AMA Digital Health Research
Physicians’ motivations and requirements for adopting digital health
Adoption and attitudinal shifts from 2016 to 2019
February 2020
1
Background and Objectives
• In July 2016 The American Medical Association conducted a comprehensive study of
physician’s motivations and requirements for the adoption of digital clinical tools.
• The AMA repeated the study to determine the degree to which adoption has occurred in the
past 3 years and identify attitudinal shifts among physicians towards their use and adoption.
• The goals for this research were to update the 2016 study to determine:
2
1.
Any change in overall interest in digital health tools and the degree to which physicians believe they will help or
hinder their patient care
2.
Current familiarity with 7 specific digital health tools and physician enthusiasm, belief in the relevance to their
practice, timeline for incorporating or current use
3.
For each tool, the motivators and level of disruption caused or foreseen
4.
The ideal level of involvement physicians would like to have in adoption decisions
5.
An understanding of enthusiasm, current usage and requirements for emerging technologies
© 2020 American Medical Association. All rights reserved.
Methodology
• This survey was designed to replicate the 2016 survey exactly, to have a statistically valid and reliable
comparative sample.
• The same physician panel was used as in 2016, provided by WebMD.
• The 2019 survey was slightly longer at 18 rather than the original 15 minutes, but new questions were
added at the back of the survey to not interfere with the flow of the original questionnaire.
• The basic 2016 survey was followed exactly in wording and question order, with only a few variations, to
remove some small questions that were no longer relevant.
• The sample used careful quotas to ensure a similar sample composition as in 2016.
3
Total
PCPs
Specialists
Solo Practice
Group Practice
Other
2016
1300
650
650
196
879
225
2019
1359
672
687
155
829
375
© 2020 American Medical Association. All rights reserved.
Survey Instrument
Digital healthcare: Digital health encompasses a broad scope of tools that engage patients for clinical purposes; collect, organize, interpret and use
clinical data; and manage outcomes and other measures of care quality. This includes, but is not limited to, digital solutions involving telemedicine
and telehealth, mobile health (mHealth), wearables (Fitbit), remote monitoring, apps and others.
7
Specific
Tools
Remote monitoring for
efficiency
Remote monitoring and
management for
improved care
Clinical decision support
Tele-visits/
virtual visits
Point of care/
Workflow enhancement
Consumer access to
clinical data
Questions
Overall Involvement in Digital Health
•
•
•
Impact of ability to provide care
Overall motivators/attractants
Overall functional requirements
Specific digital tools
•
•
•
•
•
•
4
Familiarity
Current use
Relevance for practice
Enthusiasm
Timeline for incorporating into practice
Ideal level of involvement in Digital
Health in general
© 2020 American Medical Association. All rights reserved.
Individual tool deep dives
(Ask for up to two relevant solutions, not
currently being used)
•
Overall motivators/attractants towards
solution
•
Rank of top 3 motivators/attractants
•
Overall functional requirements of
solution adoption
•
Rank of top 3 functional requirements
•
Level of disruption caused by solution
•
Ideal level of involvement with decision
to incorporate solutions
Patient engagement
WebMD recruited a sample of 1,300 practicing
US physicians
Requirements for participation:
• Age 28-65
• Practicing physicians including those
focused on research, academia or public
health
• Full-owner, part-owner or employee of a
practice (not an independent contractor)
• Provide a minimum of 20 hours of direct
patient care each week
Key definitions in the study
5
•
Digital health encompasses a broad scope of tools that engage patients for clinical purposes; collect, organize, interpret
and use clinical data; and manage outcomes and other measures of care quality. This includes, but is not limited to,
digital solutions involving telemedicine and telehealth, mobile health (mHealth), wearables (e.g., Fitbit), remote
monitoring, apps, and others.
•
Seven specific tools:
Remote monitoring for
efficiency
Smart versions of common clinical devices such as thermometers, blood pressure cuffs, and scales that automatically record
readings in the patient record so you do not have to type it
Remote monitoring and
management for improved
care
Apps and devices for use by chronic disease patients for daily measurement of vital signs such as weight, blood pressure, blood
glucose, etc. Readings are visible to patients and transmitted to the physician's office. Alerts are generated as appropriate for
missing or out of range readings
Clinical decision support
Modules used in conjunction with the EHR or apps that integrate with the EHR that highlight potentially significant changes in
patient data (e.g., gain or loss of weight, change in blood chemistry)
Patient engagement
Solutions to promote patient wellness and active participation in their care for chronic diseases (e.g., adherence to treatment
regimens)
Tele-visits/
virtual visits
An audio/video connection used to see patients remotely (i.e., simple acute illness, adjusting therapy, etc.)
