PMID- 27269289
OWN - NLM
STAT- MEDLINE
DCOM- 20180531
LR  - 20180531
IS  - 1552-4523 (Electronic)
IS  - 0733-4648 (Linking)
VI  - 37
IP  - 1
DP  - 2018 Jan
TI  - Perceived Benefits, Barriers, and Drivers of Telemedicine From the Perspective of 
      Skilled Nursing Facility Administrative Staff Stakeholders.
PG  - 110-120
LID - 10.1177/0733464816651884 [doi]
AB  - Potentially avoidable hospitalizations (PAHs) of skilled nursing facility (SNF) 
      patients are common and costly. Telemedicine represents a unique approach to 
      manage and potentially reduce PAHs in SNFs, having been used in a variety of 
      settings to improve coordination of care and enhance access to providers. 
      Nonetheless, broad implementation and use of telemedicine lags in SNFs relative 
      to other health care settings. To understand why, we surveyed SNF administrative 
      staff attending a 1-day telemedicine summit. Participants saw the highest value 
      of telemedicine in improving the quality of care and reducing readmissions. They 
      identified hospital and managed care telemedicine requirements as primary drivers 
      of adoption. The most significant barrier to adoption was the initial investment 
      required. A joint research-policy effort to improve the evidence base around 
      telemedicine in SNFs and introduce incentives may improve adoption and continued 
      use of telemedicine in this setting.
FAU - Driessen, Julia
AU  - Driessen J
AD  - 1 Department of Health Policy and Management, Graduate School of Public Health, 
      University of Pittsburgh, PA, USA.
FAU - Castle, Nicholas G
AU  - Castle NG
AD  - 1 Department of Health Policy and Management, Graduate School of Public Health, 
      University of Pittsburgh, PA, USA.
FAU - Handler, Steven M
AU  - Handler SM
AD  - 2 Department of Biomedical Informatics, School of Medicine, University of 
      Pittsburgh, Pittsburgh, PA, USA.
AD  - 3 Division of Geriatric Medicine, Department of Medicine, University of 
      Pittsburgh, Pittsburgh, PA, USA.
LA  - eng
PT  - Journal Article
DEP - 20160605
PL  - United States
TA  - J Appl Gerontol
JT  - Journal of applied gerontology : the official journal of the Southern 
      Gerontological Society
JID - 8606502
SB  - IM
MH  - *Administrative Personnel
MH  - Hospitalization
MH  - Humans
MH  - Quality of Health Care
MH  - *Skilled Nursing Facilities
MH  - Surveys and Questionnaires
MH  - *Telemedicine
OTO - NOTNLM
OT  - skilled nursing facilities
OT  - survey
OT  - telemedicine
EDAT- 2016/06/09 06:00
MHDA- 2018/06/01 06:00
CRDT- 2016/06/09 06:00
PHST- 2016/06/09 06:00 [pubmed]
PHST- 2018/06/01 06:00 [medline]
PHST- 2016/06/09 06:00 [entrez]
AID - 0733464816651884 [pii]
AID - 10.1177/0733464816651884 [doi]
PST - ppublish
SO  - J Appl Gerontol. 2018 Jan;37(1):110-120. doi: 10.1177/0733464816651884. Epub 2016 
      Jun 5.