Barriers to and Facilitators of Key Stakeholders Influencing Successful Digital Implementation of Remote Monitoring Solutions: Mixed Methods Analysis

Implementation of remote monitoring solutions and digital alerting tools in health care has historically been challenging, despite the impetus provided by the COVID-19 pandemic. To date, a health systems-based approach to systematically describe barriers and facilitators across multiple domains has...

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Bibliographic Details
Published in:JMIR human factors 2024-05, Vol.11, p.e49769-e49769
Main Authors: Iqbal, Fahad Mujtaba, Aggarwal, Ravi, Joshi, Meera, King, Dominic, Martin, Guy, Khan, Sadia, Wright, Mike, Ashrafian, Hutan, Darzi, Ara
Format: Article
Language:English
Subjects:
Adult
COVID-19
COVID-19 - epidemiology
Disease transmission
Female
Health services
Humans
Male
Monitoring, Physiologic - instrumentation
Monitoring, Physiologic - methods
Original Paper
Patient safety
Perceptions
Qualitative research
Questionnaires
Remote Sensing Technology - methods
SARS-CoV-2
Stakeholder Participation
Stakeholders
Surveys and Questionnaires
Technology Acceptance Model
Telemedicine - methods
Citations: Items that this one cites
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Summary:Implementation of remote monitoring solutions and digital alerting tools in health care has historically been challenging, despite the impetus provided by the COVID-19 pandemic. To date, a health systems-based approach to systematically describe barriers and facilitators across multiple domains has not been undertaken. We aimed to undertake a comprehensive mixed methods analysis of barriers and facilitators for successful implementation of remote monitoring and digital alerting tools in complex health organizations. A mixed methods approach using a modified Technology Acceptance Model questionnaire and semistructured interviews mapped to the validated fit among humans, organizations, and technology (HOT-fit) framework was undertaken. Likert frequency responses and deductive thematic analyses were performed. A total of 11 participants responded to the questionnaire and 18 participants to the interviews. Key barriers and facilitators could be mapped onto 6 dimensions, which incorporated aspects of digitization: system use (human), user satisfaction (human), environment (organization), structure (organization), information and service quality (technology), and system quality (technology). The recommendations proposed can enhance the potential for future remote sensing solutions to be more successfully integrated in health care practice, resulting in more successful use of "virtual wards." ClinicalTrials.gov NCT05321004; https://www.clinicaltrials.gov/study/NCT05321004.
ISSN:2292-9495
2292-9495
DOI:10.2196/49769