Characteristics of study participants.
<div><p>Purpose</p><p>Sepsis is a leading cause of hospitalization and death in the United States, and rural patients are at particularly high risk. Telehealth has been proposed as one strategy to narrow rural-urban disparities. The objective of this study was to understand w...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , , , , , , , , , , |
| منشور في: |
2025
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إضافة وسم
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| _version_ | 1852021109783789568 |
|---|---|
| author | Nicholas M. Mohr (9975773) |
| author2 | Kimberly A.S. Merchant (21169031) Brian M. Fuller (12879383) Brett Faine (17449929) Luke Mack (18500009) Amanda Bell (6167345) Katie DeJong (12614205) Edith A. Parker (3815350) Keith Mueller (21169034) Elizabeth Chrischilles (3448571) Christopher R. Carpenter (12936317) Michael P. Jones (7512287) Steven Q. Simpson (9665649) Marcia M. Ward (6736688) |
| author2_role | author author author author author author author author author author author author author |
| author_facet | Nicholas M. Mohr (9975773) Kimberly A.S. Merchant (21169031) Brian M. Fuller (12879383) Brett Faine (17449929) Luke Mack (18500009) Amanda Bell (6167345) Katie DeJong (12614205) Edith A. Parker (3815350) Keith Mueller (21169034) Elizabeth Chrischilles (3448571) Christopher R. Carpenter (12936317) Michael P. Jones (7512287) Steven Q. Simpson (9665649) Marcia M. Ward (6736688) |
| author_role | author |
| dc.creator.none.fl_str_mv | Nicholas M. Mohr (9975773) Kimberly A.S. Merchant (21169031) Brian M. Fuller (12879383) Brett Faine (17449929) Luke Mack (18500009) Amanda Bell (6167345) Katie DeJong (12614205) Edith A. Parker (3815350) Keith Mueller (21169034) Elizabeth Chrischilles (3448571) Christopher R. Carpenter (12936317) Michael P. Jones (7512287) Steven Q. Simpson (9665649) Marcia M. Ward (6736688) |
| dc.date.none.fl_str_mv | 2025-04-23T17:30:27Z |
| dc.identifier.none.fl_str_mv | 10.1371/journal.pone.0321299.t001 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/dataset/Characteristics_of_study_participants_/28849280 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Medicine Biotechnology Evolutionary Biology Cancer Infectious Diseases provide surge capacity particularly high risk modified grounded theory limited potential benefits facilitate interhospital transfer rural emergency departments rural emergency department sepsis diagnostic uncertainty ed hub physicians many barriers existed interviewed 27 participants staff use provider xlink "> sepsis qualitative interview study xlink "> tele ed care changes xlink "> ed use qualitative study rural providers narrow rural sepsis treatment sepsis care provider scope provider reluctance provider consultation ed network ed care delivers provider rural patients urban disparities united states time education small teams single tele one strategy leading cause inexperienced providers increased severity identify themes february 15 complex comorbidities |
| dc.title.none.fl_str_mv | Characteristics of study participants. |
| dc.type.none.fl_str_mv | Dataset info:eu-repo/semantics/publishedVersion dataset |
| description | <div><p>Purpose</p><p>Sepsis is a leading cause of hospitalization and death in the United States, and rural patients are at particularly high risk. Telehealth has been proposed as one strategy to narrow rural-urban disparities. The objective of this study was to understand why rural emergency department (ED) staff use provider-to-provider telehealth (tele-ED) and how tele-ED care changes the care for rural patients with sepsis.</p><p>Methods</p><p>We conducted a qualitative interview study between February 15, 2022, and May 22, 2023, with participants from upper Midwest rural EDs and tele-ED hub physicians in a single tele-ED network that delivers provider-to-provider consultation for sepsis patients. One interviewer conducted individual telephone interviews, then we used standard qualitative methods based on modified grounded theory to identify themes and domains.</p><p>Findings</p><p>We interviewed 27 participants, and from the interviews we identified nine themes within three domains. Participants largely felt tele-ED for sepsis was valuable in their practice. We identified that telehealth was consulted to facilitate interhospital transfer, provide surge capacity for small teams, to adhere with provider scope-of-practice policies, for inexperienced providers, and for patients with increased severity of illness or complex comorbidities. Barriers to tele-ED use and impact included increased sepsis care standardization, provider reluctance, and sepsis diagnostic uncertainty. Additionally, we identified that real-time education and training were important secondary benefits identified from tele-ED use.</p><p>Conclusions</p><p>Tele-ED care was used by rural providers for sepsis treatment, but many barriers existed that may have limited potential benefits to its use.</p></div> |
| eu_rights_str_mv | openAccess |
| id | Manara_0fdd674749cfdf2de428edc05496bf12 |
| identifier_str_mv | 10.1371/journal.pone.0321299.t001 |
| network_acronym_str | Manara |
| network_name_str | ManaraRepo |