Point of care/
workflow enhancement
Communication and sharing of electronic clinical data to consult with specialists, make referrals and/or transitions of care
Consumer access to clinical
data
Secure access allowing patients to view clinical information such as routine lab results, receive appointment reminders and
treatment prompts, and to ask for prescription refills, appointments and to speak with their physician
© 2020 American Medical Association. All rights reserved.
Summary: Changes from 2016
1
•
•
Growth in those that see an advantage is among PCPs.
Those that see no advantage are trending downwards and
are concentrated in the age 50+ segment.
3
•
•
•
6
There has been an increase in the
number of physicians that see a
definite advantage in digital tools
2
•
•
•
Adoption of remote care tools such as
tele-visits and remote monitoring had
the most movement
Providing remote care to patients has increased significantly
as a driver of adoption of digital tools.
Use of these tools is still at roughly one quarter of physicians,
but this is nearly doubled from 2016.
Likelihood of adoption has increased significantly.
© 2020 American Medical Association. All rights reserved.
Use of all seven tools has increased.
Increased efficiency and patient safety are key drivers.
Tools need to be covered by standard malpractice insurance
and data privacy concerns have increased.
4
•
•
Adoption of digital tools has grown
significantly among all physicians
regardless of gender, specialty or age.
Awareness of most of the emerging
technologies such as artificial or
augmented intelligence is fairly high.
Current adoption of these technologies is however very low.
Intentions to adopt these emerging technologies is quite high
and aggressive timelines are planned.
Physicians’ motivations and requirements for adopting
digital health
Shifts from 2016 to 2019
7
© 2020 American Medical Association. All rights reserved.
Advantage of digital health solutions to your ability to care for your patients
There has been a small but significant increase in the advantage that physicians
feel digital health solutions bring to their ability to care for their patients
•
•
31
The most notable increases are among PCPs with specialists moving slightly.
Those that see no advantage are trending downwards and are concentrated in the age 50+ segment.
31
36
40
31
33
52
53
55
53
11
3
9
2
8
1
35
38
35
25
29
55
53
16
4
14
4
40
Definite Advantage
54
Some Advantage
51
13
11
3
2
Total Physicians
2016 2019
No Advantage or
Disadvantage
Some/Definite
Disadvantage
56
11
3
46
11
3
PCPs
2016 2019
15
3
Specialists
2016 2019
Specialty
Q16. Considering the overall impact, how much of an advantage do digital health solutions give to your ability to care for your patients?.
Base: Total Physicians (n=1300), PCPs (n=650), Specialists (n=650), Age <40 (n=289), Age 41-50 (n=449), Age 51+ (n=562), Solo Practice (n=196), Group Practice (n=879),
Other Practice (n=225), AMA Member (n=359), Non-Member (n=941) *Statistically significantly difference at 95% confidence interval
8
© 2020 American Medical Association. All rights reserved.
<40
2016 2019
52
46
11
2
11
3
41-50
2016 2019
Physician Age
51+
2016 2019
Use of Digital Health Tools in Practice
Use of digital health tools has risen significantly
Tele-visits have seen the greatest growth, doubling in use since 2016.
% Currently Using
53
42
37
28
28
22
14
Tele-visits /
virtual visits
12
16
Remote
Remote monit. & Clinical decision
monitoring for mgt for improved
support
efficiency
care
© 2020 American Medical Association. All rights reserved.
47
33
26
2016
2019
13
Q20. Which, if any, of these do you currently incorporate into your practice? Base: Total Physicians (n=1300)
9
58
Patient
engagement
Point of
care/workflow
enhancement
Consumer access
to clinical data
Use of Digital Health Tools in Practice
The average number of digital tools used has increased
Older physicians and those less enthusiastic about technology (there is a lot of overlap) are catching up in their use.
Average number of digital tools currently used
3
2.5
2.4
2.2
2.6
2.3
2.1
1.9
2
2.4
2.3
1.7
1.9
2.6
2.5
2.0
1.9
2.7
2.4
2.3 2.3
2.2
2.0
1.6
1.5
1.8 1.8
1.2
1
0.5
0
Total
28-40
41-50
51-65
Male
Physician Age
Q20. Which, if any, of these do you currently incorporate into your practice? Base: Total Physicians (n=1300)
10
© 2020 American Medical Association. All rights reserved.
