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Clinical Provider Perspectives on Remote Spirometry and mHealth for COPD.

Susan McCabe1, Jessica Madiraca2, Lianne Cole3

  • 1College of Nursing, Medical University of South Carolina, Charleston, SC 29466, USA.

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Summary

Mobile health (mHealth) with remote spirometry can improve COPD care in rural areas. Healthcare providers see potential but need support for integration, training, and workflow alignment for successful implementation.

Keywords:
chronic obstructive pulmonary diseasedigital healthhealthcare providersimplementation sciencemobile healthqualitative researchremote patient monitoringremote spirometrysmartphone application

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Area of Science:

  • Pulmonary Medicine
  • Digital Health
  • Health Services Research

Background:

  • Chronic Obstructive Pulmonary Disease (COPD) poses significant health challenges, particularly in rural areas lacking specialized care.
  • Mobile health (mHealth) and remote spirometry offer potential solutions to bridge this gap in healthcare access.

Purpose of the Study:

  • To explore healthcare providers' (HCPs) perspectives on the utility and implementation of mHealth with remote spirometry for COPD management in underserved settings.
  • To identify facilitators, barriers, and essential considerations for integrating these technologies into rural healthcare workflows.

Main Methods:

  • A qualitative study involving a focus group with five HCPs from rural or medically limited settings in South Carolina.
  • Semi-structured interviews and thematic analysis of transcripts to identify key implementation factors.

Main Results:

  • HCPs believe mHealth and remote spirometry can enhance COPD treatment, increase access, and support self-management.
  • Facilitators include smartphone availability and patient engagement tools; barriers involve workload, data overload, and technology limitations.

Conclusions:

  • mHealth with remote spirometry is viewed as a valuable tool for COPD care, but successful implementation hinges on addressing critical needs.
  • Key requirements include structured support, user-centered design, team training, workflow integration, and attention to reimbursement for sustainability.