Remote working: survey of attitudes to eHealth of doctors and nurses in rural general practices in the United Kingdom.
BACKGROUND
Health professionals in rural primary care could gain more from eHealth initiatives than their urban counterparts, yet little is known about eHealth in geographically isolated areas of the UK.


OBJECTIVE
To elicit current use of, and attitudes towards eHealth of professionals in primary care in remote areas of Scotland.


METHODS
In 2002, a questionnaire was sent to all general practitioners (n=154) in Scotland's 82 inducement practices, and to 67 nurses. Outcome measures included reported experience of computer use; access to, and experience of eHealth and quality of that experience; views of the potential usefulness of eHealth and perceived barriers to the uptake of eHealth.


RESULTS
Response rate was 87%. Ninety-five percent of respondents had used either the Internet or email. The proportions of respondents who reported access to ISDN line, scanner, digital camera, and videoconferencing unit were 71%, 48%, 40% and 36%, respectively. Use of eHealth was lower among nurses than GPs. Aspects of experience that were rated positively were 'clinical usefulness', 'functioning of equipment' and 'ease of use of equipment' (76%, 74%, and 74%, respectively). The most important barriers were 'lack of suitable training' (55%), 'high cost of buying telemedicine equipment' (54%), and 'increase in GP/nurse workload' (43%). Professionals were concerned about the impact of tele-consulting on patient privacy and on the consultation itself.


CONCLUSIONS
Although primary healthcare professionals recognize the general benefits of eHealth, uptake is low. By acknowledging barriers to the uptake of eHealth in geographically isolated settings, broader policies on its implementation in primary care may be informed.
Richards
Helen
H
Highlands and Islands Health Research Institute, Aberdeen University, UK. hrichards@abdn.ac.uk
King
Gerry
G
Reid
Margaret
M
Selvaraj
Sivasubramaniam
S
McNicol
Iain
I
Brebner
Eileen
E
Godden
David
D
D000328:Adult; D001291:Attitude of Health Personnel; D005194:Family Practice / Q000379:methods / Q000639:trends*; D005260:Female; D006801:Humans; D008297:Male; D008511:Medicine; D008875:Middle Aged; D009729:Nursing / Q000639:trends*; D009732:Nursing Care; D019035:Rural Health Services / Q000706:statistics & numerical data* / Q000639:trends; D012606:Scotland; D013038:Specialization; D011795:Surveys and Questionnaires; D017216:Telemedicine / Q000706:statistics & numerical data / Q000639:trends*; D006113:United Kingdom; D049269:Videoconferencing / Q000639:trends*