Policy Implications Associated with the Socioeconomic and Health System Impact of Telehealth: A Case Study from Canada
Abstract
This research was undertaken to inform future telehealth policy directions regarding the socioeconomic impact of telehealth. Fifty-seven sources were identified and analyzed through a comprehensive literature search of electronic databases, the Internet, journals, conference proceedings, as well as personal communication with consultants in the field. The review revealed a focus on certain socioeconomic indicators such as cost, access, and satisfaction. It also identified areas of opportunity for further research and policy analysis and development (e.g., social isolation, life stress, poverty), along with various barriers and challenges to the advancement of telehealth. These included confidentiality, reimbursement, and legal and ethical considerations. To become fully integrated into the health care system, telehealth must be viewed as more than an add-on service. This paper offers 19 general and 20 subject-specific telehealth recommendations, as well as seven policy strategies.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The creation of standards may reduce health professionals' concerns over patient data safety and professional liability.
“The creation of standards may serve to reduce health professionals’ concerns over patient data safety and professional liability [17, 33]”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [33]
Existing evidence on eHealth readiness mainly relates to organizational readiness within the health service or the readiness of health professionals, patients, or carers for a specific single digital health service.
“However, the existing evidence mainly relates to organizational readiness within the health service [17,18] or the readiness of health professionals [19-21], patients or carers for a specific single digital health service [22].”
Cites
Systematic review of evidence for the benefits of telemedicine
Hailey, D., Roine, R., & Ohinmaa, A. (2002) · Journal of Telemedicine and Telecare · doi:10.1258/1357633021937604 · Cited by 400 · see citing works
Self-citationThe Changing Nature of Rural Health Care
Ricketts, T. C. (2000) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.21.1.639 · Cited by 246 · see citing works
Using Telemedicine to Improve Health Care in Distant Areas
Preston, J., Brown, F. W., & Hartley, B. (1992) · Psychiatric Services · doi:10.1176/ps.43.1.25 · Cited by 136 · see citing works
"A Telemedicine Primer: Understanding the Issues"
Tangalos, E. G., & Tangalos, E. G. (1996) · Telemedicine Journal · doi:10.1089/tmj.1.1996.2.331 · Cited by 108 · see citing works
Increasing the cost-effectiveness of telemedicine by embracing e-health
Mitchell, J. (2000) · Journal of Telemedicine and Telecare · doi:10.1258/1357633001934500 · Cited by 95 · see citing works
Telehealth policy: Looking for global complementarity
Scott, R. E., Chowdhury, M., & Varghese, S. (2002) · Journal of Telemedicine and Telecare · doi:10.1258/13576330260440871 · Cited by 35 · see citing works
Self-citationInformation technology and under-served communities
Swanson, B. (1999) · Journal of Telemedicine and Telecare · doi:10.1258/1357633991933468 · Cited by 21 · see citing works
Delivery of Services in Rural Settings to the Elderly Mentally Retarded-Mentally Ill
Menolascino, F. J., & POTTER, J. F. (1989) · The International Journal of Aging and Human Development · doi:10.2190/0hyl-gqt3-ktx5-6wnh · Cited by 8 · see citing works
Do Targeted Efforts for the Rural Underserved Help Kill Comprehensive Reform?
Taylor, D. H. (1999) · The Journal of Rural Health · doi:10.1111/j.1748-0361.1999.tb00598.x · Cited by 6 · see citing works
The need for a holistic view of telemedicine, focused on patients and society as prime stakeholders.
