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Health Care Providers' Experiences and Perceptions With Telehealth Tools in a Hospital-at-Home Program: Mixed Methods
Shi Yun Low1, Stephanie Qianwen Ko1,2, Ian Yi Han Ang3
1NUHS@Home, National University Health System, Singapore, Singapore.
JMIR Human Factors
|April 17, 2025
Summary
Healthcare providers find telehealth tools like teleconsultations and remote monitoring highly useful in hospital-at-home (HaH) programs. Addressing communication and technology challenges can optimize telehealth implementation for better patient care.
Area of Science:
- Health Services Research
- Digital Health
- Gerontology
Background:
- Increasing demand for hospital-based care due to aging populations and resource constraints.
- Accelerated adoption of telehealth, including teleconsultations and remote monitoring, in hospital-at-home (HaH) programs.
- Limited studies on healthcare providers' experiences with telehealth tools in HaH settings.
Purpose of the Study:
- To understand healthcare providers' experiences and perspectives on teleconsultations and vital signs monitoring in a Singaporean HaH program.
- To identify challenges and enablers for optimizing telehealth implementation in HaH settings.
- To inform future strategies for effective telehealth integration in home-based acute care.
Main Methods:
- Convergent mixed methods approach combining qualitative in-depth interviews and electronic surveys.
- Survey designed based on the Telehealth Usability Questionnaire (usefulness, ease of use, effectiveness, reliability, satisfaction).
- Data collected from 37 surveys and 20 interviews with healthcare providers.
Main Results:
- High positive responses for teleconsultation (mean score 4.55) and vital signs monitoring (mean score 4.52).
- Doctors rated teleconsultations higher for usefulness and ease of use compared to other providers.
- Less experienced providers found vital signs monitoring more effective and usable.
- Qualitative themes included benefits (convenience, efficiency), challenges (communication, technology), impact, and enablers for telehealth implementation.
Conclusions:
- Telehealth tools demonstrate significant benefits and usability among healthcare providers in HaH settings.
- Key challenges include patient communication, technological issues, and care delivery logistics.
- Insights gained can guide strategies for optimizing telehealth implementation in hospital-at-home programs.
Keywords:
e-consultationsexperiencehealth care providerhealth care provider experiencehome-basedhospital-at-homehospital-basedmixed-methods studymobile phoneperceptionteleconsultationtelehealthtelehealth toolstelehealth usabilityvirtual consultationvital signs monitoringMore Related Videos
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