Objectives: 

To explore the surgeon-perceived added value of mobile health technologies (mHealth), and determine facilitators of and barriers to implementing mHealth.

Background: 

Despite the growing popularity of mHealth and evidence of meaningful use of patient-generated health data in surgery, implementation remains limited.

Methods: 

This was an exploratory qualitative study following the Consolidated Criteria for Reporting Qualitative Research. Purposive sampling was used to identify surgeons across the United States and Canada. The Consolidated Framework for Implementation Research informed development of a semistructured interview guide. Video-based interviews were conducted (September-November 2020) and interview transcripts were thematically analyzed.

Results: 

Thirty surgeons from 8 specialties and 6 North American regions were interviewed. Surgeons identified opportunities to integrate mHealth data pre- operatively (eg, expectation-setting, decision-making) and during recovery (eg, remote monitoring, earlier detection of adverse events) among higher risk patients. Perceived advantages of mHealth data compared with surgical and patient-reported outcomes included easier data collection, higher interpretability and objectivity of mHealth data, and the potential to develop more patientcentered and functional measures of health. Surgeons identified a variety of implementation facilitators and barriers around surgeon- and patient buy-in, integration with electronic medical records, regulatory/reimbursement concerns, and personnel responsible for mHealth data. Surgeons described similar considerations regarding perceptions of mHealth among patients, including the potential to address or worsen existing disparities in surgical care.

Conclusions: 

These findings have the potential to inform the effective and equitable implementation of mHealth for the purposes of supporting patients and surgical care teams throughout the delivery of surgical care.

中文翻译：

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择期手术中移动医疗技术的认知：北美外科医生的定性研究

目标： 

探索移动医疗技术 (mHealth) 的外科医生感知的附加值，并确定实施 mHealth 的促进因素和障碍。

背景： 

尽管 mHealth 越来越受欢迎，并且有证据表明在手术中有意义地使用患者生成的健康数据，但实施仍然有限。

方法： 

这是一项遵循报告定性研究综合标准的探索性定性研究。目的抽样用于识别美国和加拿大的外科医生。实施研究综合框架为半结构化访谈指南的开发提供了信息。进行了基于视频的访谈（2020 年 9 月至 11 月），并对访谈记录进行了专题分析。

结果： 

来自 8 个专业和 6 个北美地区的 30 名外科医生接受了采访。外科医生发现了在术前（例如，预期设定、决策制定）和恢复期间（例如，远程监控、不良事件的早期检测）在高风险患者中整合 mHealth 数据的机会。与手术和患者报告的结果相比，mHealth 数据的感知优势包括更容易收集数据、mHealth 数据具有更高的可解释性和客观性，以及开发更多以患者为中心的功能性健康措施的潜力。外科医生在外科医生和患者的支持、与电子病历的集成、监管/报销问题以及负责 mHealth 数据的人员方面确定了各种实施促进因素和障碍。

结论： 

这些发现有可能为有效和公平地实施 mHealth 提供信息，以便在整个外科护理过程中为患者和外科护理团队提供支持。