Sponsor
Funding for this project is provided by the Oregon Rural Center for Translational Research on Aging (P30AG024978) at Oregon Health & Science University (OHSU), Portland, Oregon, and by a Clinical and Translational Science Award to OHSU (National Institute of Health/National Center for Research Resources Grant No. 1 UL1 RR024140 01)
Published In
The Journal of Rural Health
Document Type
Article
Publication Date
1-1-2014
Subjects
Patient monitoring -- Technological innovations -- Evaluation, Rural health services
Abstract
Purpose: Remote monitoring technologies (RMTs) may improve the quality of care, reduce access barriers, and help control medical costs. Despite the role of primary care clinicians as potential key users of RMTs, few studies explore their views. This study explores rural primary care clinician interest and the resources necessary to incorporate RMTs into routine practice.
Methods: We conducted 15 in-depth interviews with rural primary care clinician members of the Oregon Rural Practice-based Research Network (ORPRN) from November 2011 to April 2012. Our multidisciplinary team used thematic analysis to identify emergent themes and a cross-case comparative analysis to explore variation by participant and practice characteristics.
Results: Clinicians expressed interest in RMTs most relevant to their clinical practice, such as supporting chronic disease management, noting benefits to patients of all ages. They expressed concern about the quantity of data, patient motivation to utilize equipment, and potential changes to the patient-clinician encounter. Direct data transfer into the clinic’s electronic health record (EHR), availability in multiple formats, and review by ancillary staff could facilitate implementation. Although participants acknowledged the potential system-level benefits of using RMTs, adoption would be difficult without payment reform.
Conclusions: Adoption of RMTs by rural primary care clinicians may be influenced by equipment purpose and functionality, implementation resources, and payment. Clinician and staff engagement will be critical to actualize RMT use in routine primary care.
DOI
10.1111/jrh.12027
Persistent Identifier
http://archives.pdx.edu/ds/psu/10807
Citation Details
Davis, Melinda M., et al. "A Qualitative Study of Rural Primary Care Clinician Views on Remote Monitoring Technologies." The Journal of Rural Health 30.1 (2014): 69-78.
Included in
Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons, Community Health and Preventive Medicine Commons
Description
This article is a U.S. Government work. Published 2013 by Wiley on behalf of the National Rural Health Association in The Journal of Rural Health. The original instance can be found at the publisher website.
http://dx.doi.org/10.1111/jrh.12027