BMC Med Inform Decis Mak - Healthcare professional acceptance of telemonitoring for chronic care patients in primary care.

Tópicos

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Resumo

CKGROUND: A pilot experimentation of a telemonitoring system for chronic care patients is conducted in the Bilbao Primary Care Health Region (Basque Country, Spain). It seems important to understand the factors related to healthcare professionals' acceptance of this new technology in order to inform its extension to the whole healthcare system.This study aims to examine the psychosocial factors related to telemonitoring acceptance among healthcare professionals and to apply a theory-based instrument.METHODS: A validated questionnaire, based on an extension of the Technology Acceptance Model (TAM), was distributed to a total of 605 nurses, general practitioners and paediatricians. Logistic regression analysis was performed to test the theoretical model. Adjusted odds ratios (OR) and their 95% confidence intervals (CI) were computed.RESULTS: A response rate of 44.3% was achieved. The original TAM model was good at predicting intention to use the telemonitoring system. However, the extended model, that included other theoretical variables, was more powerful. Perceived Usefulness, Compatibility, and Facilitators were the significant predictors of intention. A detailed analysis showed that intention to use telemonitoring was best predicted by healthcare professionals' beliefs that they would obtain adequate training and technical support and that telemonitoring would require important changes in their practice.CONCLUSION: The extended TAM explained a significant portion of the variance in healthcare professionals' intention to use a telemonitoring system for chronic care patients in primary care. The perception of facilitators in the organisational context is the most important variable to consider for increasing healthcare professionals' intention to use the new technology.

Resumo Limpo

ckground pilot experiment telemonitor system chronic care patient conduct bilbao primari care health region basqu countri spain seem import understand factor relat healthcar profession accept new technolog order inform extens whole healthcar systemthi studi aim examin psychosoci factor relat telemonitor accept among healthcar profession appli theorybas instrumentmethod valid questionnair base extens technolog accept model tam distribut total nurs general practition paediatrician logist regress analysi perform test theoret model adjust odd ratio confid interv ci computedresult respons rate achiev origin tam model good predict intent use telemonitor system howev extend model includ theoret variabl power perceiv use compat facilit signific predictor intent detail analysi show intent use telemonitor best predict healthcar profession belief obtain adequ train technic support telemonitor requir import chang practiceconclus extend tam explain signific portion varianc healthcar profession intent use telemonitor system chronic care patient primari care percept facilit organis context import variabl consid increas healthcar profession intent use new technolog

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