Citation

Boyle TP, Ludy S, Meguerdichian D, Dugas JN, Drainoni ML, Litvak M, Bedenbaugh RT, Schmidt L, Miller K, Biddinger PD, Goralnick E. Telemed. J. E-Health 2022; ePub(ePub): ePub.

Copyright

(Copyright © 2022, Mary Ann Liebert Publishers)

DOI

10.1089/tmj.2022.0103

PMID

36036805

Abstract

INTRODUCTION: The federally funded Region 1 Regional Disaster Health Response System (RDHRS) and the American Burn Association partnered to develop a model regional disaster teleconsultation system within a Medical Emergency Operations Center (MEOC) to support triage and specialty consultation during a no-notice mass casualty incident. Our objective was to test the acceptability and feasibility of a prototype model system in simulated disasters as proof of concept.

METHODS: We conducted a mixed-methods simulation study using the Technology Acceptance Model framework. Participating physicians completed the Telehealth Usability Questionnaire (TUQ) and semistructured interviews after simulations.

RESULTS: TUQ item scores rating the model system were highest for usefulness and satisfaction, and lowest for interaction quality and reliability.

CONCLUSIONS: We found high model acceptance, but desire for a simpler, more reliable technology interface with better audiovisual quality for low-frequency, high-stakes use. Future work will emphasize technology interface quality and reliability, automate coordinator roles, and field test the model system.

Language: en

Keywords

telemedicine; disaster medicine; mass casualty incidents; regional medical programs; teleconsultation