Exploring the Impact of a Telehealth Care System on Organizational Capabilities and Organizational Performance from a Resource-Based Perspective

Chen, Chun-Hsun; Lan, Yu Li; Yang, Wei‐Pang; Hsu, Fang-Ming; Lin, Chin-Lon; Chen, Hsing-Chu

doi:10.3390/ijerph16203988

Cited by 6 publications

(6 citation statements)

References 71 publications

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“…In terms of research on cooperation among healthcare institutions, traditional evolutionary game methods have been used to study areas such as hierarchical diagnosis and treatment systems [34], cooperation between urban and rural medical institutions [32], and healthcare PPP projects [30]. In the study of county healthcare communities, scholars have explored a CMC construction model [15], the impact of CMC construction on local healthcare performance [23], and factors related to the integration of the CMC [24][25][26]. Compared with these previous studies, the major differences in our work are the change in research perspective and an improvement in the research methods used.…”

Section: Discussionmentioning

confidence: 99%

“…We adjusted the simulation code according to the equation set (25) and continued the simulation value setting shown in Section 3.2 to further analyze the game process of the lead hospital, primary healthcare institutions, and government departments under the influence of different game factors. The simulation platform used the same python 3.9 as the Section 3.2, as well as using Origin 2021 to process the simulation images.…”

Section: Numerical Simulation Analysis Of the Tripartite Stochastic E...mentioning

confidence: 99%

“…Sheiman and Shevski assessed the integration of healthcare services in Russia in terms of team coordination and continuity of services and concluded that strengthening financial incentives is an effective means of promoting integration [24]. Chen et al empirically tested whether IT infrastructure significantly affects the service performance and financial performance of telehealth services using a model with mediating effects [25]. However, some scholars have shown that the modernization of healthcare services in a complex and rapidly changing environment is not straightforward and requires constant attention on the different strategies of action adopted by different subjects [26].…”

Section: Introductionmentioning

confidence: 99%

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Information-Driven Integrated Healthcare: An Analysis of the Cooperation Strategy of County Medical Community Based on Multi-Subject Simulation

Dong

Liu

2023

Healthcare

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The fragmentation and uneven quality of primary medical resources in China call for a deepening of integrated healthcare reform. China is promoting its county medical community (CMC) reform on a large scale in county-level administrative regions to promote the integration of local primary healthcare systems through information technology, which is consistent with the current trend of the digital governance era. Considering that the construction of a county medical community involves collaborative relationships between multi-level subjects, the evolutionary game theory was adopted in this study to construct a game model between the lead hospital of a CMC and primary healthcare institutions, and then the incentives of government department support were introduced to analyze the behavioral evolution of these three subjects. Taking into account the uncertainty of the real-life environment and information transformation, white Gaussian noise was introduced as a random disturbance term, and a numerical simulation was performed. In the two-subject model we focus on four parameters: information and management authority ceded by the primary healthcare institutions, integration coefficient of CMC information construction, intensity factor of information integration in the CMC, and medical resources delivered by the lead hospital. In the three-subject model we focus on three parameters: information and portion of authority ceded by the primary healthcare institutions and government departments, policy effect coefficient of CMC construction, and intensity of government departments’ support for CMC construction. The simulation results show that there is a positive incentive for the concession of management power and information from the primary healthcare institutions to the lead hospital, but further determination of empowerment boundaries is needed. The lead hospital can improve the balance of medical resources in the county through the downward transfer of medical resources, but long-term resource delivery may inhibit the enthusiasm of the lead hospital. An improvement in the information integration intensity of the CMC can promote the efficient flow of information and knowledge and enhance the organizational closeness of the county medical community. At the same time, the integration of CMC information construction reduces the cost of collaboration among medical community members and streamlines and consolidates business modules, which can promote more efficient use of medical resources. The government departments’ policies and funds provide obvious incentives to the lead hospital and primary healthcare institutions, but there is a need to explore appropriate financial payment ratios to balance the government’s financial pressure.

