Health Care Personnel's Perspective on Potential Electronic Health Interventions to Prevent Hospitalizations for Older Persons Receiving Community Care: Qualitative Study.
community health services
eHealth
focus groups
health services for the aged
health services research
hospitalization
qualitative research
technology
Journal
Journal of medical Internet research
ISSN: 1438-8871
Titre abrégé: J Med Internet Res
Pays: Canada
ID NLM: 100959882
Informations de publication
Date de publication:
02 01 2020
02 01 2020
Historique:
received:
12
11
2018
accepted:
03
06
2019
revised:
30
04
2019
entrez:
3
1
2020
pubmed:
3
1
2020
medline:
31
7
2020
Statut:
epublish
Résumé
The use of electronic health (eHealth) interventions is suggested to help monitor and treat degenerative and chronic diseases through the use of sensors, alarms, and reminders and can potentially prevent hospitalizations for home-dwelling older persons receiving community care. It is increasingly recognized that the health care personnel's acceptance of a technological application remains a key challenge in adopting an intervention, thus interventions must be perceived to be useful and fit for purpose by the actual users. The aim of this study was to identify and explore the perspectives of managers and health care personnel in community care regarding the use of eHealth interventions in terms of prevention of hospitalizations for home-dwelling older persons receiving community care. A case study with a qualitative approach was carried out in community care in a Norwegian municipality, comprising individual interviews and focus group interviews. A total of 5 individual interviews and 2 focus group interviews (n=12) were undertaken to provide the health care personnel's and managers' perspective regarding the use of eHealth interventions, which could potentially prevent hospitalizations for home-dwelling older persons receiving community care. Data were analyzed by way of systematic text condensation, as described by Malterud. The data analysis of focus group interviews and individual interviews resulted in 2 categories: potential technological applications and potential patient groups. Discussions in the focus groups generated several suggestions and wishes related to technical applications that they could make use of in their day-to-day practice. The health care personnel warranted tools and measures to enhance and document their clinical observations in contact with patients. They also identified patient groups, such as patients with chronic obstructive pulmonary disease or dehydration or urinary tract infections, for whom hospitalizations could potentially have been prevented. We have shown that the health care personnel in community care warrant various technological applications that have the potential to improve quality of care and resource utilization in the studied municipality. We have identified needs and important matters in practice, which are paramount for acceptance and adoption of an intervention in community care.
Sections du résumé
BACKGROUND
The use of electronic health (eHealth) interventions is suggested to help monitor and treat degenerative and chronic diseases through the use of sensors, alarms, and reminders and can potentially prevent hospitalizations for home-dwelling older persons receiving community care. It is increasingly recognized that the health care personnel's acceptance of a technological application remains a key challenge in adopting an intervention, thus interventions must be perceived to be useful and fit for purpose by the actual users.
OBJECTIVE
The aim of this study was to identify and explore the perspectives of managers and health care personnel in community care regarding the use of eHealth interventions in terms of prevention of hospitalizations for home-dwelling older persons receiving community care.
METHODS
A case study with a qualitative approach was carried out in community care in a Norwegian municipality, comprising individual interviews and focus group interviews. A total of 5 individual interviews and 2 focus group interviews (n=12) were undertaken to provide the health care personnel's and managers' perspective regarding the use of eHealth interventions, which could potentially prevent hospitalizations for home-dwelling older persons receiving community care. Data were analyzed by way of systematic text condensation, as described by Malterud.
RESULTS
The data analysis of focus group interviews and individual interviews resulted in 2 categories: potential technological applications and potential patient groups. Discussions in the focus groups generated several suggestions and wishes related to technical applications that they could make use of in their day-to-day practice. The health care personnel warranted tools and measures to enhance and document their clinical observations in contact with patients. They also identified patient groups, such as patients with chronic obstructive pulmonary disease or dehydration or urinary tract infections, for whom hospitalizations could potentially have been prevented.
CONCLUSIONS
We have shown that the health care personnel in community care warrant various technological applications that have the potential to improve quality of care and resource utilization in the studied municipality. We have identified needs and important matters in practice, which are paramount for acceptance and adoption of an intervention in community care.
