@Article{info:doi/10.2196/49769,
author="Iqbal, Fahad Mujtaba
and Aggarwal, Ravi
and Joshi, Meera
and King, Dominic
and Martin, Guy
and Khan, Sadia
and Wright, Mike
and Ashrafian, Hutan
and Darzi, Ara",
title="Barriers to and Facilitators of Key Stakeholders Influencing Successful Digital Implementation of Remote Monitoring Solutions: Mixed Methods Analysis",
journal="JMIR Hum Factors",
year="2024",
month="May",
day="6",
volume="11",
pages="e49769",
keywords="implementation science; health plan implementation; mobile health; health care industry; stakeholder; COVID-19; remote monitoring; digital tools; digital health; pandemic; virtual wards; virtual ward; health care delivery; telemedicine; telehealth; wearables; wearable; technology; United Kingdom; UK; digital services",
abstract="Background: Implementation of remote monitoring solutions and digital alerting tools in health care has historically been challenging, despite the impetus provided by the COVID-19 pandemic. To date, a health systems--based approach to systematically describe barriers and facilitators across multiple domains has not been undertaken. Objective: We aimed to undertake a comprehensive mixed methods analysis of barriers and facilitators for successful implementation of remote monitoring and digital alerting tools in complex health organizations. Methods: A mixed methods approach using a modified Technology Acceptance Model questionnaire and semistructured interviews mapped to the validated fit among humans, organizations, and technology (HOT-fit) framework was undertaken. Likert frequency responses and deductive thematic analyses were performed. Results: A total of 11 participants responded to the questionnaire and 18 participants to the interviews. Key barriers and facilitators could be mapped onto 6 dimensions, which incorporated aspects of digitization: system use (human), user satisfaction (human), environment (organization), structure (organization), information and service quality (technology), and system quality (technology). Conclusions: The recommendations proposed can enhance the potential for future remote sensing solutions to be more successfully integrated in health care practice, resulting in more successful use of ``virtual wards.'' Trial Registration: ClinicalTrials.gov NCT05321004; https://www.clinicaltrials.gov/study/NCT05321004 ",
issn="2292-9495",
doi="10.2196/49769",
url="https://humanfactors.jmir.org/2024/1/e49769",
url="https://doi.org/10.2196/49769",
url="http://www.ncbi.nlm.nih.gov/pubmed/37338929"
}