Healthcare providers’ perceptions of barriers in implementing of home telecare in Taiwan: A qualitative study

Chiang, Kuei-Feng; Wang, Hsiu‐Hung; Chien, Isabel; Liou, Jhao-Kun; Hung, Chung‐Lieh; Huang, Chien-Min; Yang, Feng-Yueh

doi:10.1016/j.ijmedinf.2015.01.007

Cited by 22 publications

(31 citation statements)

References 22 publications

(25 reference statements)

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“…Taiwan’s Telecare Pilot Project has been promoted for nearly a decade, but its development and expansion have been quite slow [3]. Therefore, investigating the influencing factors affecting elderly patients’ intention to adopt telecare service is necessary.…”

Section: Resultsmentioning

confidence: 99%

“…For example, telecare has been identified as a possible alternative approach to meeting the demands of aging people ( e.g ., long-term care) [1, 2]. Telecare is a long-term care system that encompasses health care, electronic medical equipment, and communication technology and enables people to receive health care services in their home and community [3]. Several studies have indicated that telecare can improve patients’ quality of life and satisfaction and reduce health care costs and the number of emergency accidents [4, 5].…”

Section: Introductionmentioning

confidence: 99%

“…Similar to European countries [6], the development and provision of telecare in Taiwan remains slow [3]. In addition to the government and health care provider concerns [7], the willingness of people to use and continue to use these services greatly influences the development of telecare in Taiwan.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Telecare Services for Elderly: Predictive Factors of Continued Use Intention

Hsu

Tsai

Kuo

et al. 2016

Open Biomed. Eng. J.

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Background:Several countries have recently attempted to implement telecare information technology to provide health care to older adults. This study applied self-determination theory (autonomy, relatedness, and competence) and the theory of planned behavior (subjective norm, perceived behavioral control, and attitudes toward using tools) to investigate a theoretical model for explaining the predictive factors influencing the intention of elderly patients to continue using telecare services.Methods:Elderly patients in Taiwan (N = 160) who used telecare systems and fall-detection systems completed a questionnaire. Hierarchical multiple regression analysis was applied to test hypotheses.Results:The results revealed that the main effects related to identification supported the notion that autonomy, relatedness, subjective norm, and attitudes toward using tools positively affect elderly patients’ intention to continue using telecare services. But, perceived competence and perceived behavioral control cannot be used as a predictor of intention to adopt telecare services.Conclusion:For an aging society, to provide appropriate ways to enhance elderly patients’ willingness to use telecare services is important. Our findings indicate that elderly patients’ perceived relatedness and subjective norm are both crucial predictors in intention to adopt telecare services. And it means that social influence may play a critical role in elderly patients’ intention to adopt telecare services; therefore, researchers can investigate social influence mechanisms in depth and examine them more closely in future research.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Telecare Services for Elderly: Predictive Factors of Continued Use Intention

Hsu

Tsai

Kuo

et al. 2016

Open Biomed. Eng. J.

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“…Research that focused more on the hardware of telemedicine did not adequately cover these aspects. [13][14][15] On the other hand, the work of medical specialties such as telesurgery and those of a juridical and philosophical nature that consider ethical aspects in a significant way are above all. [16][17][18][19][20] Thirteen articles expressly talk about informed consent to health services.…”

Section: Informed Consentmentioning

confidence: 99%

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Nittari

Khuman

Baldoni

et al. 2020

Telemedicine and e-Health

285

207

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Background: Telemedicine involves medical practice and information and communications technology. It has been proven to be very effective for remote health care, especially in areas with poor provision of health facilities. However, implementation of these technologies is often hampered by various issues. Among these, ethical and legal concerns are some of the more complex and diverse ones. In this study, an analysis of scientific literature was carried out to identify the ethical and legal challenges of telemedicine. Materials and Methods: English literature, published between 2010 and 2019, was searched on PubMed, Scopus, and Web of Science by using keywords, including ''Telemedicine,'' ''Ethics,'' ''Malpractice,'' ''Telemedicine and Ethics,'' ''Telemedicine and Informed consent,'' and ''telemedicine and malpractice.'' Different types of articles were analyzed, including research articles, review articles, and qualitative studies. The abstracts were evaluated according to the selection criteria, using the Newcastle-Ottawa Scale criteria, and the final analysis led to the inclusion of 22 articles. Discussion: From the aforementioned sample, we analyzed elements that may be indicative of the efficacy of telemedicine in an adequate time frame. Ethical aspects such as informed consent, protection data, confidentiality, physician's malpractice, and liability and telemedicine regulations were considered. Conclusions: Our objective was to highlight the current status and identify what still needs to be implemented in tele-medicine with respect to ethical and legal standards. Gaps emerged between current legislation, legislators, service providers, different medical services, and most importantly patient interaction with his/her data and the use of that data.

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“…Integrating eCPs and services faces some key challenges for adoption (14). The following challenging aspects are recognized: (1) A complex value network for eHealth and eCare services, (2) Added value is unclear, and still needs to be proven or is hard to quantify, (3) Technological barriers, and (4-6) Policy-and health system-related barriers.…”

Section: Challenges Concerning the Integration Of Ecare Platformsmentioning

confidence: 99%

Bringing eCare platforms to the market

Vannieuwenborg

Auwermeulen

Ooteghem

et al. 2016

Informatics for Health and Social Care

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Due to changes in the demographic situation of most Western European countries, interest in Information and Communication Technologies (ICT)-supported care services is growing fast. eCare services that foster better care information exchange, social involvement, lifestyle monitoring services, etc., offered via ICT platforms, integrated in the homes of the elderly are believed to be cost-effective. Additionally, they could lead to an increased quality of life of both care receiver and (in)formal caregiver. Currently, adoption and integration of these eCare platforms (eCPs) is slowed down by several barriers such as unclear added value, a lack of regulations, or lack of sustainable financial models. In this work, the added value of eCPs is identified for the several involved key actors such as the care receiver, the (in)formal care providers, and the home care organizations. In a second step, several go-to-market strategies are formulated. Because the gap between the current way of providing home care and providing home care supported by a fully integrated eCP seems too big to bridge in one effort, a migration path is provided for stepwise integration and adoption of eCPs in the current way of home care provisioning.

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Healthcare providers’ perceptions of barriers in implementing of home telecare in Taiwan: A qualitative study

Cited by 22 publications

References 22 publications

Telecare Services for Elderly: Predictive Factors of Continued Use Intention

Telecare Services for Elderly: Predictive Factors of Continued Use Intention

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Bringing eCare platforms to the market

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