Female
Gender
2016
<10
11 to 20
21+
Years in practice
2019
Skeptical Neutral Eager
Tech enthusiasm
Use of Digital Health Tools in Practice
Use by solo practice physicians and partial owners has also increased
These had been lagging behind other physicians in 2016 and are now closer to the average.
Average Number of Tools Physicians Use
3.0
2.5
2.0
2.4
2.0
2.3
1.8
2.4
2.6
2.3
2.4
1.9
1.7
2.3
1.9
2.2
2.6
2.6
2.3 2.2
2.1
2.1
2.2
1.7
1.4
1.5
2.2
2.6
2.2
2.2
1.8
1.5
1.0
0.5
0.0
Empl.
Full
Part
Ownership
11
© 2020 American Medical Association. All rights reserved.
28+
9-27
4-8
Practice size
1-3
Med
school/
Fac.
Multi
spec.
Hosp. Single
spec.
Practice setting
Solo
PCP Specialist
Practice type
While all digital health tools have seen increases in adoption since 2016, remote
care tools have seen the biggest moves forward
Tele-visits/virtual visits and remote monitoring for improved patient care have seen a significant increase in use.
53
% Currently Using
42
37
28
28
22
14
Tele-visits /
virtual visits
12
16
Remote
Remote monit. & Clinical decision
monitoring for mgt for improved
support
efficiency
care
© 2020 American Medical Association. All rights reserved.
47
33
26
2016
2019
13
Q20. Which, if any, of these do you currently incorporate into your practice? Base: Total Physicians (n=1300)
12
58
Patient
engagement
Point of
care/workflow
enhancement
Consumer access
to clinical data
Remote care tools are also those with the highest likelihood of
adoption within the next three years
% Physicians Use or Plan to Use
Total Use/
Adoption Plans
39
50
11
11
14
14
11
15
20
28
2016 2019
Tele-visits /
virtual visits
Will Adopt Beyond a Year
Will Adopt Within a Year
Already Using
13
47
12
48
48
14
15
32
18
16
53
9
14
17
31
17
20
13
22
2016 2019
2016 2019
Remote
monitoring for
efficiency
Remote
monitoring for
improved care
© 2020 American Medical Association. All rights reserved.
54
28
57
9
11
37
2016 2019
Clinical decision
support
56
52
63
7
10
8
20
12
26
32
63
6
14
10
42
47
2016 2019
2016 2019
Patient
Engagement
Point of care /
workflow
enhancement
65
66
4
3
53
58
8
5
2016 2019
Consumer
access to
clinical data
Providing remote care is also a driving force for adoption, and the only motivator
that has seen upward movement in the past three years
5 = Very Important
26
31
28
27
27
26
22
23
25
22
21
21
Allows me to provide care to my patients remotely 2016
2019
Improves resource allocation for staff 2016
2019
Allows me to see more patients 2016
2019
Demonstrates awareness of the latest technologies 2016
2019
Provides a new stream of revenue 2016
2019
Differentiates my practice from others 2016
2019
Patients demand it 2016
2019
13
14
Q17. When thinking about incorporating digital health solutions into your practice, how important would each factor be?
14
© 2020 American Medical Association. All rights reserved.
4 = Somewhat Important
34
37
40
42
32
32
38
40
29
32
31
32
30
31
Base: Total Physicians (n=1300)
1-3 = Not Important
40
32
32
31
41
42
40
37
46
46
48
47
57
55
When asked what digital health tools they are most enthusiastic about,
remote tools are the two that gained traction since 2016
% Physicians Top 2 Box Enthusiasm
42
45 46
50
45
45 45
53
49
50
44
42 41
36
2016
2019
Tele-visits
Remote
Remote
monitor for monitor & mgt
efficiency
for improved
care
Clinical
decision
support
Q22. Which, if any, of the solutions below are you enthusiastic about ? Base: Total Physicians (n=1300)
15
© 2020 American Medical Association. All rights reserved.
Patient
Point of care/
engagement
workflow
enhancement
Consumer
access to
clinical data
Multi-Specialty Groups are currently the heaviest users of remote digital health tools
Other groups that showed relatively heavier usage of remote digital health tools are hospitals, physicians under 50, and PCP’s.
