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A thematic analysis of health information technology use among cancer genetic counselors.
J Genet Couns. 2020 Jul 08 [Online ahead of print]JG

Abstract

As precision medicine becomes a mainstay in health care, the use of health information technology (IT) platforms will play an important role in the delivery of services across the cancer care continuum. Currently, there is both limited understanding about perceptions of health IT tools and barriers to their use among cancer genetic counselors. We assessed open-ended responses from a survey conducted among 128 board-certified cancer genetic counselors in the United States. We evaluated the utility of ten health IT tools and perceived barriers to adoption. Responses about characteristics of health IT tools that influence current use (i.e., technology-specific challenges) were deductively analyzed using the diffusion of innovations (DOI) characteristics. Responses about cancer genetic counselors' perceived challenges to adopting health IT tools (i.e., discipline-specific challenges) were inductively coded using a thematic approach. DOI innovation characteristics included mixed perceptions about the relative advantage, complexity, compatibility, trialability, and observability of tools based on the type of tool and perceived end-user. One-third of participants indicated that they were considering adopting or switching health IT tools. Common barriers to adoption included no perceived need for change, lack of organizational infrastructure, cost, and lack of decision-making power. Our findings indicate that addressing barriers to use and adoption of health IT may allow for expansion of these tools among cancer genetic counselors. Integrating health IT is critical for enhancing cancer genetic counselors' capacity to address patient needs and realizing the potential of precision medicine.

Authors+Show Affiliations

Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.ItRunsInMyFamily, Charleston, South Carolina, USA.Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.College of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA.Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA.Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA. Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina, USA.Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA. Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32643297

Citation

Allen, Caitlin G., et al. "A Thematic Analysis of Health Information Technology Use Among Cancer Genetic Counselors." Journal of Genetic Counseling, 2020.
Allen CG, Ritchie JB, Morrison H, et al. A thematic analysis of health information technology use among cancer genetic counselors. J Genet Couns. 2020.
Allen, C. G., Ritchie, J. B., Morrison, H., Lauzon, S. D., Nichols, M., Schiffman, J. D., Hughes Halbert, C., & Welch, B. M. (2020). A thematic analysis of health information technology use among cancer genetic counselors. Journal of Genetic Counseling. https://doi.org/10.1002/jgc4.1306
Allen CG, et al. A Thematic Analysis of Health Information Technology Use Among Cancer Genetic Counselors. J Genet Couns. 2020 Jul 8; PubMed PMID: 32643297.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A thematic analysis of health information technology use among cancer genetic counselors. AU - Allen,Caitlin G, AU - Ritchie,Jordon B, AU - Morrison,Heath, AU - Lauzon,Steven D, AU - Nichols,Michelle, AU - Schiffman,Joshua D, AU - Hughes Halbert,Chanita, AU - Welch,Brandon M, Y1 - 2020/07/08/ PY - 2019/08/14/received PY - 2020/05/13/revised PY - 2020/05/14/accepted PY - 2020/7/10/entrez PY - 2020/7/10/pubmed PY - 2020/7/10/medline KW - cancer genetic counseling KW - genetic counseling KW - genetic counselors KW - health information technology KW - innovation KW - precision medicine KW - telemedicine KW - thematic analysis KW - workforce JF - Journal of genetic counseling JO - J Genet Couns N2 - As precision medicine becomes a mainstay in health care, the use of health information technology (IT) platforms will play an important role in the delivery of services across the cancer care continuum. Currently, there is both limited understanding about perceptions of health IT tools and barriers to their use among cancer genetic counselors. We assessed open-ended responses from a survey conducted among 128 board-certified cancer genetic counselors in the United States. We evaluated the utility of ten health IT tools and perceived barriers to adoption. Responses about characteristics of health IT tools that influence current use (i.e., technology-specific challenges) were deductively analyzed using the diffusion of innovations (DOI) characteristics. Responses about cancer genetic counselors' perceived challenges to adopting health IT tools (i.e., discipline-specific challenges) were inductively coded using a thematic approach. DOI innovation characteristics included mixed perceptions about the relative advantage, complexity, compatibility, trialability, and observability of tools based on the type of tool and perceived end-user. One-third of participants indicated that they were considering adopting or switching health IT tools. Common barriers to adoption included no perceived need for change, lack of organizational infrastructure, cost, and lack of decision-making power. Our findings indicate that addressing barriers to use and adoption of health IT may allow for expansion of these tools among cancer genetic counselors. Integrating health IT is critical for enhancing cancer genetic counselors' capacity to address patient needs and realizing the potential of precision medicine. SN - 1573-3599 UR - https://www.unboundmedicine.com/medline/citation/32643297/A_thematic_analysis_of_health_information_technology_use_among_cancer_genetic_counselors L2 - https://doi.org/10.1002/jgc4.1306 DB - PRIME DP - Unbound Medicine ER -
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