Mallow Jennifer A, Theeke Laurie A, Theeke Elliott, Mallow Brian K
School of Nursing, West Virginia University, 9620 HSC South, Morgantown, WV 26506, USA.
Sovern Run, LLC, 210 Cardinal Lane, Albright, WV 26519, USA.
Nurs Res Pract. 2016;2016:7416728. doi: 10.1155/2016/7416728. Epub 2016 Jul 18.
Used as integrated tools, technology may improve the ability of healthcare providers to improve access and outcomes of care. Little is known about healthcare teams' preferences in using such technology. This paper reports the findings from focus groups aimed at evaluating a newly developed primary care technology platform. Focus groups were completed in academic, outpatient, and community settings. Focus groups were attended by 37 individuals. The participants included professionals from multiple disciplines. Both prescribing (N = 8) and nonprescribing healthcare team members (n = 21) completed the focus groups and survey. The majority were practicing for more than 20 years (44.8%) in an outpatient clinic (62%) for 20-40 hours per week (37.9%). Providers identified perceived obstacles of patient use as ability, willingness, and time. System obstacles were identified as lack of integration, lack of reimbursement, and cost. The positive attributes of the developed system were capability for virtual visits, readability, connectivity, user-friendliness, ability to capture biophysical measures, enhanced patient access, and incorporation of multiple technologies. Providers suggested increasing capability for biophysical and symptom monitoring for more common chronic conditions. Technology interventions have the potential to improve access and outcomes but will not be successful without the input of users.
作为集成工具使用时，技术可以提高医疗服务提供者改善医疗服务可及性和治疗效果的能力。对于医疗团队使用此类技术的偏好，我们知之甚少。本文报告了旨在评估一个新开发的初级保健技术平台的焦点小组的研究结果。焦点小组在学术、门诊和社区环境中完成。37人参加了焦点小组。参与者包括来自多个学科的专业人员。开处方的医疗团队成员（N = 8）和不开处方的医疗团队成员（n = 21）都完成了焦点小组讨论和调查。大多数人在门诊诊所工作超过20年（44.8%），每周工作20 - 40小时（37.9%），占比62%。提供者将患者使用的感知障碍确定为能力、意愿和时间。系统障碍被确定为缺乏整合、缺乏报销和成本。所开发系统的积极属性包括虚拟就诊能力、可读性、连通性、用户友好性、捕获生物物理指标的能力、增强患者可及性以及多种技术的整合。提供者建议提高对更常见慢性病的生物物理和症状监测能力。技术干预有改善可及性和治疗效果的潜力，但没有用户的参与将不会成功。
