Provider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology

Jennifer L. Fang; Rachel Umoren; Hilary Whyte; Jamie Limjoco; Abhishek Makkar; Rosanna Yankanah; Mike McCoy; Mark D. Lo; Christopher E. Colby; Jeph Herrin; Robert M. Jacobson; Bart M. Demaerschalk

doi:10.1055/a-1656-6363

American Journal of Perinatology, Table of Contents

Am J Perinatol 2023; 40(14): 1521-1528
DOI: 10.1055/a-1656-6363

Original Article

Provider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology

Jennifer L. Fang

¹Division of Neonatal Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota

,

Rachel Umoren

²Division of Neonatology, Department of Pediatrics, University of Washington & Seattle Children's Hospital, Seattle, Washington

,

Hilary Whyte

³Division of Neonatology, The Hospital for Sick Children, Toronto, Ontario, Canada

,

Jamie Limjoco

⁴Division of Neonatology, University of Wisconsin, Madison, Wisconsin

,

Abhishek Makkar

⁵University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma

,

Rosanna Yankanah

³Division of Neonatology, The Hospital for Sick Children, Toronto, Ontario, Canada

,

Mike McCoy

⁵University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma

,

Mark D. Lo

⁶Division of Emergency Medicine, Department of Pediatrics, University of Washington & Seattle Children's Hospital, Seattle, Washington

,

Christopher E. Colby

¹Division of Neonatal Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota

,

Jeph Herrin

⁷Division of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut

,

Robert M. Jacobson

⁸Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota

,

Bart M. Demaerschalk

⁹Department of Neurology and Center for Connected Care, Mayo Clinic College of Medicine and Science, Scottsdale, Arizona

› Author Affiliations

Abstract

Objective We aimed to measure provider perspectives on the acceptability, appropriateness, and feasibility of teleneonatology in neonatal intensive care units (NICUs) and community hospitals.

Study Design Providers from five academic tertiary NICUs and 27 community hospitals were surveyed using validated implementation measures to assess the acceptability, appropriateness, and feasibility of teleneonatology. For each of the 12 statements, scale values ranged from 1 to 5 (1 = strongly disagree; 5 = strongly agree), with higher scores indicating greater positive perceptions. Survey results were summarized, and differences across respondents assessed using generalized linear models.

Results The survey response rate was 56% (203/365). Respondents found teleneonatology to be acceptable, appropriate, and feasible. The percent of respondents who agreed with each of the twelve statements ranged from 88.6 to 99.0%, with mean scores of 4.4 to 4.7 and median scores of 4.0 to 5.0. There was no difference in the acceptability, appropriateness, and feasibility of teleneonatology when analyzed by professional role, years of experience in neonatal care, or years of teleneonatology experience. Respondents from Level I well newborn nurseries had greater positive perceptions of teleneonatology than those from Level II special care nurseries.

Conclusion Providers in tertiary NICUs and community hospitals perceive teleneonatology to be highly acceptable, appropriate, and feasible for their practices. The wide acceptance by providers of all roles and levels of experience likely demonstrates a broad receptiveness to telemedicine as a tool to deliver neonatal care, particularly in rural communities where specialists are unavailable.

Key Points

Neonatal care providers perceive teleneonatology to be highly acceptable, appropriate, and feasible.
Perceptions of teleneonatology do not differ based on professional role or years of experience.
Perceptions of teleneonatology are especially high in smaller hospitals with well newborn nurseries.

Keywords

implementation science - telemedicine - newborn - feasibility - teleneonatology

Full Text

References

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Supplementary Material

Supplementary Material