Table 2.
Barriers to integrating telemedicine in kidney transplant practice
| Main themes | Barriers | Studies |
|---|---|---|
| Human level | Differing priorities of health care providers | Kara Schick-Makaroff (2022) |
| Resistance to digital transition | Ann K. Eno BS (2019), Brooke M Huuskes (2021), James Tang (2022), Liise K. Kayler (2022), Ellie Kim (2024) | |
| Limited in-person physical assessment | Marie-Françoise Malo (2024), Ellie Kim (2024), Alexis J. Carter (2023), Liise K. Kayler (2022), James Tang (2022), Brooke M Huuskes (2021), Cecilie Varsi (2021) | |
| Language barriers | Ann K. Eno BS (2019), James Tang (2022), Liise K. Kayler (2022), Brooke M Huuskes (2021) | |
| Increased patient accountability | James Tang (2022), Kara Schick-Makaroff(2022), Brooke M Huuskes (2021), Christina Nguyen (2020), Ann K. Eno BS (2019) | |
| Technology illiteracy | Alexis J. Carter (2023), Ann K. Eno BS (2019), Brooke M Huuskes (2021), Cecilie Varsi (2021), James Tang (2022), Kara Schick-Makaroff(2022), Liise K. Kayler (2022), Ellie Kim (2024) | |
| Digital overload (e.g. overwhelming reminders) | Ajay Israni (2016), Marie-Françoise Malo (2024) | |
| Task retention difficulties | Ajay Israni (2016), Christina Nguyen (2020), José Côté (2019), Kara Schick-Makaroff(2022) | |
| Missed chance for real-time interaction | Alexis J. Carter (2023), Ellie Kim (2024), Ann K. Eno BS (2019) | |
| Organizational level | Time constraints and scheduling | Alexis J. Carter (2023), Marie-Françoise Malo (2024), Liise K. Kayler (2022), James Tang (2022), Ajay Israni (2016), Brooke M Huuskes (2021), Christina Nguyen (2020) |
| Service inaccessibility | Ajay Israni (2016), Alexis J. Carter (2023), Brooke M Huuskes (2021), Ellen M. Castle (2021), Liise K. Kayler (2022), Marie-Françoise Malo (2024) | |
| Lack of staffing and increased workload | Cecilie Varsi (2021), James Tang (2022), Kara Schick-Makaroff(2022), Liise K. Kayler (2022), Brooke M Huuskes (2021), Ann K. Eno BS (2019) | |
| Information confidentiality | Brooke M Huuskes (2021), Cecilie Varsi (2021), James Tang (2022), Kara Schick-Makaroff(2022), Ellie Kim (2024) | |
| Reliability of information | James Tang (2022), Alexis J. Carter (2023), Christina Nguyen (2020), Kara Schick-Makaroff(2022) | |
| Patient safety | Tara O’Brien(2020), Kara Schick-Makaroff(2022), José Côté (2019), Cecilie Varsi (2021), Brooke M Huuskes (2021), Ann K. Eno BS (2019) | |
| Patient privacy | Ann K. Eno BS (2019), Brooke M Huuskes (2021), Cecilie Varsi (2021), Ellen M. Castle (2021), Ellie Kim (2024), John Christopher Sieverdes (2015), Kara Schick-Makaroff(2022), Tara O’Brien(2020) | |
| Data security | Kara Schick-Makaroff (2022), Cecilie Varsi (2021), James Tang (2022), Brooke M Huuskes (2021), Ann K. Eno BS (2019), Christina Nguyen (2020), Ellie Kim (2024), John Christopher Sieverdes (2015) | |
| Technological level | Information overload | Liise K. Kayler (2022), Ellen M. Castle (2021), James Tang (2022) |
| Lack of technological infrastructures | Tara O’Brien(2020), Alexis J. Carter (2023), Cecilie Varsi (2021), José Côté (2019), John C. Sieverdes (2021), Ellie Kim (2024), Liise K. Kayler (2022), James Tang (2022), John Christopher Sieverdes (2015), Brooke M Huuskes (2021), Ajay Israni (2016), Marie-Françoise Malo (2024) | |
| Economical level | High cost of implementation | James Tang (2022), Ann K. Eno BS (2019) |
| Financial hardship | Ann K. Eno BS (2019), James Tang (2022), Tara O’Brien(2020) |