Roberts, R., & Rigby, M. (1998) · PubMed · Cited by 5 · see citing works
Johnston, R., Staveley, R., Olfert, L. A., & Jennett, P. (2000) · Telemedicine Journal and e-Health · doi:10.1089/153056200750040192 · Cited by 4 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Ross, J., Stevenson, F., Lau, R., & Murray, E. (2016) · Implementation Science · doi:10.1186/s13012-016-0510-7 · Cited by 1,011 · see citing works
Mair, F. S., May, C., O’Donnell, C., Finch, T., Sullivan, F., & Murray, E. (2012) · Bulletin of the World Health Organization · doi:10.2471/blt.11.099424 · Cited by 553 · see citing works
Clinician Acceptance is the Key Factor for Sustainable Telehealth Services
Wade, V. A., Eliott, J. A., & Hiller, J. E. (2014) · Qualitative Health Research · doi:10.1177/1049732314528809 · Cited by 410 · see citing works
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
Smith, S. A., Shah, N. D., Bryant, S. C., Christianson, T. J. H., Bjornsen, S. S., Giesler, P. D., Krause, K. H., Erwin, P. J., & Montori, V. M. (2008) · Mayo Clinic Proceedings · doi:10.4065/83.7.747 · Cited by 113 · see citing works
Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping Review
van Kessel, R., Román-Urrestarazu, A., Anderson, M., Kyriopoulos, I., Field, S., Monti, G., Reed, S. D., Pavlova, M., Wharton, G., & Mossialos, E. A. (2023) · Journal of Medical Internet Research · doi:10.2196/48000 · Cited by 94 · see citing works
Issues in Rural Palliative Care: Views From the Countryside
Robinson, C. A., Pesut, B., & Bottorff, J. L. (2010) · The Journal of Rural Health · doi:10.1111/j.1748-0361.2009.00268.x · Cited by 83 · see citing works
Understanding the implementation and integration of e-health services
Mair, F., May, C., Finch, T., Murray, E., Anderson, G. K., Sullivan, F., O'Donnell, C., Wallace, P., & Epstein, O. (2007) · Journal of Telemedicine and Telecare · doi:10.1258/135763307781645112 · Cited by 105 · see citing works
Global E-Health Policy: A Work In Progress
Mars, M., & Scott, R. E. (2010) · Health Affairs · doi:10.1377/hlthaff.2009.0945 · Cited by 77 · see citing works
Self-citationScope of Policy Issues in eHealth: Results From a Structured Literature Review
Khoja, S., Durrani, H., Nayani, P., & Fahim, A. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.1633 · Cited by 53 · see citing works
Ly, B. A., Labonté, R., Bourgeault, I. L., & Niang, M. N. (2017) · PLoS ONE · doi:10.1371/journal.pone.0181070 · Cited by 52 · see citing works
State Medicaid and private payer reimbursement for telemedicine: An overview
Brown, N. (2006) · Journal of Telemedicine and Telecare · doi:10.1258/135763306778393108 · Cited by 49 · see citing works
Telerehabilitation: Policy Issues and Research Tools
Seelman, K. D., & Hartman, L. M. (2009) · International Journal of Telerehabilitation · doi:10.5195/ijt.2009.6013 · Cited by 49 · see citing works
Holtz, B., LaPlante, C. K., & Whitten, P. (2010) · Applied Clinical Informatics · doi:10.4338/aci-2009-12-r-0020 · Cited by 38 · see citing works
Challenges faced in implementation of a telehealth enabled chronic wound care system
Barrett, M., Larson, A., Carville, K., & Skinner, I. (2009) · Rural and Remote Health · doi:10.22605/rrh1154 · Cited by 34 · see citing works
Striving for evidence in e-health evaluation: Lessons from health technology assessment
Gagnon, M., & Scott, R. E. (2005) · Journal of Telemedicine and Telecare · doi:10.1258/135763305775124722 · Cited by 34 · see citing works
Self-citationCaxaj, C. S. (2016) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2015-023 · Cited by 33 · see citing works
A TeleMedicine Transfer Model for Sub-Saharan Africa
Kifle, M., Mbarika, V. W. A., Tsuma, C. K., Wilkerson, D., & Tan, J. (2008) · Hawaii International Conference on System Sciences (HICSS) · doi:10.1109/hicss.2008.41 · Cited by 30 · see citing works
Khalil, H., Cullen, M., Chambers, H. P., Steers, N., & Walker, J. (2013) · International Wound Journal · doi:10.1111/iwj.12041 · Cited by 27 · see citing works
Yoshida, Y., Patil, S. J., Brownson, R. C., Boren, S. A., Kim, M. J., Dobson, R., Waki, K., Greenwood, D. A., Torbjørnsen, A., Ramachandran, A., et al. (2020) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocaa041 · Cited by 25 · see citing works
Craig, S. L., & Lorenzo, M. V. (2014) · Social Work in Health Care · doi:10.1080/00981389.2014.936991 · Cited by 24 · see citing works
Culture Matters: Factors Affecting the Adoption of Telemedicine
Mansouri-Rad, P., Mahmood, M. A., Thompson, S. E., & Putnam, K. B. (2013) · Hawaii International Conference on System Sciences (HICSS) · doi:10.1109/hicss.2013.157 · Cited by 18 · see citing works
Effect of Telehealth Interventions on Hospitalization Indicators: A Systematic Review.
