Journal article
Perceptions and Perceived Utility of Rural Emergency Department Telemedicine Services: A Needs Assessment
Telemedicine journal and e-health, Vol.26(7), pp.855-864
07/01/2020
DOI: 10.1089/tmj.2019.0168
PMCID: PMC7117965
PMID: 31580783
Abstract
Background: Access to specialized medical care is often limited in rural emergency departments (EDs). Specialist consultation through telemedicine services could help increase access in low-resource areas. Introduction: The objective of this study was to better understand providers' perceptions of the anticipated impact of telemedicine in rural Midwestern EDs. The secondary objective was to understand differences in the perception of rural and academic providers in their views of the utility of telemedicine. Materials and Methods: We conducted a survey of medical providers including physicians, physician assistants, and nurse practitioners at five rural Midwestern critical access hospitals and within six departments at a university medical center in the same region. The survey addressed opinions on telemedicine, including how often it would be used and the potential to improve patient care and reduce transfers. Results: Specialties of high perceived utility to rural providers include psychiatry, cardiology, and neurology; whereas academic providers viewed services in psychiatry, pediatric critical care, and neurology to be of the most potential value. Academic and rural providers have differing opinions on the anticipated frequency of telemedicine use (p < 0.001) and prevention of inter-hospital transfers (p = 0.023). There were significant differences in perceived value by specialty. Conclusion: There is a high demand for telemedicine consultation services in rural Midwestern hospitals, particularly in psychiatry, cardiology, and neurology. Overall, academic providers view telemedicine services as more valuable within their specialty than do rural providers. Further research should be done to investigate individualization of telehealth services based on regional needs and how disparate opinions predict telemedicine utilization.
Details
- Title: Subtitle
- Perceptions and Perceived Utility of Rural Emergency Department Telemedicine Services: A Needs Assessment
- Creators
- Sarah E. R. Oest - Roy J. and Lucille A. Carver College of MedicineMorgan B. Swanson - Roy J. and Lucille A. Carver College of MedicineAzeemuddin Ahmed - Roy J. and Lucille A. Carver College of MedicineNicholas M. Mohr - Roy J. and Lucille A. Carver College of Medicine
- Resource Type
- Journal article
- Publication Details
- Telemedicine journal and e-health, Vol.26(7), pp.855-864
- DOI
- 10.1089/tmj.2019.0168
- PMID
- 31580783
- PMCID
- PMC7117965
- NLM abbreviation
- Telemed J E Health
- ISSN
- 1530-5627
- eISSN
- 1556-3669
- Publisher
- Mary Ann Liebert, Inc
- Number of pages
- 10
- Grant note
- UIHC Department of Emergency Medicine UIHC Department of Ophthalmology Waverly Health Center Van Buren County Hospitals and Clinics K08HS025753 / AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; United States Department of Health & Human Services; Agency for Healthcare Research & Quality Keokuk County Health Center UIHC Department of Psychiatry Henry County Health Center Virginia Gay Medical Center UIHC Department of Neurology Winneshiek Medical Center UIHC Department of Pediatric Critical Care T32GM007337 / NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of General Medical Sciences (NIGMS) UIHC Department of Neurosurgery
- Language
- English
- Date published
- 07/01/2020
- Academic Unit
- Rural Telehealth Research Center; Epidemiology; Emergency Medicine; Surgery; Anesthesia; Injury Prevention Research Center
- Record Identifier
- 9984296151902771
Metrics
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