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Physicians’ experience adopting the electronic transfer of care communication tool: barriers and opportunities
PURPOSE: The purpose of this study was to assess physicians’ perceptions on a newly developed electronic transfer of care (e-TOC) communication tool and identify barriers and opportunities toward its adoption. PARTICIPANTS AND METHODS: The study was conducted in a tertiary care teaching center as pa...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove Medical Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4298297/ https://www.ncbi.nlm.nih.gov/pubmed/25609977 http://dx.doi.org/10.2147/JMDH.S72953 |
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author | de Grood, Chloe Eso, Katherine Santana, Maria Jose |
author_facet | de Grood, Chloe Eso, Katherine Santana, Maria Jose |
author_sort | de Grood, Chloe |
collection | PubMed |
description | PURPOSE: The purpose of this study was to assess physicians’ perceptions on a newly developed electronic transfer of care (e-TOC) communication tool and identify barriers and opportunities toward its adoption. PARTICIPANTS AND METHODS: The study was conducted in a tertiary care teaching center as part of a randomized controlled trial assessing the efficacy of an e-TOC communication tool. The e-TOC technology was developed through iterative consultation with stakeholders. This e-TOC summary was populated by acute care physicians (AcPs) and communicated electronically to community care physicians (CcPs). The AcPs consisted of attending physicians, resident trainees, and medical students rotating through the Medical Teaching Unit. The CcPs were health care providers caring for patients discharged from hospital to the community. AcPs and CcPs completed validated surveys assessing their experience with the newly developed e-TOC tool. Free text questions were added to gather general comments from both groups of physicians. Units of analysis were individual physicians. Data from the surveys were analyzed using mixed methods. RESULTS: AcPs completed 138 linked pre- and post-rotation surveys. At post-rotation, each AcP completed an average of six e-TOC summaries, taking an average of 37 minutes per e-TOC summary. Over 100 CcPs assessed the quality of the TOC summaries, with an overall rating of 8.3 (standard deviation: 1.48; on a scale of 1–10). Thematic analyses revealed barriers and opportunities encountered by physicians toward the adoption of the e-TOC tool. While the AcPs highlighted issues with timeliness, usability, and presentation, the CcPs identified barriers accessing the web-based TOC summaries, emphasizing that the summaries were timely and the quality of information supported continuity of care. CONCLUSION: Despite the barriers identified by both groups of physicians, the e-TOC communication tool was well received. Our experience can serve as a template for other health research teams considering the implementation of e-health technologies into health care systems. |
format | Online Article Text |
id | pubmed-4298297 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-42982972015-01-21 Physicians’ experience adopting the electronic transfer of care communication tool: barriers and opportunities de Grood, Chloe Eso, Katherine Santana, Maria Jose J Multidiscip Healthc Original Research PURPOSE: The purpose of this study was to assess physicians’ perceptions on a newly developed electronic transfer of care (e-TOC) communication tool and identify barriers and opportunities toward its adoption. PARTICIPANTS AND METHODS: The study was conducted in a tertiary care teaching center as part of a randomized controlled trial assessing the efficacy of an e-TOC communication tool. The e-TOC technology was developed through iterative consultation with stakeholders. This e-TOC summary was populated by acute care physicians (AcPs) and communicated electronically to community care physicians (CcPs). The AcPs consisted of attending physicians, resident trainees, and medical students rotating through the Medical Teaching Unit. The CcPs were health care providers caring for patients discharged from hospital to the community. AcPs and CcPs completed validated surveys assessing their experience with the newly developed e-TOC tool. Free text questions were added to gather general comments from both groups of physicians. Units of analysis were individual physicians. Data from the surveys were analyzed using mixed methods. RESULTS: AcPs completed 138 linked pre- and post-rotation surveys. At post-rotation, each AcP completed an average of six e-TOC summaries, taking an average of 37 minutes per e-TOC summary. Over 100 CcPs assessed the quality of the TOC summaries, with an overall rating of 8.3 (standard deviation: 1.48; on a scale of 1–10). Thematic analyses revealed barriers and opportunities encountered by physicians toward the adoption of the e-TOC tool. While the AcPs highlighted issues with timeliness, usability, and presentation, the CcPs identified barriers accessing the web-based TOC summaries, emphasizing that the summaries were timely and the quality of information supported continuity of care. CONCLUSION: Despite the barriers identified by both groups of physicians, the e-TOC communication tool was well received. Our experience can serve as a template for other health research teams considering the implementation of e-health technologies into health care systems. Dove Medical Press 2015-01-14 /pmc/articles/PMC4298297/ /pubmed/25609977 http://dx.doi.org/10.2147/JMDH.S72953 Text en © 2015 de Grood et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research de Grood, Chloe Eso, Katherine Santana, Maria Jose Physicians’ experience adopting the electronic transfer of care communication tool: barriers and opportunities |
title | Physicians’ experience adopting the electronic transfer of care communication tool: barriers and opportunities |
title_full | Physicians’ experience adopting the electronic transfer of care communication tool: barriers and opportunities |
title_fullStr | Physicians’ experience adopting the electronic transfer of care communication tool: barriers and opportunities |
title_full_unstemmed | Physicians’ experience adopting the electronic transfer of care communication tool: barriers and opportunities |
title_short | Physicians’ experience adopting the electronic transfer of care communication tool: barriers and opportunities |
title_sort | physicians’ experience adopting the electronic transfer of care communication tool: barriers and opportunities |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4298297/ https://www.ncbi.nlm.nih.gov/pubmed/25609977 http://dx.doi.org/10.2147/JMDH.S72953 |
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