Financial impact of telehealth: rural chief financial officer perspectives.
Financial impact of telehealth: rural chief financial officer perspectives.
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DOI：
10.37765/ajmc.2022.89279
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发表时间：
2022-12-01
期刊：
影响因子：
--
通讯作者：
Mehrotra A
中科院分区：
文献类型：
--
作者：
Uscher-Pines L;Sousa JL;Zachrison KS;Schwamm L;Mehrotra A
探讨各种远程医疗服务对医院财务的影响，并评估医院管理人员如何决定采用远程医疗计划。从2021年10月至2022年1月，我们对乡村医院的首席财务官（CFO）进行了半结构化访谈。招聘工作是与六个农村卫生协作机构和医院协会合作进行的，这些机构促进了首席财务官同行学习小组。我们使用归纳和演绎的方法告知医疗创新采用模型，以确定定性数据中的主题。来自10个州的20名农村医院首席财务官和其他医院管理人员参加了访谈。17家（85%）为危重病医院，3家（15%）为短期急症护理医院。虽然首席财务官们认为远程医疗有一些财务优势（例如，可以帮助避免病人转移），他们不相信远程保健改善了他们医院的财务状况。相反，首席财务官似乎有动力实施远程保健服务，以提高护理质量和满足病人的需求。首席财务官报告说，有限的报销，低量，对人的护理偏好，和宽带不足的远程保健的财务可行性的关键挑战。了解首席财务官如何看待远程保健的投资回报，可以为促进农村社区远程保健利用的努力提供信息，并制定政策解决方案，使远程保健更具可持续性。首席财务官可以受益于关于有希望的做法和具有成本效益的实施战略的指导。政策制定者可以采取措施提高远程医疗的财务吸引力（例如，通过支付平价、补贴改善技术基础设施）。与农村医院首席财务官的访谈表明，他们认为远程保健有一些财务优势，但是，他们不相信远程保健改善了医院的财务状况。
To explore the perceived impacts of a variety of telehealth services on hospital finances and assess how hospital administrators make decisions about adopting telehealth programs. From October 2021 to January 2022, we conducted semi-structured interviews with Chief Financial Officers (CFOs) of rural hospitals. Recruitment occurred in collaboration with six rural health collaboratives and hospital associations that facilitated CFO peer-learning groups. We used inductive and deductive approaches informed by the Healthcare Innovation Adoption Model to identify themes in the qualitative data. Twenty rural hospital CFOs and other hospital administrators from 10 states participated in interviews. Seventeen (85%) represented critical access hospitals and three (15%) represented short term acute care hospitals. While CFOs believed telehealth has some financial advantages (e.g., can help to avoid patient transfers), they did not believe that telehealth improved their hospital’s financial situation. CFOs, rather, seem motivated to implement telehealth services to improve quality of care and address patients’ needs. CFOs reported that limited reimbursement, low volumes, preference for in-person care, and insufficient broadband were key challenges for telehealth’s financial viability. Understanding how CFOs think about the return on investment of telehealth can inform efforts to promote telehealth utilization in rural communities and to develop policy solutions to make telehealth more sustainable. CFOs may benefit from guidance on promising practices and cost-effective implementation strategies. Policymakers could take steps to improve telehealth’s financial attractiveness (e.g., through payment parity, subsidies to improve technology infrastructure). Interviews with rural hospital Chief Financial Officers showed that they perceived telehealth to have some financial advantages; however, they did not believe that telehealth improved their hospital’s financial situation.
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影响因子：
2.2
作者：
Haque SN;DeStefano S;Banger A;Rutledge R;Romaire M
通讯作者：
Romaire M
影响因子：
13.8
作者：
Fischer SH;Ray KN;Mehrotra A;Bloom EL;Uscher-Pines L
通讯作者：
Uscher-Pines L
影响因子：
4.4
作者：
Powell, Rhea E.;Henstenburg, Jeffrey M.;Rising, Kristin L.
通讯作者：
Rising, Kristin L.
DOI：
10.3390/ijerph181910026
发表时间：
2021-09-24
影响因子：
--
作者：
Flessa S;Huebner C
通讯作者：
Huebner C
影响因子：
1
作者：
Dudas, Lauren M.;Bardes, James M.;Wilson, Alison M.
通讯作者：
Wilson, Alison M.