Successes and failures: What are we measuring?

Journal of Telemedicine and Telecare - Tập 11 Số 2_suppl - Trang 98-100 - 2005
Sue Whetton1
1University Department of Rural Health, Tasmania, Australia

Tóm tắt

In telemedicine and telehealth, the perception of success is complex, varies according to time and context, and depends on the perspective of the observer. Several reviews of the evaluation literature have been undertaken in recent years. These reviews identify common methodological shortcomings. Telehealth services continue to be funded as short-term projects. While it is essential to address methodology issues, it is important to understand that studies of pilot projects provide only interim findings about the feasibility of such applications, not how well they operate as mature applications. This represents something of a conundrum: evaluation is expected to establish the long-term value of telehealth using criteria which are specific to short-term projects. A useful approach would be to develop frameworks enabling all similar studies (e.g. diabetic home care) to be examined in order to extract commonalities and differences. This would enable us to draw conclusions about where telehealth is effective, as well as what variables demonstrate ‘success’

Từ khóa


Tài liệu tham khảo

Perednia DA, 1998, Med Inform, 9, 290

Health Canada, Office of Health and the Information Highway. Evaluating Telehealth Solutions: A Review and Synthesis of the Telehealth Evaluation Literature, 2000. See http://www.hc-sc.gc.ca/ohih-bsi/pubs/2000_tele/tele_e.html (last checked 17 July 2005)

Klecun-Dabrowska E., 2004, Electron J Bus Res Meth, 2, 37

Hebert M., 2001, Med Inform, 10, 1145

Hu PJ-H. Evaluating telemedicine systems success: a revised model. Proceedings of the 35th Hawaii International Conference on System Sciences, 2002. See http://csdl2.computer.org/comp/proceedings/hicss/2003/1874/06/187460174b.pdf (last checked 5 July 2005)

Scott RE, 1999, Stud Health Technol Inform, 64, 39

10.1258/1357633011937245

10.1177/146045829900500305

Horsfield B, 2004, DCITA Communications Research Forum

Parkinson C, Hudson L, Hornsby D, Madl R, Collins R. Telehealth: a national, sustainable approach. 7th National Rural Health Conference, Hobart 2003. See http://www.nrha.net.au/nrhapublic/publicdocs/conferences/7thNRHC/Papers/general%20papers/parkinson_hudson.pdf (last checked 17 July 2005)

Lewin Group. Assessment of Approaches to Evaluating Telemedicine: Final Report, December 2000: Section B. See http://aspe.hhs.gov/health/reports/AAET/aaet.htm (last checked 17 July 2005)

Carson E, Cramp D, Morgan A. Some methodological issues in telemedicine: systems, modeling and evaluation. International Conference on Information Technology Applications in Biomedicine, Amsterdam, 1999: 11. See http://ieeexplore.ieee.org/iel5/6788/18221/00842308.pdf?arnumber=842308 (last checked 12 July 2005)

Roine R, 2001, CMAJ, 165, 765

10.1258/135763303322596165

Hailey D, 2002, J Telemed Telecare, 8, 1, 10.1258/1357633021937352

KPMG Consulting., 1999, Review of the Literature on Evaluation and Telehealth.

Thông tin
Thông tin xuất bản

Journal of Telemedicine and Telecare

Tập 11 Số 2_suppl

98-100

Thông tin tác giả