Kalankesh, L. R., Pourasghar, F., Nicholson, L., Ahmadi, S., & Hosseini, M. (2016) · PubMed Central · Cited by 15 · see citing works
ICT and patient roles; contradictions in e-health policy
Andreassen, H. (2012) · Health Policy and Technology · doi:10.1016/j.hlpt.2012.04.002 · Cited by 15 · see citing works
Healthcare and Telemedicine: Ongoing and Evolving Challenges
Jennett, P., & Watanabe, M. (2006) · Disease Management & Health Outcomes · doi:10.2165/00115677-200614001-00004 · Cited by 15 · see citing works
Self-citationAlami, H., Gagnon, M. ‐., Fortin, J., & Kouri, R. P. (2015) · European Research in Telemedicine / La Recherche Européenne en Télémédecine · doi:10.1016/j.eurtel.2015.04.004 · Cited by 13 · see citing works
Moxham, C., Chambers, N., Girling, J., Garg, S., Jelfs, E., & Bremner, J. (2012) · Health Services Management Research · doi:10.1258/hsmr.2012.012018 · Cited by 11 · see citing works
Aygün, N. (2020) · SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital · doi:10.14744/semb.2020.65902 · Cited by 10 · see citing works
Buabbas, A. J. (2013) · Brunel University Research Archive (BURA) (Brunel University London) · Cited by 10 · see citing works
Impact of Telehealth on Health Economics
Melius, B. N., & Conwell, W. D. (2020) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2020.06.005 · Cited by 9 · see citing works
van Kessel, R., Kyriopoulos, I., Mastylak, A., & Mossialos, E. A. (2023) · PLOS Digital Health · doi:10.1371/journal.pdig.0000241 · Cited by 9 · see citing works
Gavurová, B., Balloni, A. J., Tarhaničová, M., & Kováč, V. (2018) · Economies · doi:10.3390/economies6030047 · Cited by 10 · see citing works
Galani, M., Hailey, D. M., Tibben, W. J., & Letsholo, K. J. (2021) · Health Policy and Technology · doi:10.1016/j.hlpt.2021.03.001 · Cited by 7 · see citing works
Self-citationE-health and the Universitas 21 organization: 3. Global policy
Scott, R. E., & Lee, A. F. (2005) · Journal of Telemedicine and Telecare · doi:10.1258/1357633054471867 · Cited by 7 · see citing works
Self-citationBaroud, R. (2008) · doi:10.5072/prism/19239 · Cited by 7 · see citing works
A theoretical model for telemedicine : social and value outcomes in Sub-Saharan Africa.
Kifle, M. (2006) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 7 · see citing works
Can paediatric and adolescent gynecological care be delivered via Telehealth?
Barlow, E., Aggarwal, A., Johnstone, J., Allen, L. M., Kives, S. L., Ornstein, M. P., Spitzer, R. F., & Caccia, N. C. (2012) · Paediatrics & Child Health · doi:10.1093/pch/17.2.e12 · Cited by 6 · see citing works
Telerehabilitation: Policy Issues and Research Tools
Seelman, K. D., & Hartman, L. M. (2010) · International Journal of Telerehabilitation · doi:10.5195/ijt.2008.704 · Cited by 5 · see citing works
Investigating telemonitoring practice: a proposed work-applied methodology
Jurman, P., & Shafei, I. (2016) · Journal of Work-Applied Management · doi:10.1108/jwam-03-2016-0004 · Cited by 3 · see citing works
Public Health Informatics in Canada
Frisch, L. E., Borycki, E. M., Capron, A., Mawudeku, A., & John, R. S. (2013) · Health informatics · doi:10.1007/978-1-4471-4237-9_30 · Cited by 3 · see citing works
Kiwanuka, A., & Nabukenya, J. (2022) · Communications in computer and information science · doi:10.1007/978-3-031-20664-1_11 · Cited by 2 · see citing works
Telemedicine Adoption Opportunities and Challenges in the Developing World
Zobair, K. M., Sanzogni, L., Sandhu, K., & Islam, M. J. (2020) · Advances in healthcare information systems and administration book series · doi:10.4018/978-1-7998-2949-2.ch008 · Cited by 2 · see citing works
Premji, S. (2010) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/13472 · Cited by 2 · see citing works
Health, Digitalization, and Individual Empowerment
