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Tribes and tribulations: interdisciplinary eHealth in providing services for people with a traumatic brain injury (TBI)

BACKGROUND: eHealth has potential for supporting interdisciplinary care in contemporary traumatic brain injury (TBI) rehabilitation practice, yet little is known about whether this potential is being realised, or what needs to be done to further support its implementation. The purpose of this study...

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Autores principales: Hines, M., Brunner, M., Poon, S., Lam, M., Tran, V., Yu, D., Togher, L., Shaw, T., Power, E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5697081/
https://www.ncbi.nlm.nih.gov/pubmed/29162086
http://dx.doi.org/10.1186/s12913-017-2721-2
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author Hines, M.
Brunner, M.
Poon, S.
Lam, M.
Tran, V.
Yu, D.
Togher, L.
Shaw, T.
Power, E.
author_facet Hines, M.
Brunner, M.
Poon, S.
Lam, M.
Tran, V.
Yu, D.
Togher, L.
Shaw, T.
Power, E.
author_sort Hines, M.
collection PubMed
description BACKGROUND: eHealth has potential for supporting interdisciplinary care in contemporary traumatic brain injury (TBI) rehabilitation practice, yet little is known about whether this potential is being realised, or what needs to be done to further support its implementation. The purpose of this study was to explore health professionals’ experiences of, and attitudes towards eHealth technologies to support interdisciplinary practice within rehabilitation for people after TBI. METHODS: A qualitative study using narrative analysis was conducted. One individual interview and three focus groups were conducted with health professionals (n = 17) working in TBI rehabilitation in public and private healthcare settings across regional and metropolitan New South Wales, Australia. RESULTS: Narrative analysis revealed that participants held largely favourable views about eHealth and its potential to support interdisciplinary practice in TBI rehabilitation. However, participants encountered various issues related to (a) the design of, and access to electronic medical records, (b) technology, (c) eHealth implementation, and (d) information and communication technology processes that disconnected them from the work they needed to accomplish. In response, health professionals attempted to make the most of unsatisfactory eHealth systems and processes, but were still mostly unsuccessful in optimising the quality, efficiency, and client-centredness of their work. CONCLUSIONS: Attention to sources of disconnection experienced by health professionals, specifically design of, and access to electronic health records, eHealth resourcing, and policies and procedures related to eHealth and interdisciplinary practice are required if the potential of eHealth for supporting interdisciplinary practice is to be realised.
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spelling pubmed-56970812017-12-01 Tribes and tribulations: interdisciplinary eHealth in providing services for people with a traumatic brain injury (TBI) Hines, M. Brunner, M. Poon, S. Lam, M. Tran, V. Yu, D. Togher, L. Shaw, T. Power, E. BMC Health Serv Res Research Article BACKGROUND: eHealth has potential for supporting interdisciplinary care in contemporary traumatic brain injury (TBI) rehabilitation practice, yet little is known about whether this potential is being realised, or what needs to be done to further support its implementation. The purpose of this study was to explore health professionals’ experiences of, and attitudes towards eHealth technologies to support interdisciplinary practice within rehabilitation for people after TBI. METHODS: A qualitative study using narrative analysis was conducted. One individual interview and three focus groups were conducted with health professionals (n = 17) working in TBI rehabilitation in public and private healthcare settings across regional and metropolitan New South Wales, Australia. RESULTS: Narrative analysis revealed that participants held largely favourable views about eHealth and its potential to support interdisciplinary practice in TBI rehabilitation. However, participants encountered various issues related to (a) the design of, and access to electronic medical records, (b) technology, (c) eHealth implementation, and (d) information and communication technology processes that disconnected them from the work they needed to accomplish. In response, health professionals attempted to make the most of unsatisfactory eHealth systems and processes, but were still mostly unsuccessful in optimising the quality, efficiency, and client-centredness of their work. CONCLUSIONS: Attention to sources of disconnection experienced by health professionals, specifically design of, and access to electronic health records, eHealth resourcing, and policies and procedures related to eHealth and interdisciplinary practice are required if the potential of eHealth for supporting interdisciplinary practice is to be realised. BioMed Central 2017-11-21 /pmc/articles/PMC5697081/ /pubmed/29162086 http://dx.doi.org/10.1186/s12913-017-2721-2 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Hines, M.
Brunner, M.
Poon, S.
Lam, M.
Tran, V.
Yu, D.
Togher, L.
Shaw, T.
Power, E.
Tribes and tribulations: interdisciplinary eHealth in providing services for people with a traumatic brain injury (TBI)
title Tribes and tribulations: interdisciplinary eHealth in providing services for people with a traumatic brain injury (TBI)
title_full Tribes and tribulations: interdisciplinary eHealth in providing services for people with a traumatic brain injury (TBI)
title_fullStr Tribes and tribulations: interdisciplinary eHealth in providing services for people with a traumatic brain injury (TBI)
title_full_unstemmed Tribes and tribulations: interdisciplinary eHealth in providing services for people with a traumatic brain injury (TBI)
title_short Tribes and tribulations: interdisciplinary eHealth in providing services for people with a traumatic brain injury (TBI)
title_sort tribes and tribulations: interdisciplinary ehealth in providing services for people with a traumatic brain injury (tbi)
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5697081/
https://www.ncbi.nlm.nih.gov/pubmed/29162086
http://dx.doi.org/10.1186/s12913-017-2721-2
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