| oai_identifier_str | oai:figshare.com:article/28849280 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Characteristics of study participants.Nicholas M. Mohr (9975773)Kimberly A.S. Merchant (21169031)Brian M. Fuller (12879383)Brett Faine (17449929)Luke Mack (18500009)Amanda Bell (6167345)Katie DeJong (12614205)Edith A. Parker (3815350)Keith Mueller (21169034)Elizabeth Chrischilles (3448571)Christopher R. Carpenter (12936317)Michael P. Jones (7512287)Steven Q. Simpson (9665649)Marcia M. Ward (6736688)MedicineBiotechnologyEvolutionary BiologyCancerInfectious Diseasesprovide surge capacityparticularly high riskmodified grounded theorylimited potential benefitsfacilitate interhospital transferrural emergency departmentsrural emergency departmentsepsis diagnostic uncertaintyed hub physiciansmany barriers existedinterviewed 27 participantsstaff use providerxlink "> sepsisqualitative interview studyxlink "> teleed care changesxlink ">ed usequalitative studyrural providersnarrow ruralsepsis treatmentsepsis careprovider scopeprovider reluctanceprovider consultationed networked caredelivers providerrural patientsurban disparitiesunited statestime educationsmall teamssingle teleone strategyleading causeinexperienced providersincreased severityidentify themesfebruary 15complex comorbidities<div><p>Purpose</p><p>Sepsis is a leading cause of hospitalization and death in the United States, and rural patients are at particularly high risk. Telehealth has been proposed as one strategy to narrow rural-urban disparities. The objective of this study was to understand why rural emergency department (ED) staff use provider-to-provider telehealth (tele-ED) and how tele-ED care changes the care for rural patients with sepsis.</p><p>Methods</p><p>We conducted a qualitative interview study between February 15, 2022, and May 22, 2023, with participants from upper Midwest rural EDs and tele-ED hub physicians in a single tele-ED network that delivers provider-to-provider consultation for sepsis patients. One interviewer conducted individual telephone interviews, then we used standard qualitative methods based on modified grounded theory to identify themes and domains.</p><p>Findings</p><p>We interviewed 27 participants, and from the interviews we identified nine themes within three domains. Participants largely felt tele-ED for sepsis was valuable in their practice. We identified that telehealth was consulted to facilitate interhospital transfer, provide surge capacity for small teams, to adhere with provider scope-of-practice policies, for inexperienced providers, and for patients with increased severity of illness or complex comorbidities. Barriers to tele-ED use and impact included increased sepsis care standardization, provider reluctance, and sepsis diagnostic uncertainty. Additionally, we identified that real-time education and training were important secondary benefits identified from tele-ED use.</p><p>Conclusions</p><p>Tele-ED care was used by rural providers for sepsis treatment, but many barriers existed that may have limited potential benefits to its use.</p></div>2025-04-23T17:30:27ZDatasetinfo:eu-repo/semantics/publishedVersiondataset10.1371/journal.pone.0321299.t001https://figshare.com/articles/dataset/Characteristics_of_study_participants_/28849280CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/288492802025-04-23T17:30:27Z |
| spellingShingle | Characteristics of study participants. Nicholas M. Mohr (9975773) Medicine Biotechnology Evolutionary Biology Cancer Infectious Diseases provide surge capacity particularly high risk modified grounded theory limited potential benefits facilitate interhospital transfer rural emergency departments rural emergency department sepsis diagnostic uncertainty ed hub physicians many barriers existed interviewed 27 participants staff use provider xlink "> sepsis qualitative interview study xlink "> tele ed care changes xlink "> ed use qualitative study rural providers narrow rural sepsis treatment sepsis care provider scope provider reluctance provider consultation ed network ed care delivers provider rural patients urban disparities united states time education small teams single tele one strategy leading cause inexperienced providers increased severity identify themes february 15 complex comorbidities |
| status_str | publishedVersion |
| title | Characteristics of study participants. |
| title_full | Characteristics of study participants. |
| title_fullStr | Characteristics of study participants. |
| title_full_unstemmed | Characteristics of study participants. |
| title_short | Characteristics of study participants. |
| title_sort | Characteristics of study participants. |
| topic | Medicine Biotechnology Evolutionary Biology Cancer Infectious Diseases provide surge capacity particularly high risk modified grounded theory limited potential benefits facilitate interhospital transfer rural emergency departments rural emergency department sepsis diagnostic uncertainty ed hub physicians many barriers existed interviewed 27 participants staff use provider xlink "> sepsis qualitative interview study xlink "> tele ed care changes xlink "> ed use qualitative study rural providers narrow rural sepsis treatment sepsis care provider scope provider reluctance provider consultation ed network ed care delivers provider rural patients urban disparities united states time education small teams single tele one strategy leading cause inexperienced providers increased severity identify themes february 15 complex comorbidities |