Analysis of Factors Inhibiting the Dissemination of Telemedicine in Japan: Using the Interpretive Structural Modeling

Shimizu, H.; Tanikawa, Takumi; Mizuguchi, Hiro; Tani, Yasuhiro; Ogasawara, Katsuhiko

doi:10.1089/tmj.2020.0071

Cited by 11 publications

(9 citation statements)

References 14 publications

(16 reference statements)

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“…In other words, population density can serve as a measure for considering whether to provide telemedicine in clinics in Japan. Given that introducing telemedicine is often expensive, 11 administrative and financial support for telemedicine may be more needed in prefectures with less populated density.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Clinics Offering Telemedicine and Population Density in Japan: An Ecological Study

Kuwayama,

Kotani

2024

Telemedicine Reports

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Background: The number of clinics offering telemedicine in Japan has been increasing. Regional characteristics such as population density and the number of physicians may be associated with the provision of telemedicine. This study investigated the relationship between clinics offering telemedicine and such regional characteristics for each prefecture in Japan. Methods: Data were collected from publicly available information that included the percentage of clinics offering telemedicine (real-time synchronous type) among all clinics (in 2022), population density, and the number of physicians for each of Japan's 47 prefectures. An ecological study was carried out to determine the correlation between the percentage of clinics offering telemedicine and regional characteristics for each prefecture, and Pearson correlation analysis and multiple regression analysis adjusted for regional characteristics were performed. Results: The min–max and mean levels were, respectively, 3.4–39.2% and 15.6% of clinics offering telemedicine, 66.6–6402.6 and 657.1 people per square kilometer of population density, and 185.2–356.7 and 274.0 physicians per 100,000 people. Geographically, the northeastern regions appeared to show a high percentage of clinics offering telemedicine relative to the southwestern regions. There was a significant negative correlation between the percentage of clinics offering telemedicine and population density ( r = −0.31, p < 0.05; β = −0.31, p < 0.05). Discussion: The negative relationship of the provision of telemedicine in clinics with population density throughout Japan might be a reflection to ensure residents' access to clinics in less populated areas. Although further detailed studies are needed to confirm this, population density might be a useful measure for considering whether to offer telemedicine in clinics in Japan.

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Section: Discussionmentioning

confidence: 99%

Relationship Between Clinics Offering Telemedicine and Population Density in Japan: An Ecological Study

Kuwayama,

Kotani

2024

Telemedicine Reports

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“… 20–22 In fact, the Japanese government has promoted telemedicine by removing regulatory obstacles during the COVID-19 pandemic; however, many factors that inhibit the dissemination of telemedicine, such as cost and security, were indicated in Japan. 23 Some of these problems may be common in other foreign countries, 24–26 and it is necessary to overcome technical and political frameworks. Our study only focussed on a measure of morbidity and not on orality which can permit individual health status or thinking.…”

Section: Discussionmentioning

confidence: 99%

Impact of state of emergency for coronavirus disease 2019 on hospital visits and disease exacerbation: the Japan COVID-19 and Society Internet Survey

