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Published on: December 23, 2020
Exploring underutilization of videophones in hospice settings
Michele Day1, George Demiris, Debra Parker Oliver
1School of Social Work, School of Medicine, University of Missouri-Columbia, USA.
Summary
Hospice providers found videophones useful but underutilized them due to practical issues like reliability and resource limitations. The Technology Acceptance Model (TAM) explains this telehealth adoption gap.
Area of Science:
- Gerontology
- Health Informatics
- Telemedicine
Background:
- Videophone technology introduction in hospice settings often results in underutilization.
- Understanding provider perceptions is crucial for successful telehealth implementation in palliative care.
Purpose of the Study:
- To evaluate hospice providers' attitudes and perceptions toward videophone technology.
- To understand factors contributing to the underutilization of telehealth in hospice care using the Technology Acceptance Model (TAM).
Main Methods:
- Qualitative study involving interviews with 17 hospice staff (administrators, management, nurses, social workers).
- Content analysis of transcribed interviews to identify themes related to videophone technology acceptance.
- Purposive sampling of two hospice agencies with underutilized videophone technology.
Main Results:
- Hospice staff perceived videophones as useful for care delivery.
- Key barriers included lack of equipment reliability, insufficient human resources, and unclear caregiver eligibility criteria.
- Perceived usefulness was high, but practical concerns indicated a lack of perceived ease of use, aligning with TAM predictions.
Conclusions:
- The Technology Acceptance Model (TAM) effectively explains telehealth underutilization in hospice.
- Addressing practical challenges like reliability and resource allocation is essential for successful videophone adoption in hospice settings.
- Future research should focus on improving usability and clarifying application guidelines for hospice telehealth.
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