Promoting Access Through Complementary eHealth Technologies: Recommendations for VA’s Home Telehealth and Personal Health Record Programs

Perspectives of Nurses Toward Telehealth Efficacy and Quality of Health Care: Pilot Study (Preprint)

“…The "type of technology" has a direct effect on barrier reduction, attitudes, quality and quantity of communication [16]. There is a link between potential service quality facets and health care organizations adoption of healthcare information technologies and telehealth [17,18]. SERVQUAL and its improved versions are still widely used for measuring service quality in various sectors including health care, justifying SERVQUAL as an appropriate tool for TNSQ [6,11].…”

“…The modified SERVQUAL instrument consisted of 25 items, which included the five original dimensions. The first seven questions belonged to the tangibles dimension (1-7), questions eight to twelve belonged to the reliability dimension (8)(9)(10)(11)(12), questions thirteen to sixteen belonged to the responsiveness dimension (13)(14)(15)(16), questions seventeen to twenty belonged to the assurance dimension (17)(18)(19)(20), and the last five questions belonged to the empathy dimension (21-25).…”

“…The distribution scale values obtained for the average telehealth service expectation scores, service performance scores and service quality scores are presented [ Table 2,3,4].The gap scores are negative in the tangibles (1-7), responsiveness (13)(14)(15)(16) and assurance dimensions (17)(18)(19)(20). These values demonstrate that the expectations (E) of telehealth nursing service are higher than the actual perception (P) of the service [ Table 3].…”

“…It is the integrated use of electronic information and telecommunications technology to support remote clinical health care, patient and professional health related education, public health and health administration [1].The terms telehealth and telemedicine have become intertwined in literature; however in this study we use telehealth as a broad term that encompasses clinical and non-clinical services in contrast to telemedicine, which consist of purely clinical services [2]. Given the success of telehealth in specialty health care services, the use of technologies to transmit health information and provide care across a distance is poised to enter mainstream health service delivery [3,4]. While many studies have assessed the cost effectiveness and patient acceptance of this new method of service delivery, the perspective of nurses as the service provider has not been previously studied [5,6].…”

Behavioral medicine translation in the Veterans Health Administration: editorial to the special section on the Department of Veterans Affairs

“…Clinical datasets with the administrative data support large-scale epidemiological research and observational studies of interventions. In addition to health information technology for clinicians and managers in the VHA, Veterans using VHA services have access to a personal health record, health decision support integrated in the health record, electronic health applications for their personal computers and mobile devices, and behavioral medicine interventions delivered through telehealth modalities [21][22][23][24].…”