Applying diffusion of innovation theory to examine providers’ perceptions of rural telehealth application and competencies

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-10-18 DOI:10.1080/10371656.2023.2270852

Jillian R. Williamson Yarbrough

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Abstract

ABSTRACTAbout 60 million Americans live in rural areas of the United States. These Americans have a lower life expectancy than their urban counterparts. There are many factors contributing to poorer health outcomes in rural America and one significant factor is limited access to healthcare. Telehealth is increasingly recognized as a solution for supporting rural access to healthcare. While many studies explore effective telehealth strategies, there are fewer studies that focus on telehealth application strategies and telehealth provider competencies specifically needed to support rural patients. This article aims to begin filling these gaps, examining best practices in rural telehealth application and provider competencies that are critical for effective rural patient care. Findings hold implications for faculty, medical professionals, and patients. Finally, the article identifies and consolidates five ideal telehealth application strategies and five telehealth provider competencies to support effective telehealth care in rural settings.KEYWORDS: Telemedicinehealthcareinequalityrural healthtechnology Disclosure statementNo potential conflict of interest was reported by the author(s).

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应用创新扩散理论来检查提供者对农村远程医疗应用和能力的看法

大约有六千万美国人生活在美国的农村地区。这些美国人的预期寿命低于城市居民。在美国农村，导致健康状况较差的因素有很多，其中一个重要因素是获得医疗保健的机会有限。人们日益认识到，远程保健是支持农村获得保健的一种解决办法。虽然许多研究探讨了有效的远程医疗战略，但关注远程医疗应用战略和远程医疗提供者能力的研究较少，这些战略和能力是专门为农村患者提供支持所需的。本文旨在开始填补这些空白，研究农村远程医疗应用的最佳实践和对有效农村患者护理至关重要的提供者能力。研究结果对教师、医疗专业人员和患者都有意义。最后，本文确定并整合了五种理想的远程医疗应用策略和五种远程医疗提供者能力，以支持农村环境中有效的远程医疗。关键词:远程医疗卫生保健不平等农村卫生技术披露声明作者未报告潜在利益冲突。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.