Tele-Visits/Virtual Visits
24
29
20
25
24
31
28
30
40 &
under
Total
22
19
29
30
33
31
28
24
25
23
41-50
51+
Solo
Prac
Single
Spec Grp
Age
Will Adopt Beyond a Year
Will Adopt Within a Year
Already Using
16
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Remote Monitoring for Improved Care
20
25
26
22
32
Multi- Spec
Grp
Practice Setting
33
Hospital
29
27
34
34
22
25
Total
PCP
Specialty
32
31
31
23
29
33
34
33
35
18
20
19
Specialist
Solo
Prac
Single
Spec Grp
33
30
Multi- Spec
Grp
Practice Setting
20
Hospital
What attracts physicians to digital health
Improved efficiency and increased patient safety remain the top motivators for
physicians to use digital health tools
Patient adherence, convenience, and helping address physician burnout have increased in importance as reasons for attraction.
5 = Very Important
Improves efficiency 2016
2019
Increases safety 2016
2019
Improves diagnostic ability 2016
2019
Burnout 2016
2019
Patient Adherence 2016
2019
Convenience 2016
2019
Relationship 2016
2019
48
51
47
46
41
41
39
40
36
39
32
36
38
35
Q17. When thinking about incorporating digital health solutions into your practice, how important would each factor be?
17
© 2020 American Medical Association. All rights reserved.
4 = Somewhat Important
34
31
33
34
38
38
27
29
39
39
45
43
35
38
Base: Total Physicians (n=1300)
1-3 = Not Important
18
18
20
20
21
21
34
31
25
22
23
21
27
27
What attracts physicians to digital health (cont.)
There has been a significant shift in the importance of remote care
More say it is very important as a reason to be attracted to digital health and fewer think it is not important.
5 = Very Important
2019
Improves resource allocation for staff 2016
2019
Allows me to see more patients 2016
2019
Demonstrates awareness of the latest technologies 2016
2019
Provides a new stream of revenue 2016
2019
Differentiates my practice from others 2016
2019
Patients demand it 2016
2019
13
14
Q17. When thinking about incorporating digital health solutions into your practice, how important would each factor be?
18
© 2020 American Medical Association. All rights reserved.
4 = Somewhat Important
34
26
31
28
27
27
26
22
23
25
22
21
21
Allows me to provide care to my patients remotely 2016
37
40
42
32
32
38
40
29
32
31
32
30
31
Base: Total Physicians (n=1300)
1-3 = Not Important
40
32
32
31
41
42
40
37
46
46
48
47
57
55
What attracts physicians to digital health
Two elements that attract physicians to digital health tools have
shifted in importance
“Allows me to provide care remotely” and “Helps reduce stress/burn-out” have moved into the quadrants for drivers, now closely
hovering along the line between key motivators and secondary drivers. The movements are small but meaningful.
Key Motivator
Niche Need
Increases patient safety
Increases patient adherence
Ranked 1st/2nd/3rd
Allows me to provide
care remotely
Provides new stream of revenue
Helps reduce stress,
burn-out
Allows me to see more patients
2019
2016
Patients
demand it
Low Priority
Differentiates
my practice
© 2020 American Medical Association. All rights reserved.
Increases patient
convenience
Improves patientphysician
relationship
Improves
resource
allocation for staff
Demonstrates
awareness of
technologies
Importance (T2B)
19
Improves
work
efficiency
Improves diagnostic ability
Secondary Driver
Requirements for Adoption
Requirements for adopting digital health tools have remained
unchanged
Integration with EHR and being as good as traditional care are the two key requirements.
Key Requirement
Niche Need
Ranked 1st/2nd/3rd
Well integrated with EHR
As good as traditional care
Can be reimbursed for
time spent using
Covered by standard
malpractice ins.
Requires no special training
Safety/efficacy demonstrated in
peer reviewed pub.
It is the standard of care /
Data security assured by
Safety/efficacy validated by FDA *
EHR vendor / Data
Supported by
privacy assured by own
EHR vendor
practice *
Leaders recommend it
Other physicians are using
2019
Secondary Driver
Low Priority
Importance (T2B)
20
© 2020 American Medical Association. All rights reserved.
