Identifying barriers in telemedicine-supported integrated care research: scoping reviews and qualitative content analysis

Harst, Lorenz; Timpel, Patrick; Otto, Lena; Richter, Peggy; Wollschlaeger, Bastian; Winkler, Katja; Schlieter, Hannes

doi:10.1007/s10389-019-01065-5

Cited by 30 publications

(30 citation statements)

References 103 publications

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“…Current research indicates that understanding human factors in technology adoption, including user awareness, acceptance and readiness, and skill impact the communication that is produced [ 106 ]. It has previously been noted that a lack of consideration of an individual’s characteristics and social environment is a barrier to integrating telemedicine/telehealth tools [ 107 ]. Barriers to technology adoption should be addressed in COVID-19 care and telehealth communication assessment is needed, especially in diverse patient and family populations [ 108 ].…”

Section: Resultsmentioning

confidence: 99%

Opportunities to improve COVID-19 provider communication resources: A systematic review

Wittenberg

Goldsmith

Chen

et al. 2021

Patient Education and Counseling

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Section: Resultsmentioning

confidence: 99%

Opportunities to improve COVID-19 provider communication resources: A systematic review

Wittenberg

Goldsmith

Chen

et al. 2021

Patient Education and Counseling

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“…It is no coincidence that all three historical use cases focus on teleconsultation as a phenotype of telemedicine (Harst et al 2019a , b ). As the interaction between doctor and patient is the central element in health care delivery (and not the implementation of technology), involving both in the implementation process can leverage one of the most promising potentials of telemedicine use, i.e., tailoring of interventions to individual end-user needs (Holmen et al 2017 ).…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, he acted as a remote expert (in cooperation with a physician on-site) on treating ailments of the thorax, including the remote analysis of X-ray pictures. As such, this process fully qualifies as telemedicine, especially the phenotype “teleconsultation” (Harst et al 2019a , b ).…”

Section: Methodsmentioning

confidence: 99%

“…Thus, this study pursues two objectives: The first aim is to scrutinize selective historical cases of telemedicine use against the background of present concepts of facilitators and barriers of telemedicine projects to understand the enablers and barriers of telemedicine (Harst et al 2019a ). The second aim is to define the maturity level of the historical cases based on the criteria of the Telemedicine Community Readiness Model (TCRM) (Care4Saxony 2020 ; Otto et al 2020b ), which is a generic concept of readiness for telemedicine in communities.…”

Section: Introductionmentioning

confidence: 99%

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Sauerbruch, STARPAHC, and SARS: Historical Perspectives on Readiness and Barriers in Telemedicine

Reifegerste

Harst

Otto

2021

J Public Health (Berl.)

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Aim Telemedicine is a promising solution to extend traditional health care services. Even though mainly discussed during the past two decades, its roots go back into the past century and even further, considering the use of bonfires to warn other villages of diseases. Insights from historical cases can therefore be useful for the ongoing discussion regarding the successful implementation of telemedicine. Subject and Methods We analyzed three historical telemedicine cases (varying regarding time and place) and extracted their success factors and barriers as well as assessed their maturity by using the Telemedicine Community Readiness Model (TCRM). Evidence-based categories of success factors and barriers as well as the TCRM’s dimensions were used as deductive categories to analyze the study material’s content. Results The analysis showed that the readiness for telemedicine is higher when the technology is the only option to access health care services. In all three cases, core readiness played a central role. However, the health sector, existing technology, and finance were barriers present at all times, while during pandemics, some barriers are only temporarily removed, for example, by putting legal issues on hold. The analyzed cases were all on lower levels of maturity as they mainly represent pilot tests or exceptional circumstances. Conclusion Results indicate the important core functions in telemedicine initiatives as well as the diversity of their circumstances. Insights from such historical meta-perspectives can, for example, help to strengthen the sustainability of the increased use of telemedicine during the COVID-19 pandemic and scale up current telemedicine projects.

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“…In line with this, Scheplitz et al (2019) have highlighted the critical role of healthcare information systems in digital innovation projects regarding processes, information flows, applications, and IT infrastructures. Especially, such information infrastructures seem crucial for the successful implementation of digital innovations (Grisot et al 2013). Other contributions have explored success factors and reasons for failure of digital innovation projects in healthcare (e.g., Schubert 2004;Teoh 2010;Przybilla et al 2018;Scheplitz et al 2019).…”

Section: Related Work: Digital Innovations In Hospitalsmentioning

confidence: 99%

Removing barriers for digital health through organizing ambidexterity in hospitals

Gleiß

Lewandowski

2021

J Public Health (Berl.)

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Aim Hospitals noticeably struggle with maintaining hundreds of IT systems and applications in compliance with the latest IT standards and regulations. Thus, hospitals search for efficient opportunities to discover and integrate useful digital health innovations into their existing IT landscapes. In addition, although a multitude of digital innovations from digital health startups enter the market, numerous barriers impede their successful implementation and adoption. Against this background, the aim of this study was to explore typical digital innovation barriers in hospitals, and to assess how a hospital data management platform (HDMP) architecture might help hospitals to extract such innovative capabilities. Subject and methods Based on the concept of organizational ambidexterity (OA), we pursued a qualitative mixed-methods approach. First, we explored and consolidated innovation barriers through a systematic literature review, interviews with 20 startup representatives, and a focus group interview with a hospital IT team and the CEO of an HDMP provider. Finally, we conducted a case-study analysis of 36 digital health startups to explore and conceptualize the potential impact of DI and apply the morphological method to synthesize our findings from a multi-level perspective. Results We first provide a systematic and conceptual overview of typical barriers for digital innovation in hospitals. Hereupon, we explain how an HDMP might enable hospitals to mitigate such barriers and extract value from digital innovations at both individual and organizational level. Conclusion Our results imply that an HDMP can help hospitals to approach organizational ambidexterity through integrating and maintaining hundreds of systems and applications, which allows for a structured and controlled integration of external digital innovations.

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Identifying barriers in telemedicine-supported integrated care research: scoping reviews and qualitative content analysis

Cited by 30 publications

References 103 publications

Opportunities to improve COVID-19 provider communication resources: A systematic review

Opportunities to improve COVID-19 provider communication resources: A systematic review

Sauerbruch, STARPAHC, and SARS: Historical Perspectives on Readiness and Barriers in Telemedicine

Removing barriers for digital health through organizing ambidexterity in hospitals

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