Yoshida

Okubo

Katanoda³

et al. 2022

Family Practice

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Background Studies on the impact of coronavirus disease 2019 (COVID-19) on people’s routine medical care are limited, and understanding the factors associated with medical care avoidance can inform us about the ongoing pandemic. Objectives We aimed to assess the impact of Japan’s state of emergency and stay-at-home policy for COVID-19 on hospital visits and disease exacerbation; we also identified related factors. Methods This cross-sectional study used data from the Japan COVID-19 and Society Internet Survey (JACSIS), which included randomly sampled research agency panellists in Japan. Among the 28,000 participants, we included 7,747 respondents who reported having any disease. We described baseline characteristics and avoidance-related hospital visit outcomes. We used multivariable logistic regression analyses to assess the association between chronic diseases and outcomes of hospital visit avoidance. Results Among 7,747 participants, 17.7% of patients with chronic diseases avoided hospital visits, 2.1% of patients postponed hospitalization or surgery, 4.9% of patients ran out of drug, and 5.3% of patients experienced disease exacerbation during the COVID-19 pandemic in April and May 2020. Exacerbations occurred mostly in participants with mental diseases, chronic pain and headache, and diabetes (OR 3.33 [95% confidence interval (CI): 2.51–4.41], 2.83 [95% CI: 2.19–3.66], and 1.53 [95% CI: 1.10–2.13], respectively). Patients with cardiovascular disease or cancer did not experience exacerbation [OR 0.55 (95% CI: 0.31–0.97), 0.79 (95% CI: 0.43–1.45)]. Conclusions The rates of hospital visit avoidance and exacerbation varied among patients with different diseases under the COVID-19 stay-at-home policy in April and May 2020, and disease-specific preparedness may be necessary for the pandemic.

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“…Their results indicate that hospital size, top management support and organizational readiness are the three most influential factors. Shimizu et al' (2021) exploration of factors inhibiting the dissemination of telemedicine in Japan, using interpretive structural modeling (ISM), reveals that high implementation and operating costs, lack of research data and risks to clinical safety are key factors. In developing countries such as Bangladesh, ease of use and the usefulness of and trust in eHealth technologies are considered by patients to be the two most important factors influencing eHealth adoption (Hoque et al, 2017).…”

Section: Multi-criteria Decision-making Methods For Ehealth Contextsmentioning

confidence: 99%

“…Their results indicate that hospital size, top management support and organizational readiness are the three most influential factors. Shimizu et al. ’ (2021) exploration of factors inhibiting the dissemination of telemedicine in Japan, using interpretive structural modeling (ISM), reveals that high implementation and operating costs, lack of research data and risks to clinical safety are key factors.…”

Section: Literature Reviewmentioning

confidence: 99%

Does the transcultural problem really matter? An integrated approach to analyze barriers to eHealth SMEs’ development

Zhao

Suklan

Liu

et al. 2023

IJEBR

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PurposeIn a competitive environment, eHealth small and medium-sized enterprises’ (SMEs’) barriers to survival differ from those of large enterprises. Empirical research on barriers to eHealth SMEs in less prosperous areas has been largely neglected. This study fills this gap by employing an integrated approach to analyze barriers to the development of eHealth SMEs. The purpose of this paper is to address this issue.Design/methodology/approachThe authors collected data through semi-structured interviews and conducted thematic analysis to identify 16 barriers, which were used as inputs into total interpretive structural modeling (TISM) to build interrelationships among them and identify key barriers. Cross-impact matrix multiplication applied to classification (MICMAC) was then applied validate the TISM model and classify the 16 barriers into four categories.FindingsThis study makes significant contributions to theory by identifying new barriers and their interrelationships, distinguishing key barriers and classifying the barriers into four categories. The authors identify that transcultural problems are the key barrier and deserve particular attention. eHealth SMEs originating from regions with cultural value orientations, such as hierarchy and embeddedness, that differ from the UK’s affective autonomy orientation should strengthen their transcultural awareness when seeking to expand into UK markets.Originality/valueBy employing an integrated approach to analyze barriers that impede the development of eHealth SMEs in a less prosperous area of the UK, this study raises entrepreneurs’ awareness of running businesses in places with different cultural value orientations.

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Analysis of Factors Inhibiting the Dissemination of Telemedicine in Japan: Using the Interpretive Structural Modeling

Cited by 11 publications

References 14 publications

Relationship Between Clinics Offering Telemedicine and Population Density in Japan: An Ecological Study

Relationship Between Clinics Offering Telemedicine and Population Density in Japan: An Ecological Study

Impact of state of emergency for coronavirus disease 2019 on hospital visits and disease exacerbation: the Japan COVID-19 and Society Internet Survey

Does the transcultural problem really matter? An integrated approach to analyze barriers to eHealth SMEs’ development

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