* Those marked with an asterisk indicate that those 2 requirements are
hovering on the same exact coordinates
Requirements for Adoption
The importance of digital health tools being covered by standard malpractice
insurance has increased significantly as a requirement
5 = Very Important
Covered by my malpractice ins. 2016
52
2019
19
29
57
28
15
Data privacy/security assured by EHR vendor 2016
50
32
18
2019
50
31
19
48
Well integrated with EHR 2016
34
49
2019
2019
33
47
Data privacy assured by my practice/hosp. 2016
Reimbursed for time spent using 2016
33
50
2019
43
32
32
45
32
19
17
19
19
25
23
Supported by EHR vendor 2016
40
36
24
2019
41
35
24
Q18. How important are each of the attributes below in facilitating the adoption of digital health solutions into your practice? Base: Total Physicians (n=1300)
21
4 = Somewhat Important 1-3 = Not Important
© 2020 American Medical Association. All rights reserved.
Requirements for Adoption (cont.)
Demonstration of safety and efficacy in peer reviewed publications has also
increased in importance
5 = Very Important
Is proven to be as good/superior to traditional care 2016
40
38
32
36
36
35
33
34
33
34
2019
Safety and efficacy demonstrated in peer reviewed pubs 2016
2019
Intuitive; requires no special training 2016
2019
It is the standard of care 2016
2019
Its safety and efficacy is validated by the FDA 2016
2019
The leaders within my practice/area of specialty recommend it 2016
2019
Other physicians I know are using it 2016
2019
18
18
14
13
37
42
39
41
38
39
39
38
36
38
37
39
30
33
Q18. How important are each of the attributes below in facilitating the adoption of digital health solutions into your practice? Base: Total Physicians (n=1300)
22
© 2020 American Medical Association. All rights reserved.
4 = Somewhat Important
1-3 = Not Important
23
20
29
23
26
26
28
28
31
28
45
43
56
54
Desire for Personal Involvement in Adoption of Digital Health Solutions in Practice
The degree of responsibility that physicians desire to have in the adoption
of digital health solutions in their practice has not changed
Physicians want to be part of the decision-making process; owners expect to be responsible.
44
46
42
43
43
42
49
73
45
7
4
2016
47
6
4
2019
Total Physicians
Responsible
Consulted
Informed
Don’t Know
45
47
6
4
6
3
44
8
6
7
7
Specialists
Specialty
32
57
54
10
5
8
6
48
72
46
2016 2019 2016 2019
PCPs
28
21
21
3
3
2
5
43
44
5
3
4
4
2016 2019 2016 2019 2016 2019
Sole
Part
Ownership
Q40-1. Ideally, how involved would you want to be in the adoption of digital health solutions into your practice? Base: Total Physicians (n=1300), PCPs (n=650), Specialists (n=650), Solo owner (n=329), Part owner (n=319), Employee (n=652)
23
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Employee
Combined Use and Plans to Use Digital Health Tools in Practice
Current or planned future use of digital health tools is also slightly up; most
growth is in tele-visits/virtual visits and remote monitoring for improved care
% Physicians Use or Plan to Use
Total Use/
Adoption Plans
39
47
50
48
48
53
54
57
56
52
63
7
11
11
15
11
20
14
28
14
2016
12
2019
Tele-visits /
virtual visits
2016
Will Adopt Beyond a Year
Will Adopt Within a Year
Already Using
24
© 2020 American Medical Association. All rights reserved.
14
18
16
2019
Remote
monitoring
for efficiency
15
14
17
9
17
20
13
2016
22
2019
Remote
monitoring for
improved care
28
2016
9
11
37
2019
Clinical
decision
support
10
20
26
2016
8
14
63
6
10
65
66
4
8
3
5
53
58
12
32
2019
Patient
Engagement
42
2016
47
2019
Point of care
/ workflow
enhancement
2016
2019
Consumer
access to
clinical data
Emerging Technologies
25
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Emerging Technologies
Awareness of augmented intelligence technologies is high, though
adoption remains in single digits for almost all tools
% Physicians Familiar with and Using Advanced Technology
78
76
76
72
72
60
46
Familiar
Using
11
6
4
1
0
Augmented
Intelligence for
health
administration
Augmented
Intelligence for
clinical
applications
Precision &
Personalized
Medicine
Augmented
Intelligence for
business
operations
Augmented
Intelligence for
population
health
Augmented
Intelligence for
research and
development
Blockchain, and
other similar
data solutions
Familiar
78
76
76
72
72
60
46
Using
11
6
4
7
4
1
0
Q39. When would you expect to start incorporating this into your own practice?
26
7
4
© 2020 American Medical Association. All rights reserved.
Emerging Technologies
Intentions to adopt augmented intelligence tools within the next three years are
very high even if current use is low
One-third of physicians plan to adopt most of these technologies within the next year.