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Section: Discussionmentioning

confidence: 99%

Section: Numerical Simulation Analysis Of the Tripartite Stochastic E...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Information-Driven Integrated Healthcare: An Analysis of the Cooperation Strategy of County Medical Community Based on Multi-Subject Simulation

Dong

Liu

2023

Healthcare

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“…In this way, the risk of cluster infection will be reduced, limited physical medical resources would be reserved for severely and acutely ill patients, and smart technology could be used to provide more comprehensive and dedicated medical care. 27…”

Section: Discussionmentioning

confidence: 99%

Telehealth care system for chronic disease management of middle-aged and older adults in remote areas

Lan

Chen

2022

Health Informatics J

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Background With the global spread of the coronavirus disease pandemic, governments have become more interested in applying telehealth technology in 2020. Objective This study integrates the technology acceptance model and information system success model to explore the influence of satisfaction, attitudes, and continued use of telehealth systems among middle-aged and older people in remote areas. Methods The study participants were patients over 40 years (inclusive) who lived in remote townships in eastern Taiwan, were diagnosed with diabetes or hypertension, and used the telehealth care system. In total, 545 questionnaires were returned, resulting in a recovery rate of 99%. Results Accepting the hypothesized structural equation model, this study found that information, system, and service quality were influenced by the mediating effect of perceived ease of use and the perceived usefulness of the technology acceptance model. The use of telehealth care systems among chronic patients increased significantly.

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“…Delivering high-quality TMH care is also attributed to organizational factors that facilitate or support providers in using telemedicine. A recent study found that having strong organizational capabilities, such as sufficient information technology infrastructure, is integral to successful telemedicine adoption in healthcare systems ( 20 ). However, healthcare providers must also feel supported in using telemedicine to practice their specialty with fidelity and to effectively provide care to their patients ( 21 ).…”

Section: Introductionmentioning

confidence: 99%

Perceptions of Telemental Health Care Delivery During COVID-19: A Cross-Sectional Study With Providers, February-March 2021

Wilczewski¹,

Paige²,

Ong³

et al. 2022

Front. Psychiatry

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The COVID-19 pandemic accelerated adoption of telemental health (TMH). Providers with limited TMH experience faced challenges during the rapid switch to remote patient care. We investigated TMH providers’ perceptions about remote care one year into the pandemic according to when providers adopted telemedicine (i.e., before vs. after March 2020) and how much of their caseloads were served remotely (i.e., < 50% vs. ≥ 50%). Between February–March 2021, 472 TMH providers completed a cross-sectional, web-based survey that measured perceived benefits and satisfaction with telemedicine, therapeutic alliance, patient-centered communication, eHealth literacy, multicultural counseling self-efficacy, and facilitating factors of using telemedicine. Providers who began using telemedicine before the pandemic reported having better training, task-related therapeutic alliance with patients, and ability to conduct multicultural interventions, assessments, and session management. Providers who served ≥ 50% of their caseload remotely reported greater satisfaction with their practice, stronger beliefs about the benefits of telemedicine, and greater perceived effects of telemedicine on alleviating the impact of COVID-19. There were no differences in reports of patient-centered communication nor eHealth literacy. In conclusion, providers who adopted TMH more recently may require additional training and support to successfully establish a working alliance with their patients, especially with multicultural aspects of care.

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Exploring the Impact of a Telehealth Care System on Organizational Capabilities and Organizational Performance from a Resource-Based Perspective

Cited by 6 publications

References 71 publications

Information-Driven Integrated Healthcare: An Analysis of the Cooperation Strategy of County Medical Community Based on Multi-Subject Simulation

Information-Driven Integrated Healthcare: An Analysis of the Cooperation Strategy of County Medical Community Based on Multi-Subject Simulation

Telehealth care system for chronic disease management of middle-aged and older adults in remote areas

Perceptions of Telemental Health Care Delivery During COVID-19: A Cross-Sectional Study With Providers, February-March 2021

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