Organisational assessment of three telehealth interventions in a European
                        multicentre study: The United4Health project

Jensen, Lise Kvistgaard; Kidholm, Kristian; Stafylas, Panagiotis; Dafoulas, George; Tangene, Wenche; Knarvik, Undine; Rudel, Drago; Gütter, Zdeněk; Murga, Nekane; Fullaondo, Ane; Hurlin, Claire; Warm, Daniel; Brogan, Michelle; Longobucco, Alfonso; Pakanen, Mira; Ramos-Hernández, Cristina; Nocelo, Susana Fernández; Rodríguez, Pedro Jorge Marcos

doi:10.5334/ijic.2575

Cited by 3 publications

(2 citation statements)

References 1 publication

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“…This suggests that it would be important to take into account the presence or absence of a potential champion when planning an intervention such as this. Although the potential value of champions has been noted in earlier studies [7, 20, 22, 23], this condition for success has not featured strongly in prior accounts. Given the diversity within our sample with respect to this condition, it would seem that this aspect ought to be emphasized in future initiatives so the health care professionals in all settings can benefit from the champion aspect.…”

Section: Discussionmentioning

confidence: 86%

Conditions for success in introducing telemedicine in diabetes foot care: a qualitative inquiry

et al. 2017

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BackgroundThe uptake of various telehealth technologies to deliver health care services at a distance is expanding; however more knowledge is needed to help understand vital components for success in using telehealth in different work settings. This study was part of a larger trial designed to investigate the effect of an interactive telemedicine platform. The platform consisted of a web based ulcer record linked to a mobile phone to provide care for people with diabetic foot ulcers in outpatient clinics in specialist hospital care in collaboration with primary health care. The aim of this qualitative study was to identify perceptions of health care professionals in different working settings with respect to facilitators to engagement and participation in the application of telemedicine.MethodsTen focus groups were conducted with health care professionals and leaders in Western Norway between January 2014 and June 2015 using Interpretive Description, an applied qualitative research strategy.ResultsFour key conditions for success in using telemedicine as a new technology in diabetes foot care were identified: technology and training that were user-friendly; having a telemedicine champion in the work setting; the support of committed and responsible leaders; and effective communication channels at the organizational level.ConclusionsSuccessful larger scale implementation of telemedicine must involve consideration of complex contextual and organizational factors associated with different work settings. This form of new care technology in diabetes foot care often involves health care professionals working across different settings with different management systems and organizational cultures. Therefore, attention to the distinct needs of each staff group seems an essential condition for effective implementation.

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Section: Discussionmentioning

confidence: 86%

Conditions for success in introducing telemedicine in diabetes foot care: a qualitative inquiry

et al. 2017

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“…As a starting point, we reviewed existing telehealth maturity models for their approaches, strengths, and limitations. These models included the Telemedicine Service Maturity Model (TMSMM; van Dyk and Schutte, 2013); Hospital Telehealth Maturity Model (American Hospital Association, 2019); MOMENTUM-Telemedicine Readiness Self-Assessment Toolkit (Jensen et al, 2015); Strategy, Technology, Organisation, People, and Environment (STOPE) model (Abera et al, 2014); a readiness tool developed by the Pan American Health Organization and Inter-American Development Bank (2020); a taxonomy of telemedicine proposed by Bashshur et al (2011); compatibility requirements proposed by Bratan and Clarke (2005); and two papers describing a staged approach to evaluating telemedicine (DeChant et al, 1996;Jansen-Kosterink et al, 2016). Whilst there was some attention to macro/ meso factors, we found that earlier maturity models primarily focussed on readiness or were developed to support technology assessment and geared toward IT professionals, thus lacking sufficient detail outlining the range of clinical, organisational, and system milestones associated with higher levels of integrated care (van Dyk and Schutte, 2012).…”

Section: Relevance Of Maturity Modelsmentioning

confidence: 99%

A maturity model framework for integrated virtual care

Sinn

Pasat

Klea³

et al. 2022

JICA

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PurposeRemote patient monitoring (RPM) and virtual visits have the potential to transform care delivery and outcomes but require intentional planning around how these technologies contribute to integrated care. Since maturity models are useful frameworks for understanding current performance and motivating progress, the authors developed a model describing the features of RPM that can advance integrated care.Design/methodology/approachThis work was led by St. Joseph's Health System Centre for Integrated Care in collaboration with clinical and programme leads and frontline staff offering RPM services as part of Connected Health Hamilton in Ontario, Canada. Development of the maturity model was informed by a review of existing telehealth maturity models, online stakeholder meetings, and online interviews with clinical leads, programme leads, and staff.FindingsThe maturity model comprises 4 maturity levels and 17 sub-domains organised into 5 domains: Technology, Team Organisation, Programme Support, Integrated Information Systems, and Performance and Quality. An implementation pillars checklist identifies additional considerations for sustaining programmes at any maturity level. Finally, the authors apply one of Connected Health Hamilton's RPM programmes to the Team Organisation domain as an example of the maturity model in action.Originality/valueThis work extends previous telehealth maturity models by focussing on the arrangement of resources, teams, and processes needed to support the delivery of integrated care. Although the model is inspired by local programmes, the model is highly transferable to other RPM programmes.

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Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review

Dennett

Janjua

Stovold

et al. 2021

Cochrane Database of Systematic Reviews

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Organisational assessment of three telehealth interventions in a European multicentre study: The United4Health project

Cited by 3 publications

References 1 publication

Conditions for success in introducing telemedicine in diabetes foot care: a qualitative inquiry

Conditions for success in introducing telemedicine in diabetes foot care: a qualitative inquiry

A maturity model framework for integrated virtual care

Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review

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