Lagumdžija, A. C., & Swing, V. K. (2016) · Advances in human and social aspects of technology book series · doi:10.4018/978-1-5225-0522-8.ch017 · Cited by 1 · see citing works
Health, Digitalization, and Individual Empowerment
Lagumdžija, A. C., & Swing, V. K. (2017) · IGI Global eBooks · doi:10.4018/978-1-5225-1928-7.ch001 · Cited by 1 · see citing works
A Survey of Orientation and Mobility Specialist’s Use of Telepractice During COVID-19
McCarthy, T., Griffin-Shirley, N., & Siffermann, E. (2022) · Journal of Visual Impairment & Blindness · doi:10.1177/0145482x221142869 · Cited by 1 · see citing works
Ahangama, S., & Poo, D. C. C. (2014) · IFIP advances in information and communication technology · doi:10.1007/978-3-662-43459-8_6 · Cited by 1 · see citing works
Telemedicine Adoption Opportunities and Challenges in the Developing World
Zobair, K. M., Sanzogni, L., Sandhu, K., & Islam, M. J. (2021) · IGI Global eBooks · doi:10.4018/978-1-7998-8052-3.ch003 · Cited by 1 · see citing works
Ross, J. (2016) · UCL Discovery (University College London) · Cited by 1 · see citing works
Internet Use among Occupational Therapists in their Clinical Practice
Law, V. M. W. (2011) · TSpace (University of Toronto) · Cited by 1 · see citing works
Zobair, K. M. (2019) · Griffith Research Online · doi:10.25904/1912/1330 · Cited by 1 · see citing works
Hailey, D. M. (2021) · Springer eBooks · doi:10.1007/978-3-030-22009-9_456 · Cited by 1 · see citing works
Self-citationHailey, D. M. (2019) · Springer eBooks · doi:10.1007/978-3-319-69892-2_456-1 · Cited by 1 · see citing works
Self-citationBaskerville, N. B. (2009) · UWSpace (University of Waterloo) · Cited by 1 · see citing works
Critical Success Factors for eHealthcare
Taneja, U. (2013) · International Conference on eHealth, Telemedicine, and Social Medicine
Information Communication Technology-Enabled Health Care at Home
Brownsell, S., Biddiss, E. A., & Hawley, M. (2009)
The Determinants of the Use of Telemedicine in Senegal
Ly, B. A. (2016) · uO Research (University of Ottawa) · doi:10.20381/ruor-855
(2007) · Journal of Telemedicine and Telecare · doi:10.1258/135763307782213534
Viewpoint: Health Visitors and Public Health and Security
Nash, J. C., & Ramsay, T. (2006) · Healthcare Quarterly · doi:10.12927/hcq.2006.17934
Leatt, P. (2006) · Healthcare Quarterly · doi:10.12927/hcq.2006.17933
Distilling the Progress of Electronic Medical Record (EMR) Usage by Canadian Physicians
Razmak, J., & Farhan, W. (2024) · Global Digital Health Knowledge Exchange & Empowerment Conference (gDigiHealth.KEE) · doi:10.1109/gdigihealth.kee62309.2024.10761154
- Authors
- Jennett, P. A., Scott, R. E., Affleck Hall, L., Hailey, D., Ohinmaa, A., Anderson, C., Thomas, R., Young, B., & Lorenzetti, D.
- Affiliations
- University of Calgary (CA)
- Venue
- Telemedicine Journal and e-Health
- Publisher
- SAGE Publications
- Published
- 2004-03
- Volume
- 10
- Issue
- 1
- Pages
- 77-83
- ISSN
- 1530-5627 (ISSN-L)
- OpenAlex
- W2001161824
- Cited by
- 61
- References
- 11
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 7 · 2015: 1 · 2014: 3 · 2013: 5 · 2012: 5
- FWCI
- 3.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Telemedicine Journal and e-Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fondation pour la Recherche Médicale
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Practices
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- telemedicine, health policy, socio-economic impacts, health system integration, cost, health care access, patient satisfaction, social isolation, poverty, confidentiality, reimbursement, legal and ethical issues, barriers to telehealth, Canada
- MeSH terms
- Alberta, Health Plan Implementation, Health Policy, National Health Programs, Policy Making, Socioeconomic Factors, Program Development, Telemedicine, Organizational Case Studies
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review