Identifiants
pubmed: 31895045
pii: v22i1e12797
doi: 10.2196/12797
pmc: PMC6966552
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12797Informations de copyright
©Martha Therese Gjestsen, Siri Wiig, Ingelin Testad. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 02.01.2020.
Références
BMJ Open. 2013 Aug 19;3(8):e003482
pubmed: 23959760
Maturitas. 2009 Jul 20;63(3):195-9
pubmed: 19487092
Methods Inf Med. 2003;42(4):297-301
pubmed: 14534625
Lancet. 2015 Feb 14;385(9968):649-657
pubmed: 25468167
Int J Med Inform. 2007 Jun;76 Suppl 1:S1-3
pubmed: 17466251
BMJ Open. 2014 Apr 12;4(4):e004293
pubmed: 24727427
Nurs Clin North Am. 2007 Jun;42(2):213-28, vi
pubmed: 17544679
Bull World Health Organ. 2012 May 1;90(5):357-64
pubmed: 22589569
BMC Med Res Methodol. 2011 Jun 27;11:100
pubmed: 21707982
Scand J Caring Sci. 2008 Jun;22(2):306-13
pubmed: 18489701
Lancet. 2009 Oct 3;374(9696):1196-208
pubmed: 19801098
BMC Health Serv Res. 2010 Dec 13;10:338
pubmed: 21144042
Lancet. 2013 Mar 2;381(9868):752-62
pubmed: 23395245
J Am Geriatr Soc. 2010 Aug;58(8):1579-86
pubmed: 20646105
J Adv Nurs. 2015 Feb;71(2):326-37
pubmed: 25069605
BMC Health Serv Res. 2012 Nov 15;12:403
pubmed: 23153014
J Health Serv Res Policy. 2013 Jan;18(1):40-3
pubmed: 23393041
Intern Emerg Med. 2011 Aug;6(4):361-7
pubmed: 21655929
BMJ. 2008 Sep 29;337:a1655
pubmed: 18824488
BMJ. 2012 Sep 18;345:e6017
pubmed: 22990102
J Telemed Telecare. 2011;17(2):71-7
pubmed: 21097563
BMC Med. 2015 Apr 23;13:91
pubmed: 25902803
Int J Nurs Stud. 2013 May;50(5):587-92
pubmed: 23159157
BMJ. 2011 Oct 27;343:d6553
pubmed: 22034146
PLoS Med. 2009 Aug;6(8):e1000126
pubmed: 19688038
J Med Internet Res. 2016 May 03;18(5):e98
pubmed: 27143097
J Med Internet Res. 2017 May 17;19(5):e172
pubmed: 28526671
Open Med Inform J. 2010 Sep 15;4:202-5
pubmed: 21594005
BMC Geriatr. 2017 Mar 1;17(1):62
pubmed: 28249621
BMJ. 2004 May 15;328(7449):1197-9
pubmed: 15142933
J Urol. 2008 Jul;180(1):182-5
pubmed: 18499191
J Adv Nurs. 2014 Jan;70(1):21-33
pubmed: 23786584
BMJ. 2013 May 20;346:f3186
pubmed: 23690461
Scand J Public Health. 2012 Dec;40(8):795-805
pubmed: 23221918
BMJ Open. 2017 Sep 7;7(9):e015455
pubmed: 28882908
J Med Internet Res. 2018 Apr 17;20(4):e150
pubmed: 29625956
Int J Integr Care. 2013 Dec 05;13:e048
pubmed: 24363636
Scand J Trauma Resusc Emerg Med. 2014 Mar 07;22:17
pubmed: 24606987
BMJ. 2012 Jun 21;344:e3874
pubmed: 22723612
BMC Health Serv Res. 2011 May 27;11:131
pubmed: 21619596
Lancet. 2013 Apr 13;381(9874):1312-22
pubmed: 23541057
BMJ Open. 2016 Feb 15;6(2):e010208
pubmed: 26880671
Qual Health Res. 2016 Nov;26(13):1753-1760
pubmed: 26613970