CoChat
Sign Up
Cited by 76Telemedicine and Telehealth ImplementationTechnology Use by Older AdultsElectronic Health Records Systems

Socio-technical and organizational challenges to wider e-Health implementation

Vitacca, M, Mazzù, M, Scalvini, S·2009·Chronic Respiratory Disease
DOI 10.1177/1479972309102805
Open this paper in CoChat — free account

Abstract

Recent advances in information communication technology allow contact with patients at home through e-Health services (telemedicine, in particular). We provide insights on the state of the art of e-Health and telemedicine for possible wider future clinical use. Telemedicine opportunities are summarized as i) home telenursing, ii) electronic transfer to specialists and hospitals, iii) teleconsulting between general practitioners and specialists and iv) call centres activities and online health. At present, a priority action of the EU is the Initiative on TM for chronic disease management as home health monitoring and the future Vision for Europe 2020 is based on development of Integrated Telemedicine Services. There are pros and cons in e-Health and telemedicine. Benefits can be classified as benefits for i) citizens, patients and caregivers and ii) health care provider organizations. Institutions and individuals that play key roles in the future of e-Health are doctors, patients and hospitals, while the whole system should be improved at three crucial levels: 1) organizational, 2) regulatory and 3) technological. Quality, access and efficiency are the general key issues for the success of e-Health and telemedicine implementation. The real technology is the human resource available into the organizations. For e-Health and telemedicine to grow, it will be necessary to investigate their long-term efficacy, cost effectiveness, possible improvement in quality of life and impact on public health burden.

Integrity signals

Registry

Crossref · 10.1177/1479972309102805

Cites

44 of 44 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

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?

  • Much of the eHealth technology being developed did not reach primary care practice because of a suboptimal fit between the needs in primary care and the technical solutions.

    “In 2012-2013, when writing the grant proposal for the eLabEL project, it was already known that much of the eHealth technology being developed did not reach primary care practice because of a suboptimal fit between the needs in primary care and the technical solutions [10].”

    From Lessons Learned From a Living Lab on the Broad Adoption of eHealth in Primary Health Care (2018) · cites this paper as [10]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Vitacca, M., Mazzù, M., & Scalvini, S.
Affiliations
Fondazione Salvatore Maugeri (IT)
Corresponding author
Vitacca, M
ORCID
Venue
Chronic Respiratory Disease
Publisher
SAGE Publications
Published
2009-05
Volume
6
Issue
2
Pages
91-97
ISSN
  • 1479-9723 (ISSN-L)
  • 1479-9731
DOI
10.1177/1479972309102805
OpenAlex
W2104958304
Cited by
76
References
44
Citations by year
2024: 2 · 2023: 1 · 2022: 9 · 2021: 5 · 2019: 2 · 2018: 6 · 2017: 1 · 2016: 7 · 2015: 8 · 2014: 9 · 2013: 6 · 2012: 8
FWCI
6.69
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Chronic Respiratory Disease (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
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Keywords
e-health, telemedicine, teleconsultation, home health monitoring, chronic disease management, telemedicine regulation, health care organization, quality of care, cost-effectiveness, virtual care, call centers
MeSH terms
Chronic Disease, Health Plan Implementation, Humans, Medical Informatics Applications, Socioeconomic Factors, Pulmonary Medicine, Telemedicine

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