The MANIAPURE Program—Lessons Learned from a Rural Experience: Two Decades Delivering Primary Healthcare Through Telemedicine

Sanabria, T; Orta, Morel

doi:10.1089/tmj.2011.0192

Cited by 11 publications

(16 citation statements)

References 3 publications

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“…Rufo, 2011 [ 66 ] Tele-intensivists → acute care facilities, outreach sites RM, VC Illinois, USA 9 S 33. Sanabria et al, 2012 [ 67 ] Range of specialist services → rural health care facilities VC, S&F Valenzuela, South America 7 S 34. Saurman et al, 2014 [ 68 ] Telemental health emergency services → remote and regional areas VC, T New South Wales, Australia 4 S 35.…”

Section: Methodsmentioning

confidence: 99%

“…Develop and articulate a clear, simple vision Have a shared vision with partners and stakeholders [ 4 , 20 , 22 , 32 , 62 , 64 ] 8. Assign coordinating roles Assign telemedicine coordinators at both participating and provider site [ 1 , 3 , 4 , 7 , 9 – 11 , 15 – 18 , 21 , 22 , 24 , 25 , 27 , 31 , 37 , 67 , 75 ] 9. Ensure adequate resources Complete a workflow analysis to ensure adequate resources are deployed to support telemedicine services [ 1 , 3 , 4 , 8 , 11 , 17 , 20 , 22 , 26 , 27 , 58 , 65 , 67 , 75 , 82 ] 10.…”

Section: Methodsmentioning

confidence: 99%

“…Training included how to use and troubleshoot equipment [46,49] and how to perform consultations through the technology [52,80]. Ongoing training and regular site checks were required to maintain telemedicine programs, especially in facilities with high staff turnover [41,53,67]. When dealing with rural and remote communities, cultural factors and communications styles also informed the training initiatives for providers [49].…”

Section: Phase 2 Managing Change -Operational Practicesmentioning

confidence: 99%

“…Change management (CM) is often recognized as integral to the implementation of telemedicine [16,17], yet is often approached in an ad-hoc, sporadic and reactive way, and reported as "lessons learned" when retrospectively evaluating a service implementation [15,18,67]. CM takes a systematic approach based on "an enabling framework for managing the people side of change" [19] that involves a set of processes, practices and deliberate activities intended to facilitate and guide an organization to move from its present state to a desired future state [20].…”

Section: Introductionmentioning

confidence: 99%

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A systematic scoping review of change management practices used for telemedicine service implementations

Kho

Gillespie

Martin‐Khan

2020

BMC Health Serv Res

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Background: Telemedicine improves access to health care services enabling remote care diagnosis and treatment of patients at a distance. However, the implementation of telemedicine services often pose challenges stemming from the lack of attention to change management (CM). Health care practitioners and researchers agree that successful telemedicine services require significant organizational and practice change. Despite recognizing the importance of the "people-side" of implementation, research on what constitutes best practice CM strategies for telemedicine implementations remains fragmented, offering little cohesive insight into the specific practices involved in the change process. We conducted a systematic scoping review of the literature to examine what and how CM practices have been applied to telemedicine service implementation, spanning a variety of health care areas and countries. Methods: Three bibliographic databases (CINAHL, PubMed, and ISI Web of Science) and four specialist telehealth journals were searched. To keep the review manageable and relevant to contemporary telemedicine technologies and contexts, the search was limited to articles published from 2008 to 2019. Forty-eight articles were selected for inclusion. Results: From the 48 articles, 16 CM practices were identified relating to either strategic or operational aspects of telemedicine implementations. We identify the key CM practices that are recognized in the broader CM literature as essential for successful and sustained change but are not commonly reported in telemedicine implementation studies. We draw on the CM literature to provide a comprehensive process-based, researched-informed, organizing framework to guide future telemedicine service implementations and research. Conclusions: Our findings suggest that the slow rate of adoption of telemedicine may be due to a piecemeal approach to the change process, and a lack of understanding of how to plan, manage and reinforce change when implementing telemedicine services.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Phase 2 Managing Change -Operational Practicesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A systematic scoping review of change management practices used for telemedicine service implementations

Kho

Gillespie

Martin‐Khan

2020

BMC Health Serv Res

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“…20 Other studies evaluating the benefits of telemedicine within rural communities found that telemedicine improves the local communities perception of healthcare, therefore decreases the desire or need for local patients to travel outside of their community; this simultaneously reduces financial costs by avoiding travel for consulting patients. 21, 22 .…”

Section: Current Role Of Telemedicinementioning

confidence: 99%

Ocular Disease, Knowledge and Technology Applications in Patients With Diabetes

Threatt

Williamson

Huynh

et al. 2013

The American Journal of the Medical Sciences

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An estimated 25.8 million children and adults in the United States, approximately 8.3% of the population, have diabetes. Diabetes prevalence varies by race and ethnicity. African Americans have the highest prevalence (12.6%), followed closely by Hispanics (11.8%), Asian Americans (8.4%), and Whites (7.1%). The purpose of this article is to discuss the ocular complications of diabetes, the cultural and racial differences in diabetes knowledge, and the role of telemedicine as a means to reach the undeserved who are at risk of complications. Information on the pathophysiology of ocular disease in patients with diabetes and the role of telemedicine in diabetes care was derived from a literature review. National Institutes of Health (NIH) on-line resources were queried to present data on the racial and cultural understandings of diabetes and diabetes-related complications. The microvascular ocular complications of diabetes are discussed for retinopathy, cataracts, glaucoma and ocular surface disease. Racial and cultural differences in knowledge of recommended self-care practices are presented. These differences in part, may explain health disparities and the increased risk of diabetes and its complications in rural minority communities. Finally, advances in telemedicine technology are discussed that show improvements in metabolic control and cardiovascular risk in adults with type 2 diabetes. Improving provider and patient understanding of diabetes complications may improve management and self care practices that are important for diabetes control. Telemedicine may improve access to diabetes specialists and may improve self-management education and diabetes control particularly in rural and underserved communities.

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Health workers’ perceptions and experiences of using mHealth technologies to deliver primary healthcare services: a qualitative evidence synthesis

Odendaal

Watkins

Leon

et al. 2020

Cochrane Database of Systematic Reviews

213

198

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The MANIAPURE Program—Lessons Learned from a Rural Experience: Two Decades Delivering Primary Healthcare Through Telemedicine

Abstract: Communication and information technologies can provide significant savings to society and improve healthcare with the use of common and relatively inexpensive consumer-level devices if used in a basic, coordinated system of services with adequate training and follow-up.

Cited by 11 publications

References 3 publications

A systematic scoping review of change management practices used for telemedicine service implementations

A systematic scoping review of change management practices used for telemedicine service implementations

Ocular Disease, Knowledge and Technology Applications in Patients With Diabetes

Health workers’ perceptions and experiences of using mHealth technologies to deliver primary healthcare services: a qualitative evidence synthesis

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