The Growth of Telehealth Services in the Veterans Health Administration Between 1994 and 2014: A Study in the Diffusion of Innovation
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Even when specialist IT staff were available, a lack of service and procurement standards hindered spread across the system.
“Even when specialist information technology (IT) staff were available, a lack of service and procurement standards hindered spread across the system, as in the example of video consulting in the Veterans Health Administration: “telehealth projects were developed using bespoke interfaces at an individual medical center, ones that were not replicable across the system. Both Veterans Health”
From Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework (2021) · cites this paper as [43]
Telehealth champions were typically clinical staff.
“Telehealth champions were typically clinical staff [2,34,36,41-43].”
From Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework (2021) · cites this paper as [43]
Other telehealth champion roles included health care coordinators or IT staff.
“Other roles included health care coordinators or IT staff [33,35,40,43].”
From Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework (2021) · cites this paper as [43]
Interorganizational collaborations such as telehealth communities and collaborations across clinics, staff, and government partners are important catalysts for change and critical to the ongoing evolution and spread of video consulting services.
“Two other papers reinforced this [2,43], referring to, for instance, “telehealth communities,” “collaborations across clinics and staff,” and “collaborations with…government partners” not only as important catalysts for change, but also as critical to the ongoing evolution and spread of services.”
From Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework (2021) · cites this paper as [43]
In a comprehensive description of the 20-year evolution and adaptation of telehealth within the VHA in the United States, Darkins illustrates a dynamic transition from a fragmented health care system with many short-term pilot telehealth implementations that slowly scaled up and increased the scope of video consulting services and the associated infrastructure.
“However, in a comprehensive description of the 20-year evolution and adaptation of telehealth within the VHA in the United States, Darkins [43] illustrates a dynamic transition from a fragmented health care system with many short-term pilot telehealth implementations that slowly scaled up and increased the scope of video consulting services and the associated infrastructure [43].”
From Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework (2021) · cites this paper as [43]
Factors impacting resilience and adaptation over time were reported in three reviewed articles.
“Factors impacting resilience, “the intrinsic ability of a system to adjust its functioning prior to, during, or following changes and disturbances so that it can sustain required operations, even after a major mishap or in the presence of continuous stress” [62], and adaptation over time were reported in three articles [32,42,43].”
From Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework (2021) · cites this paper as [43]
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- Authors
- Darkins, A.
- Affiliations
- United States Department of Veterans Affairs (US)
- Corresponding author
- Darkins, Adam
- Venue
- Telemedicine and e-Health
- Publisher
- SAGE Publications
- Published
- 2014-09
- Volume
- 20
- Issue
- 9
- Pages
- 761-768
- ISSN
- 1530-5627 (ISSN-L)
- 1556-3669
- OpenAlex
- W1501486175
- Cited by
- 97
- References
- 31
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 6 · 2023: 10 · 2022: 15 · 2021: 9 · 2020: 17 · 2019: 11 · 2018: 4 · 2017: 7 · 2016: 8 · 2015: 3 · 2014: 2
- FWCI
- 6.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Telemedicine Journal and e-Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Demography › Technology Use by Older Adults
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- telehealth services, Veterans Health Administration, diffusion of innovations, veterans' health care, telehealth adoption, health care delivery
- MeSH terms
- Diffusion of Innovation, Humans, Military Medicine, Retrospective Studies, United States, United States Department of Veterans Affairs, Telemedicine
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