Success and failure: a case study of two rural telemedicine projects

Whitten, Pamela; Adams, Inez

doi:10.1258/135763303767149906

Cited by 40 publications

(36 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies have been carried out on the implementation processes in connection with the use of telehomecare technology in rural and remote areas [2][3][4][5][6][7]. These studies typically identify a series of barriers and opportunities when implementing telehomecare technology; overcoming these barriers is therefore a key to successful implementation [8].…”

Section: Introductionmentioning

confidence: 99%

Telehomecare Challenge Collaboration Among Healthcare Professionals

Dinesen

Toft

2009

Wireless Pers Commun

View full text Add to dashboard Cite

The aim of this study was to identify the organizational problems that emerge when telehomecare technology for heart patients is implemented across healthcare sectors. The overall methodology of the study is the case study. A triangulation of data collection techniques was used in order to provide multiple sources of evidence for identifying the problems. During the design and implementation phases of a telehomecare system, several problems emerged: hospital nurses feared losing control over their job content, district nurses were confronted with more clinical tasks, there were competing visions about patient treatment and care between healthcare professionals, new patterns for collaboration across sectors emerged, and the lack of payment structure for home hospitalisation of patients created no incentives for telehomecare. These issues should be taken into account when implementing wireless telehomecare technology. If attention is not paid to these challenges telehomecare will remain marginalized and not be able to be implemented effectively.

show abstract

Section: Introductionmentioning

confidence: 99%

Telehomecare Challenge Collaboration Among Healthcare Professionals

Dinesen

Toft

2009

Wireless Pers Commun

View full text Add to dashboard Cite

show abstract

“…It is necessary to emphasize that the implementation of Teledentistry will not dehumanize dental practices. In addition, such implementation will be associated with lower costs than the conventional system's, which relies on in-person visits with specialists [6,20,22].…”

Section: Discussionmentioning

confidence: 99%

Acceptance of Teledentistry by Brazilian Dentists

Groisman

Olival

et al. 2015

JDHODT

View full text Add to dashboard Cite

(WHO); European Union (EU), International Telecomunications Agencies (ITA) and Spacial European Agency (SEA), adopted oficially "eHealth" (eHealth), as an oficial term, after that turnning point different health professions started to use the telehealth, for clinical;administrative and educatonal tools in health [2]. The refletion of the use of tecnology of information (TIs) in public service, has stimulated the dialogue between diferent social actors, compromise with the quality and resolutivity of health care. In Brazil, telehealth was criated by Minister of Health in 2007 [3]. The most commom use of telehealth is related to diagnosstic; planning individual and coletive strategies, related to family strategy second opinion and continued education [4][5][6].It is important to have in mind that telehealth, shoud be used in a large spectrum. As health, is directly related to oral health. Periodontal infecctions contributes to the pathogenesis of atherosclerosis and thromboembolic events by promoting repeated systemic vascular changes resulting from the presence of endotoxin, such as lipopolysaccharide (LPS), inflammatory cytokines, including tumor necrosis factor (TNF) and interleukins which can induce the secretion of acute-phase proteins , such as C-reactive protein (CRP) and fibrinogen [7,8].One of the mechanisms in which diabetes is regarded as a risk factor for the occurrence and severity of periodontal disease, is its production of tumor necrosis factor (TNF -alpha) production, which prevents the bone tissue to repair [9]. Many studies have demonstrated that control of periodontal infection can improve the diabetic glycemic control [10]. In the last two decades there is evidence that support the concept thatPeriodontal Disease can have adverse effects on organs and tissues in remote locations, being the major causes of cardiovascular and cerebrovascular diseases, diabets and preterm birth [11,12]. From the introduction above it is fair to evaluate the use of telehealth in dentistry, teledentistry, from the dentists point of view, in order to identify if Brazilian dentists were read to use teledentistry as a second opinion as well in continuing education.Teledentistry is a relatively new field that combines telecommunication technology and dental care [13]. In recent years, the use of computers and the advancement of informatics have generated interest in the ability to generate threedimensional images in a high resolution. Computed Tomography Cone Beam (CTCB) was successfully introduced a third dimension to Dentistry. This equipment has an great precision and the large scale use of scans and all kind of digital X-ray images, created the need to share these information's among professionals, students and patients [14][15][16]. These was achieved by the Teledentistry [17,18]. This tool might be used on a large scale in rural communities, increasing patient access to experts and reducing costs and time of travelling. The Brazilian Ministry of Science and Technology, together with São Paulo University, adopted...

show abstract

“…Telemedicine services are often sensitive to changes in key personnel [43]. Successfully sustaining telemedicine services is about integration and effective change management [44].…”

Section: Limitationsmentioning

confidence: 99%