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      A qualitative analysis of the effectiveness of telehealthcare devices (ii) barriers to uptake of telehealthcare devices

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          Monitoring health and care needs through the use of telehealthcare devices has been proposed to help alleviate funding concerns in a climate of limited budgets. As well as improving cost effectiveness, such an approach could be used to help individuals live at home for longer. In practice however, these devices often go unused. A qualitative study was carried out to determine the barriers to uptake of these devices from both the perspective of the end user and from key players in the healthcare supply chain.


          A qualitative approach was used involving focus groups and interviews. Two UK-based focus groups were held with users and potential users, to assess their views on the wide array of devices available. 27 individuals were involved in the groups, all over the age of 60. Additionally 27 telephone interviews were conducted with key supply chain players to ascertain their views on the barriers to uptake of these devices. A semi-structured interview guide was used. All data were audio-recorded, transcribed verbatim and analysed using a thematic approach.


          Users were generally unaware of the wide array of devices available and when shown a selection, were often unclear as to their purpose. The interviews revealed extensive barriers to uptake due to lack of awareness, unfamiliar terminology, complex supply routes and costs, resistance from professionals to device usage and lack of expertise.


          Public and professional awareness campaigns are required with appropriate funding mechanisms for users to gain access to devices. The numerous barriers identified require systematically addressing, so that device usage is better promoted, enabling individuals to live at home successfully for longer.

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          Most cited references 3

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                Author and article information

                BMC Health Serv Res
                BMC Health Serv Res
                BMC Health Services Research
                BioMed Central (London )
                6 July 2017
                6 July 2017
                : 17
                [1 ]ISNI 0000 0004 1936 9297, GRID grid.5491.9, Faculty of Health Sciences Building 67, , University of Southampton, ; Southampton, UK
                [2 ]ISNI 0000 0001 0679 2190, GRID grid.12026.37, Cranfield Biotechnology Centre, , Cranfield University, ; Bedford, UK
                [3 ]ISNI 0000 0001 2299 5510, GRID grid.5115.0, Health and Wellbeing Academy, , Anglia Ruskin University, ; Bishop Hall Lane, Chelmsford, CM1 1SQ UK
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                Funded by: European Commission Framework 7 Programme
                Award ID: MOPACT
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                Research Article
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                © The Author(s) 2017

                Health & Social care

                uptake, barriers, end-users, devices, telehealth, telecare


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