Analyzing factors infuencing its implementation

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Reference no: EM133780118

Question: Our objective was to evaluate this gap by exploring U.S. healthcare systems' experience in implementing telehealth services in rural hospital emergency departments (TeleED) and by analyzing factors infuencing its implementation and sustainability. Methods: We conducted semi-structured interviews with 18 key informants from six U.S. healthcare systems (hub sites) that provided TeleED services to 65 rural emergency departments (spoke sites). All used synchronous high-definition video to provide the service. We applied an inductive qualitative analysis approach to identify relevant quotes and themes related to TeleED service uptake facilitators and barriers. Results: We identifed three stages of implementation: 1) the start-up stage; 2) the utilization stage; and 3) the sustainment stage. At each stage, we identifed emerging factors that can facilitate or impede the process. We categorized these factors into eight domains: 1) strategies; 2) capability; 3) relationships; 4) fnancials; 5) protocols; 6) environment; 7) service characteristics; and 8) accountability. Conclusions: The implementation of healthcare innovation can be infuenced by multiple factors. Our study contributes to the feld by highlighting key factors and domains that play roles in specifc stages of telehealth operation in rural hospitals. By appreciating and responding to these domains, healthcare

Reference no: EM133780118

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