Telehealth: ‘real life’ implementation issues
Abstract
This paper addresses the practical issues specific to the successful integration of telehealth into the Canadian health system at national, regional, provincial and territorial levels. Five key issues for optimal implementation were readiness of the environment; needs analysis/strategic business plans/diverse partnerships; equipment and Information Technology (IT) vendors; staged implementation; and evaluation. Strong professional, as well as technical policy standards, were also required. Recognizing the importance of human factors and workforce implications, the change process, and the changing culture were also viewed as critical to successful implementation. The importance of 'best practices', 'lessons learned', 'buy-in', inter-connectivity, inter-operability, and sustainability issues was noted. Lastly, ongoing systemic evaluation was seen to be key to sustained telehealth programs.
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Uptake and adoption of digital health are slow overall, and sociotechnical, organizational, or cultural barriers slow the mainstreaming of digital health.
“Despite positive evidence from localized implementations, new technologies have proven slow to become accepted, integrated, and routinized at scale.”
Cites
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Self-citationThe Potential Effects of Telehealth on the Canadian Health Workforce: Where Is the Evidence?
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Lennon, M. R., Bouamrane, M.-M., Devlin, A. M., O'Connor, S., O'Donnell, C., Chetty, U., Agbakoba, R., Bikker, A., Grieve, E., Finch, T., et al. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.6900 · Cited by 264 · see citing works
- Authors
- Jennett, P. A., & Andruchuk, K.
- Affiliations
- University of Calgary (CA)
- Corresponding author
- Jennett, P.A.
- Venue
- Computer Methods and Programs in Biomedicine
- Publisher
- Elsevier BV
- Published
- 2001-03
- Volume
- 64
- Issue
- 3
- Pages
- 169-174
- ISSN
- 0169-2607 (ISSN-L)
- OpenAlex
- W1984905049
- Cited by
- 44
- References
- 8
- Citations by year
- 2025: 2 · 2021: 2 · 2020: 1 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 1 · 2012: 3
- FWCI
- 3.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Computer Methods and Programs in Biomedicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- telemedicine, health system implementation, Canadian health care system, health policy, staged implementation, healthcare workers, organizational change, interoperability, system evaluation, sustainability, stakeholder collaboration, lessons learned
- MeSH terms
- Canada, Humans, National Health Programs, Telemedicine, Health Care Reform
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