74
% Physicians Adoption Timeline for Advanced Technology
74
70
69
68
27
31
w/in 2-3
Years
w/in Year
Using
31
43
30
30
36
37
11
6
36
7
21
33
4
35
25
22
4
Augmented
Intelligence for
health
administration
Augmented
Intelligence for
clinical
applications
Augmented
Intelligence for
business
operations
Precision &
Personalized
Medicine
w/in 2-3 Years
27
31
27
31
30
30
21
w/in Year
36
37
36
33
35
25
22
Using
11
6
7
4
4
1
0
Q39. When would you expect to start incorporating this into your own practice?
27
27
56
© 2020 American Medical Association. All rights reserved.
Augmented
Augmented
Blockchain, and
Intelligence for
Intelligence for
other similar data
research and
population health
solutions
development
Emerging Technologies
Physicians are most interested in these emerging technologies to help them serve
chronic care patients
Markets % Physicians Want New Technology to Serve
44
47
45
43
40
37
34
37
31
28
19
13
10
7
Total
13
8
Male
Female
PCPs
Millennial population
Patients in low resource environments
Aging population (85+)
© 2020 American Medical Association. All rights reserved.
8
6
Chronic care patients
Q40. What audience would you most desire new technology or solutions to better serve?
28
6
13
Specialists
Appendix
29
Key Definitions in the Study
30
•
Digital health encompasses a broad scope of tools that engage patients for clinical purposes; collect, organize, interpret
and use clinical data; and manage outcomes and other measures of care quality. This includes, but is not limited to,
digital solutions involving telemedicine and telehealth, mobile health (mHealth), wearables (e.g., Fitbit), remote
monitoring, apps, and others.
•
Seven specific tools:
Remote monitoring for
efficiency
Smart versions of common clinical devices such as thermometers, blood pressure cuffs, and scales that automatically record
readings in the patient record so you do not have to type it
Remote monitoring and
management for improved
care
Apps and devices for use by chronic disease patients for daily measurement of vital signs such as weight, blood pressure, blood
glucose, etc. Readings are visible to patients and transmitted to the physician's office. Alerts are generated as appropriate for
missing or out of range readings
Clinical decision support
Modules used in conjunction with the EHR or apps that integrate with the EHR that highlight potentially significant changes in
patient data (e.g., gain or loss of weight, change in blood chemistry)
Patient engagement
Solutions to promote patient wellness and active participation in their care for chronic diseases (e.g., adherence to treatment
regimens)
Tele-visits/
virtual visits
An audio/video connection used to see patients remotely (i.e., simple acute illness, adjusting therapy, etc.)
Point of care/
workflow enhancement
Communication and sharing of electronic clinical data to consult with specialists, make referrals and/or transitions of care
Consumer access to clinical
data
Secure access allowing patients to view clinical information such as routine lab results, receive appointment reminders and
treatment prompts, and to ask for prescription refills, appointments and to speak with their physician
© 2020 American Medical Association. All rights reserved.
Remote Monitoring for Efficiency
Smart versions of common clinical devices such as thermometers, blood pressure cuffs, and scales that automatically record readings in
the patient record so you do not have to type it.
Evaluation among Total Physicians
Drivers among Physicians where
Tool is Relevant, but Not Yet Used
Current State
Current
Incorporation
Most Attractive Elements
Above average importance & ranking
16
12
46
45
Enthusiasm
65
61
67
59
Relevance (T2B)
Familiarity (T2B)
Base: Total Physicians (n=1359)
1.
Improves work efficiency
2.
Improves diagnostic ability
3.
Increases patient safety
4.
Increases patient adherence
5.
Improves resource allocation for staff * New in 2019
Enthusiasm
52
52
39
41
48
44
Specialty
PCP
Specialist
<40
50
46
42
Key Functional Requirements
Above average importance & ranking
44
% Physicians Top 2 Box
Enthusiasm
Physician Age
41-50
51+
J
E
E
Timeline of Adoption Among Enthusiastic
2019
2016
Already using
30
21
7
8
Immediately
15
13
Next 6 months
© 2020 American Medical Association. All rights reserved.
17
29
24
Next year
31
Next 2-3 years
3
1.
Well integrated with EHR
2.
As good as traditional care
3.
Covered by standard malpractice * New in 2019
4.
Requires no special training
5.
Can be reimbursed for time * New in 2019
3
Some other time
Base: Total Physicians, Excited About Solution: Remote Monitoring for Efficiency (n=630)
Remote Monitoring for Improved Care
Apps and devices for use by chronic disease patients for daily measurement of vital signs such as weight, blood pressure, blood glucose, etc.
