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Barriers and facilitators to adoption of soft copy interpretation from the user perspective: Lessons learned from filmless radiology for slideless pathology.

Patterson ES, Rayo M, Gill C, Gurcan MN - J Pathol Inform (2011)

Bottom Line: The integration of digital images both improved and reduced efficiency in routine and non-routine workflow patterns in both settings, and was variable across the different organizations.A comparison of these findings with prior research on adoption of other health information technologies suggests that the barriers to adoption of digital images in pathology are relatively tractable.Improving performance using digital images in pathology would likely accelerate adoption of innovative technologies that are facilitated by the use of digital images, such as electronic imaging databases, electronic health records, double reading for challenging cases, and computer-aided diagnostic systems.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Health Information Management and Systems, School of Allied Medical Professions, College of Medicine, The Ohio State University, Columbus, OH 43210, USA.

ABSTRACT

Background: Adoption of digital images for pathological specimens has been slower than adoption of digital images in radiology, despite a number of anticipated advantages for digital images in pathology. In this paper, we explore the factors that might explain this slower rate of adoption.

Materials and method: Semi-structured interviews on barriers and facilitators to the adoption of digital images were conducted with two radiologists, three pathologists, and one pathologist's assistant.

Results: Barriers and facilitators to adoption of digital images were reported in the areas of performance, workflow-efficiency, infrastructure, integration with other software, and exposure to digital images. The primary difference between the settings was that performance with the use of digital images as compared to the traditional method was perceived to be higher in radiology and lower in pathology. Additionally, exposure to digital images was higher in radiology than pathology, with some radiologists exclusively having been trained and/or practicing with digital images. The integration of digital images both improved and reduced efficiency in routine and non-routine workflow patterns in both settings, and was variable across the different organizations. A comparison of these findings with prior research on adoption of other health information technologies suggests that the barriers to adoption of digital images in pathology are relatively tractable.

Conclusions: Improving performance using digital images in pathology would likely accelerate adoption of innovative technologies that are facilitated by the use of digital images, such as electronic imaging databases, electronic health records, double reading for challenging cases, and computer-aided diagnostic systems.

No MeSH data available.


Related in: MedlinePlus

Theoretical framework of factors impacting the usefulness and usability of new technologies
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Figure 1: Theoretical framework of factors impacting the usefulness and usability of new technologies

Mentions: Barriers and facilitators to adoption of digital images were identified via standard qualitative techniques that iteratively identify patterns bottom up from the interview data while also being guided top-down by a conceptual framework.[3] During analysis, investigators highlighted areas of disagreement, which were then resolved via group discussion. Data collection and analysis was guided by a theoretical framework of human factors concepts[4] developed for research on barriers and facilitators to the use of computerized clinical reminders for physicians treating patients with infectious diseases in the outpatient setting [Figure 1]. During analysis, the primary themes that emerged were performance, workflow-efficiency, infrastructure, integration with other software, and exposure to digital images.


Barriers and facilitators to adoption of soft copy interpretation from the user perspective: Lessons learned from filmless radiology for slideless pathology.

Patterson ES, Rayo M, Gill C, Gurcan MN - J Pathol Inform (2011)

Theoretical framework of factors impacting the usefulness and usability of new technologies
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3046381&req=5

Figure 1: Theoretical framework of factors impacting the usefulness and usability of new technologies
Mentions: Barriers and facilitators to adoption of digital images were identified via standard qualitative techniques that iteratively identify patterns bottom up from the interview data while also being guided top-down by a conceptual framework.[3] During analysis, investigators highlighted areas of disagreement, which were then resolved via group discussion. Data collection and analysis was guided by a theoretical framework of human factors concepts[4] developed for research on barriers and facilitators to the use of computerized clinical reminders for physicians treating patients with infectious diseases in the outpatient setting [Figure 1]. During analysis, the primary themes that emerged were performance, workflow-efficiency, infrastructure, integration with other software, and exposure to digital images.

Bottom Line: The integration of digital images both improved and reduced efficiency in routine and non-routine workflow patterns in both settings, and was variable across the different organizations.A comparison of these findings with prior research on adoption of other health information technologies suggests that the barriers to adoption of digital images in pathology are relatively tractable.Improving performance using digital images in pathology would likely accelerate adoption of innovative technologies that are facilitated by the use of digital images, such as electronic imaging databases, electronic health records, double reading for challenging cases, and computer-aided diagnostic systems.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Health Information Management and Systems, School of Allied Medical Professions, College of Medicine, The Ohio State University, Columbus, OH 43210, USA.

ABSTRACT

Background: Adoption of digital images for pathological specimens has been slower than adoption of digital images in radiology, despite a number of anticipated advantages for digital images in pathology. In this paper, we explore the factors that might explain this slower rate of adoption.

Materials and method: Semi-structured interviews on barriers and facilitators to the adoption of digital images were conducted with two radiologists, three pathologists, and one pathologist's assistant.

Results: Barriers and facilitators to adoption of digital images were reported in the areas of performance, workflow-efficiency, infrastructure, integration with other software, and exposure to digital images. The primary difference between the settings was that performance with the use of digital images as compared to the traditional method was perceived to be higher in radiology and lower in pathology. Additionally, exposure to digital images was higher in radiology than pathology, with some radiologists exclusively having been trained and/or practicing with digital images. The integration of digital images both improved and reduced efficiency in routine and non-routine workflow patterns in both settings, and was variable across the different organizations. A comparison of these findings with prior research on adoption of other health information technologies suggests that the barriers to adoption of digital images in pathology are relatively tractable.

Conclusions: Improving performance using digital images in pathology would likely accelerate adoption of innovative technologies that are facilitated by the use of digital images, such as electronic imaging databases, electronic health records, double reading for challenging cases, and computer-aided diagnostic systems.

No MeSH data available.


Related in: MedlinePlus