanisms is unprecedented and not yet rigorously validated. The uniquely high risk for rapid deterioration in PAH patients demands a high degree of sensitivity to detect changes in functional assessments. In this review, several telehealth modalities for potential utilization in risk assessment and treatment titration in patients with PAH are explored, yet additional study is needed for their validation with the pre-pandemic care paradigm.

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Key Characteristics for Successful Adoption and Implementation of Home Telehealth Technology in Veterans Affairs Home-Based Primary Care: An Exploratory Study

Cited by 16 publications

References 28 publications

Antecedents of use of e-health services in Central Eastern Europe: a qualitative comparative analysis

Antecedents of use of e-health services in Central Eastern Europe: a qualitative comparative analysis

Home‐based primary care: A systematic review of the literature, 2010–2020

Risk assessment in patients with pulmonary arterial hypertension in the era of COVID 19 pandemic and the telehealth revolution: State of the art review

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