title: Assessing advantages and barriers to telemedicine adoption in the practice setting: A MyCareTeam(TM) exemplar.
abstract: OBJECTIVE
  Telemedicine is an evolving field that holds great potential to improve patient outcomes. The National Organization of Nurse Practitioner Faculties core competencies now require all nurse practitioners (NPs) to be competent utilizing telemedicine to address various patient and healthcare system needs. While telemedicine offers advantages to patient care, adoption of new technologies can be challenging.
  
  
  METHODS
  An assessment of perceived advantages and barriers to MyCareTeam, an online diabetes management system, was conducted at an adult diabetes clinic. Two survey questionnaires were developed based on the Diffusion of Innovations (DOI) theory. The surveys were administered to patients in the clinic waiting room and sent to all clinical staff via an e-mail link.
  
  
  CONCLUSIONS
  The findings of this project suggested a novel way to classify patients with regard to their use of the technology with implications for practice. Recommendations include outreach to enhance knowledge and awareness of MyCareTeam, reinforcing the full scope of the system, and improved technical support.
  
  
  CONCLUSIONS
  DOI theory is a framework that may be utilized by NPs as a tool for assessing advantages and barriers to telemedicine applications in the practice setting in order to identify strategies to promote adoption and use.
authors.affiliation: Graduate School of Nursing, University of Massachusetts Worcester, Worcester, Massachusetts.
authors.forename: Shaun T
authors.initials: ST
authors.lastname: L'Esperance
authors.affiliation: Graduate School of Nursing, University of Massachusetts Worcester, Worcester, Massachusetts.
authors.forename: Donna J
authors.initials: DJ
authors.lastname: Perry
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners / Q000639:trends*; D019555:Physician-Nurse Relations; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D017216:Telemedicine / Q000379:methods* / Q000592:standards*
keywords: Telemedicine; diabetes; diffusion of innovations theory; doctor of nursing practice; quality improvement