Perceived Benefits, Barriers, and Drivers of Telemedicine From the Perspective of Skilled Nursing Facility Administrative Staff Stakeholders
Perceived Benefits, Barriers, and Drivers of Telemedicine From the Perspective of Skilled Nursing Facility Administrative Staff Stakeholders
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DOI：
10.1177/0733464816651884
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发表时间：
2018-01-01
影响因子：
3
通讯作者：
Handler, Steven M.
中科院分区：
文献类型：
--
作者：
Driessen, Julia;Castle, Nicholas G.;Handler, Steven M.
熟练护理机构（SNF）患者的潜在可避免的住院（PAH）是常见且昂贵的。远程医疗是一种管理和潜在减少SNF中多环芳烃的独特方法，已在各种环境中使用，以改善护理协调并增强对提供者的访问。尽管如此，远程医疗的广泛实施和使用滞后于SNF相对于其他医疗保健环境。为了了解原因，我们调查了参加为期一天的远程医疗峰会的SNF行政人员。与会者看到了远程医疗在提高护理质量和减少再入院方面的最高价值。他们将医院和管理式远程医疗需求确定为采用的主要驱动力。采用的最大障碍是所需的初始投资。联合研究政策的努力，以改善证据基础周围的远程医疗在SNF和引入奖励可能会提高采用和继续使用远程医疗在这种情况下。
Potentially avoidable hospitalizations (PAHs) of skilled nursing facility (SNF) patients are common and costly. Telemedicine represents a unique approach to manage and potentially reduce PAHs in SNFs, having been used in a variety of settings to improve coordination of care and enhance access to providers. Nonetheless, broad implementation and use of telemedicine lags in SNFs relative to other health care settings. To understand why, we surveyed SNF administrative staff attending a 1-day telemedicine summit. Participants saw the highest value of telemedicine in improving the quality of care and reducing readmissions. They identified hospital and managed care telemedicine requirements as primary drivers of adoption. The most significant barrier to adoption was the initial investment required. A joint research-policy effort to improve the evidence base around telemedicine in SNFs and introduce incentives may improve adoption and continued use of telemedicine in this setting.