TY  - JOUR
AU  - Iqbal, Fahad Mujtaba
AU  - Aggarwal, Ravi
AU  - Joshi, Meera
AU  - King, Dominic
AU  - Martin, Guy
AU  - Khan, Sadia
AU  - Wright, Mike
AU  - Ashrafian, Hutan
AU  - Darzi, Ara
PY  - 2024
DA  - 2024/5/6
TI  - Barriers to and Facilitators of Key Stakeholders Influencing Successful Digital Implementation of Remote Monitoring Solutions: Mixed Methods Analysis
JO  - JMIR Hum Factors
SP  - e49769
VL  - 11
KW  - implementation science
KW  - health plan implementation
KW  - mobile health
KW  - health care industry
KW  - stakeholder
KW  - COVID-19
KW  - remote monitoring
KW  - digital tools
KW  - digital health
KW  - pandemic
KW  - virtual wards
KW  - virtual ward
KW  - health care delivery
KW  - telemedicine
KW  - telehealth
KW  - wearables
KW  - wearable
KW  - technology
KW  - United Kingdom
KW  - UK
KW  - digital services
AB  - 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 
SN  - 2292-9495
UR  - https://humanfactors.jmir.org/2024/1/e49769
UR  - https://doi.org/10.2196/49769
UR  - http://www.ncbi.nlm.nih.gov/pubmed/37338929
DO  - 10.2196/49769
ID  - info:doi/10.2196/49769
ER  -