Readings are visible to patients and transmitted to the physician's office. Alerts are generated as appropriate for missing or out of range readings.
Evaluation among Total Physicians
Drivers among Physicians where
Current State
Tool is Relevant, but Not Yet Used
Current
Incorporation
13
Most Attractive Elements
Above average importance & ranking
22
50
45
Enthusiasm
66
61
72
63
Relevance (T2B)
Familiarity (T2B)
Base: Total Physicians (n=1359)
Enthusiasm
55
52
38
44
53
42
Specialty
PCP
Specialist
E
<40
46
45
46
51+
2016
Already using
34
24
3
6
Immediately
2.
Increases patient adherence
3.
Improves diagnostic ability
4.
Improves work efficiency
5.
Improves patient-doc relationship
6.
Allows me to provide care remotely
1.
Well integrated with EHR
2.
As good as traditional care
3.
Covered by standard malpractice * New in 2019
4.
Requires no special training
5.
Can be reimbursed for time * New in 2019
J
E
Timeline of Adoption Among Enthusiastic
2019
Increases patient safety
Key Functional Requirements
Above average importance & ranking
49
% Physicians Top 2 Box
Enthusiasm
Physician Age
41-50
1.
13
14
Next 6 months
© 2020 American Medical Association. All rights reserved.
17
24
Next year
Next 2-3 years
29
3
31
2
Some other time
Base: Total Physicians, Excited About Solution: Remote Monitoring for Improved Care (n=674)
Clinical Decision Support
Modules used in conjunction with the EHR or apps that integrate with the EHR that highlight potentially significant changes in patient data (e.g.,
gain or loss of weight, change in blood chemistry).
Evaluation among Total Physicians
Drivers among Physicians where
Tool is Relevant, but Not Yet Used
Current State
Current
Incorporation
28
Most Attractive Elements
Above average importance & ranking
37
45
45
Enthusiasm
69
67
73
67
Relevance (T2B)
Familiarity (T2B)
Base: Total Physicians (n=1359)
1.
Increases patient safety
2.
Improves work efficiency
3.
Improves diagnostic ability
4.
Increases patient adherence
5.
Improves patient-doc relationship
Enthusiasm
46
48
42
44
Specialty
PCP
Specialist
46
46
42
<40
46
43
Key Functional Requirements
Above average importance & ranking
45
% Physicians Top 2 Box
Enthusiasm
Physician Age
41-50
51+
J
E
E
Timeline of Adoption Among Enthusiastic
2019
2016
Already using
56
5
43
Immediately
6
Next 6 months
© 2020 American Medical Association. All rights reserved.
11
Next year
10
10
21
Next 2-3 years
19
1
18
1
Some other time
1.
As good as traditional care
2.
Well integrated with EHR
3.
Covered by standard malpractice
4.
Requires no special training
5.
Can be reimbursed for time * New in 2019
6.
It is the standard of care * New in 2019
Base: Total Physicians, Excited About Solution: Clinical decision support (n=611)
Patient Engagement
Communication and sharing of electronic clinical data to consult with specialists, make referrals and/or transitions of care.
Evaluation among Total Physicians
Drivers among Physicians where
Tool is Relevant, but Not Yet Used
Current State
Current
Incorporation
26
Most Attractive Elements
Above average importance & ranking
32
44
49
Enthusiasm
69
70
74
68
Relevance (T2B)
Familiarity (T2B)
Base: Total Physicians (n=1300)
Enthusiasm
53
51
45
44
38
Specialty
PCP
Specialist
E
51
45
38
49
<40
51+
J
E
Timeline of Adoption Among Enthusiastic
2019
2016
Already using
34
51
39
Immediately
5
6
Next 6 months
© 2020 American Medical Association. All rights reserved.
12
Next year
8
15
23
Next 2-3 years
20
1
19
1
Some other time
Increases patient adherence
2.
Increases patient safety
3.
Improves work efficiency
4.
Improves patient-doc relationship
5.
Improves diagnostic ability
6.
Helps reduce stress, burn-out
Key Functional Requirements
Above average importance & ranking
49
% Physicians Top 2 Box
Enthusiasm
Physician Age
41-50
1.
1.
Well integrated with EHR
2.
Requires no special training
3.
As good as traditional care
4.
It is the standard of care
5.
