The Organising Vision Of Telehealth

Telehealth – the provision of health services at a distance in an electronic form via modern telecommunications networks – has been increasingly proposed as an alternative to more conventional, person-to-person modes of delivery and as having a potential transformative role within health care structures. The proponents of telehealth point out its potential to contribute to more equitable healthcare - reaching, for example geographically and socially excluded populations, to develop enhanced modes of service delivery for health, and to reduce or at least contain the escalating costs of healthcare provision. Against this background of ambition and potential, this paper utilises Swanson and Ramiller’s (1997) concepts of organising visions of information systems innovations to explore the processes by which telehealth innovations acquire an identity, and (sometimes) recognition and acceptance within relevant communities.

[1]  R. Wells,et al.  Beyond adoption to sustained use: telemedicine for rural communities. , 1996, Telemedicine journal : the official journal of the American Telemedicine Association.

[2]  J. Wyatt,et al.  Telemedicine in the NHS for the millennium and beyond. , 1998, Postgraduate medical journal.

[3]  L. Machet [Multicentre randomised control trial comparing real time teledermatology with conventional outpatient dermatological care: societal cost-benefit analysis]. , 2002, Annales de dermatologie et de venereologie.

[4]  Neil C. Ramiller,et al.  The Organizing Vision in Information Systems Innovation , 1997 .

[5]  R. Wootton,et al.  Introduction to Telemedicine , 1999 .

[6]  R Smith,et al.  Managing diabetes after myocardial infarction , 1997, BMJ.

[7]  I. Bowns,et al.  Patient satisfaction in telemedicine , 2000 .

[8]  A. Darkins,et al.  Telemedicine and Telehealth: Principles, Policies, Performance and Pitfalls , 2000 .

[9]  Derek Yach,et al.  Telecommunications for Health—New Opportunities for Action , 1998 .

[10]  Marjorie Gott,et al.  Telematics for Health : The Role of Telehealth and Telemedicine in Homes and Communities , 1994 .

[11]  P Whitten,et al.  Nurse and patient reactions to a developmental home telecare system , 1998, Journal of telemedicine and telecare.

[12]  Marc Jamoulle,et al.  The quality of medical information on the internet , 2000 .

[13]  E Klecun-Dabrowska,et al.  Ethical Perspectives in Evaluation of Telehealth , 2001, Cambridge Quarterly of Healthcare Ethics.

[14]  M. Fisk,et al.  Telecare equipment in the home. Issues of intrusiveness and control , 1997, Journal of telemedicine and telecare.

[15]  T. Morris,et al.  Approaching equity in consumer health information delivery: NetWellness. , 1997, Journal of the American Medical Informatics Association : JAMIA.

[16]  Lucas D. Introna Management, information and power: A narrative of the involved manager , 1997 .

[17]  Jill Lynn Tyler The healthcare information technology context: a framework for viewing legal aspects of telemedicine and teleradiology , 2001, Proceedings of the 34th Annual Hawaii International Conference on System Sciences.

[18]  G Coyle,et al.  Home Telecare for the Elderly , 1995, Journal of telemedicine and telecare.

[19]  M J Fisk A Comparison of Personal Response Services in Canada and the UK , 1995, Journal of telemedicine and telecare.

[20]  W R Hersh,et al.  Telemedicine for the Medicare population. , 2001, Evidence report/technology assessment.

[21]  R. Elford Telemedicine: A Guide to Assessing Telecommunications in Health Care , 1997 .

[22]  Tony Cornford,et al.  Telehealth Technology: Consequences for Structure Through Use , 2001, MedInfo.

[23]  Hüseyin Tanriverdi,et al.  Diffusion of telemedicine: a knowledge barrier perspective. , 1999, Telemedicine journal : the official journal of the American Telemedicine Association.

[24]  I. Kristiansen,et al.  Radiology services for remote communities: cost minimisation study of telemedicine , 1996, BMJ.

[25]  A. Allen,et al.  Telemedicine technology and clinical applications. , 1995, JAMA.

[26]  P Whitten,et al.  Results of a meta-analysis of cost–benefit research: Is this a question worth asking? , 2000, Journal of telemedicine and telecare.

[27]  S. Håkansson,et al.  What do we really know about the cost-effectiveness of telemedicine? , 2000, Journal of telemedicine and telecare.

[28]  M. Baker,et al.  Patient care (empowerment): the view from a national society , 2000, BMJ : British Medical Journal.

[29]  G H Alusi,et al.  Tele-education: The virtual medical laboratory , 1997, Journal of telemedicine and telecare.

[30]  G D Lundberg,et al.  Assessing, controlling, and assuring the quality of medical information on the Internet: Caveant lector et viewor--Let the reader and viewer beware. , 1997, JAMA.

[31]  C. Warwick The new NHS: modern dependable , 1998 .

[32]  R. Hanka,et al.  Evaluating information technology in health care: barriers and challenges , 1998, BMJ.

[33]  G Eysenbach,et al.  Information in practice Towards quality management of medical information on the internet : evaluation , labelling , and filtering of information , 1998 .

[34]  A. Sixsmith An evaluation of an intelligent home monitoring system , 2000, Journal of telemedicine and telecare.

[35]  P. Whitten,et al.  Systematic review of studies of patient satisfaction with telemedicine , 2000, BMJ : British Medical Journal.

[36]  R. Roine,et al.  Assessing telemedicine: a systematic review of the literature. , 2001, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[37]  I. Warner Telemedicine applications for home health care , 1997, Journal of telemedicine and telecare.

[38]  Nancy Milio New tools for community involvement in health , 1992 .

[39]  F Calico Home health moving toward 'high touch, high tech'. , 1996, Health management technology.

[40]  Stephen A. Marine,et al.  Application of Technology: Approaching Equity in Consumer Health Information Delivery: Net Wellness , 1997, J. Am. Medical Informatics Assoc..

[41]  D Lobley,et al.  The economics of telemedicine , 1997, Journal of telemedicine and telecare.

[42]  B Stanberry The legal and ethical aspects of telemedicine , 2006, Journal of telemedicine and telecare.

[43]  D. Plamping,et al.  The new NHS. , 1991, BMJ.

[44]  P. Brennan,et al.  Information Networks for Community Health , 1997 .