Accepted for/Published in: JMIR Human Factors
Date Submitted: Jun 8, 2023
Date Accepted: Apr 7, 2024
Date Submitted to PubMed: Jun 20, 2023
Barriers and facilitators of key stakeholders influencing successful digital implementation of remote monitoring solutions: a mixed-methods analysis
ABSTRACT
Background:
Implementation of remote monitoring solutions and digital alerting tools within healthcare has historically been challenging, despite the impetus provided by the COVID-19 pandemic. To date, health systems-based approach to systematically describe the barrier and facilitators across multiple domains has not been undertaken.
Objective:
to undertake a comprehensive mixed-methods analysis of barriers and facilitators for successful implementation of remote monitoring and digital alerting tools within complex health organisations.
Methods:
A mixed-methods approach using a modified Technology Acceptance Model questionnaire and semi-structured interviews mapped to validated HOT-fit framework was undertaken. Likert frequency responses and deductive thematic analyses were performed.
Results:
A total of 11 participants responded to the questionnaire and 18 participants for the interviews. Key barriers and facilitators could be mapped onto 6 dimensions which incorporated aspects for digitisation: system use (human), user satisfaction (human), environment (organisation), structure (organisation), information and service quality (technology), and system quality (technology).
Conclusions:
The recommendations proposed can enhance the potential for future remote sensing solutions to be more successfully integration within healthcare practice, resulting in more successful utilisation of virtual wards. Clinical Trial: ClinicalTrials.gov Identifier: NCT05321004
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