A stakeholder-centred exploration of the current barriers to the uptake of home care technology in the UK
A stakeholder-centred exploration of the current barriers to the uptake of home care technology in the UK
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DOI：
10.5042/jat.2011.0097
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发表时间：
2011-03-01
期刊：
影响因子：
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通讯作者：
McGee-Lennon, Marilyn R.
中科院分区：
文献类型：
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作者：
Clark, Julia S.;McGee-Lennon, Marilyn R.
英国人口老龄化的增加正在导致人们以新的方式看待我们如何在英国提供健康和社会护理服务。辅助生活技术（ALT）和远程护理的使用已经在这些新的护理模式中发挥了作用。然而，尽管目前在家庭技术和网络能力的范围内取得了进步，ALT和远程护理解决方案并没有像预期的那样被热切地采用。这里报告的研究使用了以苏格兰为基础的焦点小组，其中有家庭护理方面的各种利益攸关方，以确定苏格兰成功采用替代疗法和远程护理的现有障碍。与个别利益攸关方群体（社会护理工作者、决策者、远程护理安装技术员、老年用户、非正式护理人员）举行了六次重点小组会议，与混合利益攸关方群体举行了五次会议。焦点小组使用相同的家庭护理方案，以确定和分类的不同的看法，态度和期望的各种利益相关者讨论时，远程护理实施的一个虚构的老年夫妇。根据框架分析方法，对重点小组提出的新主题进行了分析和分类。我们提出了一个综合清单，目前的障碍摄取替代疗法和远程护理-并讨论如何克服这些障碍。如果这些障碍得到解决，我们相信远程医疗技术将更好地设计，更可用，更容易有效地规定，更容易接受更多的用户在更多的情况下，并最终在整个英国的家庭更常见的地方。
An increase in the ageing UK population is leading to new ways of looking at how we deliver health and social care services in the UK. The use of assisted living technology (ALT) and telecare is already playing a part in these new models of care. Yet despite the current advances in the range of technology and networking capabilities in the home, ALT and telecare solutions have not been taken up as eagerly as might have been anticipated. The study reported here used scenario-based focus groups with a wide variety of stakeholders in home care to identify the existing barriers to the successful uptake of ALTs and telecare in Scotland. Six focus group sessions were conducted with individual stakeholder groups (social care workers, policy makers, telecare installation technicians, older users, informal carers) and five conducted with mixed stakeholder groups. The focus groups used the same home care scenario to identify and categorise the different perceptions, attitudes, and expectations of the various stakeholders when discussing telecare implementation for a fictitious older couple. The emerging themes from the focus groups were analysed and categorised according to the Framework Analysis approach. We present a synthesised list of the current barriers to the uptake of ALTs and telecare - and discuss how each of these barriers might be overcome. If these barriers are addressed, we believe telehealthcare technologies will be better designed, more usable, easier to prescribe effectively, more acceptable to more users in more contexts, and ultimately more common place in homes throughout the UK.