Intelligent Health Systems and Third Millennium Medicine in Australia

Yellowlees, Peter Mackinlay

doi:10.1089/107830200415117

Cited by 8 publications

(2 citation statements)

References 35 publications

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“…Telehealth has been available in Australia for almost 40 years. Early adopter and telehealth champion, physician Yellowlees (2000), pointed to studies dating back to the 1980s that described applications of telehealth across rural Australia. By the late 1990s, Australian Health Ministers established the National Health Information Management Advisory Council (NHIMA), comprising representatives from government, the private sector and consumers, to progress action on key issues related to the use of telecommunications for the delivery of healthcare.…”

Section: Telehealth: a Promissory Potentialmentioning

confidence: 99%

Hype, evidence gaps and digital divides: Telehealth blind spots in rural Australia

2021

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Despite high unmet demand for health services across rural Australia, uptake of telehealth has been slow, piecemeal and ad hoc. We argue that widespread failure to understand telehealth as a socio-technical practice is key to understanding this slow progress. To develop this argument, we explore how technocentric approaches to telehealth have contributed to critical blind spots. First, the ‘hype’ associated with the technological possibilities of telehealth discourages thoughtful consideration of the unanticipated consequences when technologies are rolled out into complex social fields. Second, it contributes to critical gaps in the telehealth evidence base, and particularly a paucity of analyses focussing on the experiences of service users and patients. A third blind spot concerns the limited attention paid to the social determinants of health and digital divides in rural areas. The final blind spot we consider is an apparent reluctance to engage community stakeholders in co-designing and coproducing telehealth services. We used an iterative approach to identify studies and commentary from a range of academic fields to explain the significance of the telehealth blind spots and how they might be addressed. Insights suggest how expanding understanding of the social dimensions of telehealth could enhance its accessibility, effectiveness and responsiveness to community needs and contexts.

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Section: Telehealth: a Promissory Potentialmentioning

confidence: 99%

Hype, evidence gaps and digital divides: Telehealth blind spots in rural Australia

2021

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“…Australia has a reputation for providing good-quality telehealth programmes [1][2][3][4][5] , but there have also been a substantial number of telehealth services that have either failed or have not succeeded to the extent that was originally envisaged. How does one evaluate whether a telehealth programme has been successful 6 ?…”

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confidence: 99%

An analysis of why telehealth systems in Australia have not always succeeded

Yellowlees

2001

J Telemed Telecare

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Telehealth programmes are rather similar to humans in the way that they are planned, develop, grow and ultimately die or disappear. To achieve good life expectancy for a telehealth programme there appear to be three major needs: nurturing, which includes the provision of money, ideas, education, training and innovation; experience, which involves an integrated management process, the achievement of long and wide patterns of usage, the development of updated policies and procedures and the involvement of multiple disciplines; success, which involves evidence of outcomes, evaluation and research, and, most important, the sharing of information through scientific and popular press publications, and conferences and collaborations with internal and external groups. The future of telehealth in Australia is at a watershed. There are now a substantial number of programmes, and there has been a large amount of financial and human investment in telehealth around the nation. There is, however, no forum for national leadership, no national association and little support at federal government level.

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Case-Based Support in a Cooperative Medical Diagnosis Environment

Yearwood

Pham²

2000

Telemedicine Journal

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Many medical services are often not available to people living in remote areas because of the lack of medical specialists. This problem would be alleviated if a suitable environment was designed to allow physicians to collaborate and exchange ideas with centrally located medical specialists. This article describes an ongoing research project to design and implement a collaborative multimedia environment to allow medical specialists to cooperate in diagnosis. The environment will support remote database access for medical images, the retrieval of relevant medical cases to support diagnosis, and communication among participants through telepointers and image annotation by free-hand drawing.

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Intelligent Health Systems and Third Millennium Medicine in Australia

Cited by 8 publications

References 35 publications

Hype, evidence gaps and digital divides: Telehealth blind spots in rural Australia

Hype, evidence gaps and digital divides: Telehealth blind spots in rural Australia

An analysis of why telehealth systems in Australia have not always succeeded

Case-Based Support in a Cooperative Medical Diagnosis Environment

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