Improving Patient Experience by Understanding Barriers and Incentives to Telehealth Adoption Among Physicians at a Large Academic Medical Center
Patients benefit from and appreciate the option to use telehealth with their providers. Such patient expectations have therefore led to new questions about the factors that affect providers’ willingness to adopt telehealth as part of their clinical practice. We interviewed 19 physicians across four...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-01-01
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| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735241310961 |
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| author | Alessandro Luna MD, MBA Taylor B Sewell MD, MBA |
| author_facet | Alessandro Luna MD, MBA Taylor B Sewell MD, MBA |
| author_sort | Alessandro Luna MD, MBA |
| collection | DOAJ |
| description | Patients benefit from and appreciate the option to use telehealth with their providers. Such patient expectations have therefore led to new questions about the factors that affect providers’ willingness to adopt telehealth as part of their clinical practice. We interviewed 19 physicians across four specialties with differential rates of telehealth use (Psychiatry, Anesthesiology, Physical Medicine & Rehabilitation [PM&R], and Ophthalmology) to discern the barriers and incentives to telehealth adoption among physicians. We then conducted a qualitative analysis of interview transcripts, following precepts of Directed Content Analysis. Conclusions drawn from matrix building and thematic analysis were verified with negative evidence searches and if-then tests. Robust investigations for outliers and rival explanations in responses were used to disconfirm findings. The results of this analysis revealed distinct barriers and incentives to telehealth adoption for the four specialties. Physicians in psychiatry and anesthesiology are refining the strengths and applications of telehealth based on the characteristic needs of their specialties. Physicians in PM&R and ophthalmology face additional barriers to acquiring physical exam data, leading them to use telehealth as a supplement to, rather than as a replacement for, core functions of patient care. The insights stemming from these barriers and incentives can be used to build thoughtful telehealth applications for physicians, allowing them to provide effective clinical care while also improving the patient experience. |
| format | Article |
| id | doaj-art-ac3ef2d116fc4d53ac596f3921ae31ab |
| institution | Kabale University |
| issn | 2374-3743 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj-art-ac3ef2d116fc4d53ac596f3921ae31ab2025-01-07T09:03:49ZengSAGE PublishingJournal of Patient Experience2374-37432025-01-011210.1177/23743735241310961Improving Patient Experience by Understanding Barriers and Incentives to Telehealth Adoption Among Physicians at a Large Academic Medical CenterAlessandro Luna MD, MBA0Taylor B Sewell MD, MBA1 , New York, NY, USA Division of Critical Care, Hospital, and Palliative Medicine, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian Morgan Stanley Children’s Hospital, New York, NY, USAPatients benefit from and appreciate the option to use telehealth with their providers. Such patient expectations have therefore led to new questions about the factors that affect providers’ willingness to adopt telehealth as part of their clinical practice. We interviewed 19 physicians across four specialties with differential rates of telehealth use (Psychiatry, Anesthesiology, Physical Medicine & Rehabilitation [PM&R], and Ophthalmology) to discern the barriers and incentives to telehealth adoption among physicians. We then conducted a qualitative analysis of interview transcripts, following precepts of Directed Content Analysis. Conclusions drawn from matrix building and thematic analysis were verified with negative evidence searches and if-then tests. Robust investigations for outliers and rival explanations in responses were used to disconfirm findings. The results of this analysis revealed distinct barriers and incentives to telehealth adoption for the four specialties. Physicians in psychiatry and anesthesiology are refining the strengths and applications of telehealth based on the characteristic needs of their specialties. Physicians in PM&R and ophthalmology face additional barriers to acquiring physical exam data, leading them to use telehealth as a supplement to, rather than as a replacement for, core functions of patient care. The insights stemming from these barriers and incentives can be used to build thoughtful telehealth applications for physicians, allowing them to provide effective clinical care while also improving the patient experience.https://doi.org/10.1177/23743735241310961 |
| spellingShingle | Alessandro Luna MD, MBA Taylor B Sewell MD, MBA Improving Patient Experience by Understanding Barriers and Incentives to Telehealth Adoption Among Physicians at a Large Academic Medical Center Journal of Patient Experience |
| title | Improving Patient Experience by Understanding Barriers and Incentives
to Telehealth Adoption Among Physicians
at a Large Academic Medical Center |
| title_full | Improving Patient Experience by Understanding Barriers and Incentives
to Telehealth Adoption Among Physicians
at a Large Academic Medical Center |
| title_fullStr | Improving Patient Experience by Understanding Barriers and Incentives
to Telehealth Adoption Among Physicians
at a Large Academic Medical Center |
| title_full_unstemmed | Improving Patient Experience by Understanding Barriers and Incentives
to Telehealth Adoption Among Physicians
at a Large Academic Medical Center |
| title_short | Improving Patient Experience by Understanding Barriers and Incentives
to Telehealth Adoption Among Physicians
at a Large Academic Medical Center |
| title_sort | improving patient experience by understanding barriers and incentives to telehealth adoption among physicians at a large academic medical center |
| url | https://doi.org/10.1177/23743735241310961 |
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