Acceptability, Usability, and Effectiveness: A Qualitative Study Evaluating a Pediatric Telemedicine Program

Hadley S Sauers-Ford1, Michelle Y Hamline1, Melissa M Gosdin2

  • 1Department of Pediatrics, University of California Davis, Sacramento, CA.

Insights

To improve pediatric emergency telemedicine, address provider biases and adapt technology for wider use. Including patients and families in consultations enhances their experience and care.

Area of Science:

  • Emergency Medicine
  • Telehealth
  • Pediatric Care

Background:

  • Pediatric emergency telemedicine consultations support community hospitals.
  • Despite recognized value, telemedicine adoption in pediatric emergency care is slow.
  • A qualitative study explored reasons for underutilization of available telemedicine.

Purpose of the Study:

  • Identify barriers to pediatric telemedicine use.
  • Discover strategies to improve telemedicine program adoption.
  • Understand clinician perspectives on telemedicine in pediatric emergencies.

Main Methods:

  • Qualitative study using grounded theory methodology.
  • Conducted in-depth interviews with physicians and nurses.
  • Iterative data analysis and participant feedback on conceptual model.

Main Results:

  • Three key themes emerged from 16 interviews.
  • Addressing telemedicine biases is crucial for buy-in.
  • Telemedicine processes must adapt to technological advancements and increase collaboration.

Conclusions:

  • Modify processes to address provider biases and end-user concerns for better patient care.
  • Adapt telemedicine for diverse technologies (e.g., smartphones) and broader user participation (e.g., nurses).
  • Incorporate patients and families into telemedicine consultations to improve their experience.
Abstract

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