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A multi-level qualitative analysis of Telehomecare in Ontario: challenges and opportunities

Overview of attention for article published in BMC Health Services Research, December 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (83rd percentile)
  • High Attention Score compared to outputs of the same age and source (81st percentile)

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1 policy source
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9 X users

Citations

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40 Dimensions

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233 Mendeley
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Title
A multi-level qualitative analysis of Telehomecare in Ontario: challenges and opportunities
Published in
BMC Health Services Research, December 2015
DOI 10.1186/s12913-015-1196-2
Pubmed ID
Authors

Gemma Hunting, Nida Shahid, Yeva Sahakyan, Iris Fan, Crystal R. Moneypenny, Aleksandra Stanimirovic, Taylor North, Yelena Petrosyan, Murray D. Krahn, Valeria E. Rac

Abstract

Despite research demonstrating the potential effectiveness of Telehomecare for people with Chronic Obstructive Pulmonary Disease and Heart Failure, broad-scale comprehensive evaluations are lacking. This article discusses the qualitative component of a mixed-method program evaluation of Telehomecare in Ontario, Canada. The objective of the qualitative component was to explore the multi-level factors and processes which facilitate or impede the implementation and adoption of the program across three regions where it was first implemented. The study employs a multi-level framework as a conceptual guide to explore the facilitators and barriers to Telehomecare implementation and adoption across five levels: technology, patients, providers, organizations, and structures. In-depth semi-structured interviews and ethnographic observations with program stakeholders, as well as a Telehomecare document review were used to elicit key themes. Study participants (n = 89) included patients and/or informal caregivers (n = 39), health care providers (n = 23), technicians (n = 2), administrators (n = 12), and decision makers (n = 13) across three different Local Health Integration Networks in Ontario. Key facilitators to Telehomecare implementation and adoption at each level of the multi-level framework included: user-friendliness of Telehomecare technology, patient motivation to participate in the program, support for Telehomecare providers, the integration of Telehomecare into broader health service provision, and comprehensive program evaluation. Key barriers included: access-related issues to using the technology, patient language (if not English or French), Telehomecare provider time limitations, gaps in health care provision for patients, and structural barriers to patient participation related to geography and social location. Though Telehomecare has the potential to positively impact patient lives and strengthen models of health care provision, a number of key challenges remain. As such, further implementation and expansion of Telehomecare must involve continuous assessments of what is working and not working with all stakeholders. Increased dialogue, evaluation, and knowledge translation within and across regions to understand the contextual factors influencing Telehomecare implementation and adoption is required. This can inform decision-making that better reflects and addresses the needs of all program stakeholders.

X Demographics

X Demographics

The data shown below were collected from the profiles of 9 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 233 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 2 <1%
Argentina 1 <1%
Netherlands 1 <1%
Unknown 229 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 35 15%
Researcher 34 15%
Student > Ph. D. Student 29 12%
Student > Bachelor 21 9%
Student > Doctoral Student 18 8%
Other 41 18%
Unknown 55 24%
Readers by discipline Count As %
Medicine and Dentistry 49 21%
Nursing and Health Professions 36 15%
Social Sciences 21 9%
Psychology 11 5%
Business, Management and Accounting 9 4%
Other 41 18%
Unknown 66 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 9. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 December 2021.
All research outputs
#3,950,372
of 23,905,714 outputs
Outputs from BMC Health Services Research
#1,755
of 7,987 outputs
Outputs of similar age
#64,635
of 395,060 outputs
Outputs of similar age from BMC Health Services Research
#18
of 99 outputs
Altmetric has tracked 23,905,714 research outputs across all sources so far. Compared to these this one has done well and is in the 83rd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 7,987 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.0. This one has done well, scoring higher than 77% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 395,060 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 83% of its contemporaries.
We're also able to compare this research output to 99 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 81% of its contemporaries.