Health Care Professionals’ Perspectives on Using eHealth Tools in Advanced Home Care: Qualitative Interview Study

BackgroundThe rising demand for advanced home care services, driven by an aging population and the preference for aging in place, presents both challenges and opportunities. While advanced home care can improve cost-effectiveness and patient outcomes, gaps remain in understan...

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Main Authors: Eric Vincent Rivas, Ulf Lesley, Nadia Davoody
Format: Article
Language:English
Published: JMIR Publications 2025-03-01
Series:JMIR Human Factors
Online Access:https://humanfactors.jmir.org/2025/1/e60582
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author Eric Vincent Rivas
Ulf Lesley
Nadia Davoody
author_facet Eric Vincent Rivas
Ulf Lesley
Nadia Davoody
author_sort Eric Vincent Rivas
collection DOAJ
description BackgroundThe rising demand for advanced home care services, driven by an aging population and the preference for aging in place, presents both challenges and opportunities. While advanced home care can improve cost-effectiveness and patient outcomes, gaps remain in understanding how eHealth technologies can optimize these services. eHealth tools have the potential to offer personalized, coordinated care that increases patient engagement. However, research exploring health care professionals’ (HCPs) perspectives on the use of eHealth tools in advanced home care and their impact on the HCP-patient relationship is limited. ObjectiveThis study aims to explore HCPs’ perspectives on using eHealth tools in advanced home care and these tools’ impact on HCP-patient relationships. MethodsIn total, 20 HCPs from 9 clinics specializing in advanced home care were interviewed using semistructured interviews. The discussions focused on their experiences with 2 eHealth tools: a mobile documentation tool and a mobile preconsultation form. The data were analyzed using content analysis to identify recurring themes. ResultsThe data analysis identified one main theme: optimizing health care with eHealth; that is, enhancing care delivery and overcoming challenges for future health care. Two subthemes emerged: (1) enhancing care delivery, collaboration, and overcoming adoption barriers and (2) streamlining implementation and advancing eHealth tools for future health care delivery. Five categories were also identified: (1) positive experiences and benefits, (2) interactions between HCPs and patients, (3) challenges and difficulties with eHealth tools, (4) integration into the daily workflow, and (5) future directions. Most HCPs expressed positive experiences with the mobile documentation tool, highlighting improved efficiency, documentation quality, and patient safety. While all found the mobile preconsultation form beneficial, patient-related factors limited its utility. Regarding HCP-patient relationships, interactions with patients remained unchanged with the implementation of both tools. HCPs successfully maintained their interpersonal skills and patient-centered approach while integrating eHealth tools into their practice. The tools allowed more focused, in-depth discussions, enhancing patient engagement without affecting relationships. Difficulties with the tools originated from tool-related issues, organizational challenges, or patient-related complexities, occasionally affecting the time available for direct patient interaction. ConclusionsThe study underscores the importance of eHealth tools in enhancing advanced home care while maintaining the HCP-patient relationship. While eHealth tools modify care delivery techniques, they do not impact the core dynamics of the relationships between HCPs and patients. While most of the HCPs in the study had a positive attitude toward using the eHealth tools, understanding the challenges they encounter is crucial for improving user acceptance and success in implementation. Future development should focus on features that not only improve efficiency but also actively enhance HCP-patient relationships, such as facilitating more meaningful interactions and supporting personalized care in the advanced home care setting.
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spelling doaj-art-f7a5fa459d8a49fd84a2b38fd825a90e2025-08-20T03:41:57ZengJMIR PublicationsJMIR Human Factors2292-94952025-03-0112e6058210.2196/60582Health Care Professionals’ Perspectives on Using eHealth Tools in Advanced Home Care: Qualitative Interview StudyEric Vincent Rivashttps://orcid.org/0009-0007-7048-8581Ulf Lesleyhttps://orcid.org/0009-0009-1791-9842Nadia Davoodyhttps://orcid.org/0000-0003-1813-8529 BackgroundThe rising demand for advanced home care services, driven by an aging population and the preference for aging in place, presents both challenges and opportunities. While advanced home care can improve cost-effectiveness and patient outcomes, gaps remain in understanding how eHealth technologies can optimize these services. eHealth tools have the potential to offer personalized, coordinated care that increases patient engagement. However, research exploring health care professionals’ (HCPs) perspectives on the use of eHealth tools in advanced home care and their impact on the HCP-patient relationship is limited. ObjectiveThis study aims to explore HCPs’ perspectives on using eHealth tools in advanced home care and these tools’ impact on HCP-patient relationships. MethodsIn total, 20 HCPs from 9 clinics specializing in advanced home care were interviewed using semistructured interviews. The discussions focused on their experiences with 2 eHealth tools: a mobile documentation tool and a mobile preconsultation form. The data were analyzed using content analysis to identify recurring themes. ResultsThe data analysis identified one main theme: optimizing health care with eHealth; that is, enhancing care delivery and overcoming challenges for future health care. Two subthemes emerged: (1) enhancing care delivery, collaboration, and overcoming adoption barriers and (2) streamlining implementation and advancing eHealth tools for future health care delivery. Five categories were also identified: (1) positive experiences and benefits, (2) interactions between HCPs and patients, (3) challenges and difficulties with eHealth tools, (4) integration into the daily workflow, and (5) future directions. Most HCPs expressed positive experiences with the mobile documentation tool, highlighting improved efficiency, documentation quality, and patient safety. While all found the mobile preconsultation form beneficial, patient-related factors limited its utility. Regarding HCP-patient relationships, interactions with patients remained unchanged with the implementation of both tools. HCPs successfully maintained their interpersonal skills and patient-centered approach while integrating eHealth tools into their practice. The tools allowed more focused, in-depth discussions, enhancing patient engagement without affecting relationships. Difficulties with the tools originated from tool-related issues, organizational challenges, or patient-related complexities, occasionally affecting the time available for direct patient interaction. ConclusionsThe study underscores the importance of eHealth tools in enhancing advanced home care while maintaining the HCP-patient relationship. While eHealth tools modify care delivery techniques, they do not impact the core dynamics of the relationships between HCPs and patients. While most of the HCPs in the study had a positive attitude toward using the eHealth tools, understanding the challenges they encounter is crucial for improving user acceptance and success in implementation. Future development should focus on features that not only improve efficiency but also actively enhance HCP-patient relationships, such as facilitating more meaningful interactions and supporting personalized care in the advanced home care setting.https://humanfactors.jmir.org/2025/1/e60582
spellingShingle Eric Vincent Rivas
Ulf Lesley
Nadia Davoody
Health Care Professionals’ Perspectives on Using eHealth Tools in Advanced Home Care: Qualitative Interview Study
JMIR Human Factors
title Health Care Professionals’ Perspectives on Using eHealth Tools in Advanced Home Care: Qualitative Interview Study
title_full Health Care Professionals’ Perspectives on Using eHealth Tools in Advanced Home Care: Qualitative Interview Study
title_fullStr Health Care Professionals’ Perspectives on Using eHealth Tools in Advanced Home Care: Qualitative Interview Study
title_full_unstemmed Health Care Professionals’ Perspectives on Using eHealth Tools in Advanced Home Care: Qualitative Interview Study
title_short Health Care Professionals’ Perspectives on Using eHealth Tools in Advanced Home Care: Qualitative Interview Study
title_sort health care professionals perspectives on using ehealth tools in advanced home care qualitative interview study
url https://humanfactors.jmir.org/2025/1/e60582
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