Can be reimbursed for time spent
Base: Total Physicians, Excited About Solution: Point-of-care / Workflow Enhancement (n=694)
Tele-Visits/Virtual Visits
Communication and sharing of electronic clinical data to consult with specialists, make referrals and/or transitions of care.
Evaluation among Total Physicians
Drivers among Physicians where
Tool is Relevant, but Not Yet Used
Current State
Current
Incorporation
14
Most Attractive Elements
Above average importance & ranking
28
40
36
Enthusiasm
Relevance (T2B)
49
Familiarity (T2B)
57
65
77
1.
Increases patient convenience
2.
Improves work efficiency
3.
Allows me to provide care remotely
4.
Improves patient-doc relationship
5.
Increases patient safety
6.
Provides a new stream of revenue
Base: Total Physicians (n=1300)
Enthusiasm
44
34
37
38
43
38
Specialty
PCP
Specialist
39
41
31
% Physicians Top 2 Box
Enthusiasm
Physician Age
41-50
<40
Key Functional Requirements
Above average importance & ranking
34
51+
J
E
E
Timeline of Adoption Among Enthusiastic
2019
2016
Already using
35
45
29
Immediately
3
4
12
15
Next 6 months
© 2020 American Medical Association. All rights reserved.
13
19
Next year
24
30
Next 2-3 years
Some other time
2
1.
Covered by standard malpractice
2.
Can be reimbursed for time spent
3.
Requires no special training
4.
Well integrated with EHR
5.
As good as traditional care
2
Base: Total Physicians, Excited About Solution: Point-of-care / Workflow Enhancement (n=694)
Point-of-Care/Workflow Enhancement
Communication and sharing of electronic clinical data to consult with specialists, make referrals and/or transitions of care.
Evaluation among Total Physicians
Drivers among Physicians where
Tool is Relevant, but Not Yet Used
Current State
Current
Incorporation
Most Attractive Elements
Above average importance & ranking
47
42
50
45
Enthusiasm
Relevance (T2B)
1. Improves work efficiency
61
3. Improves diagnostic ability
77
59
Familiarity (T2B)
2. Increases patient safety
77
4. Improves patient-doc relationship
5. Increases patient convenience * New in 2019
Base: Total Physicians (n=1300)
6. Helps reduce stress, burn-out
Enthusiasm
56
52
51
49
Specialty
PCP
Specialist
55
54
49
<40
46
Physician Age
41-50
Key Functional Requirements
Above average importance & ranking
49
54
2. Increases patient safety
51+
3. Improves diagnostic ability
J
E
E
1. Improves work efficiency
% Physicians Top 2 Box
Enthusiasm
4. Improves patient-doc relationship
Timeline of Adoption Among Enthusiastic
2019
69
7
8
10
1
5. Increases patient convenience * New in 2019
6. Helps reduce stress, burn-out
2016
Already using
4
60
Immediately
5
Next 6 months
© 2020 American Medical Association. All rights reserved.
Next year
7
Next 2-3 years
15
12
Some other time
1
Base: Total Physicians, Excited About Solution: Point-of-care / Workflow Enhancement (n=694)
Consumer Access to Clinical Data
Communication and sharing of electronic clinical data to consult with specialists, make referrals and/or transitions of care.
Evaluation among Total Physicians
Drivers among Physicians where
Tool is Relevant, but Not Yet Used
Current State
Current
Incorporation
Most Attractive Elements
Above average importance & ranking
58
53
40
42
Enthusiasm
71
72
Relevance (T2B)
87
86
Familiarity (T2B)
Base: Total Physicians (n=1300)
Enthusiasm
43
43
41
39
Specialty
PCP
Specialist
E
41
41
36
41
Physician Age
41-50
<40
46
% Physicians Top 2 Box
Enthusiasm
51+
Already using
79
37
2
72
Immediately
2.
Increases patient convenience
3.
Improves work efficiency
4.
Improves patient-doc relationship
5.
Increases patient adherence
6.
Improves diagnostic ability *New in 2019
1.
Data security assured by EHR vendor
2.
Requires no special training
3.
Well integrated with EHR
4.
As good as traditional care
J
Timeline of Adoption Among Enthusiastic
2016
Increases patient safety
Key Functional Requirements
Above average importance & ranking
40
E
2019
1.
Next 6 months
© 2020 American Medical Association. All rights reserved.
3
Next year
Next 2-3 years
5
4
4
10
Some other time
6
8
1
1
Base: Total Physicians, Excited About Solution: Point-of-care / Workflow Enhancement (n=694)