THE ROLE OF TECHNOLOGY IN TELEHEALTHTechnology strongly influences the way we work and is creating opportunities and new demands for a range of different approaches to telehealth (Feldman and Gainey, 1997). Telecommunications have evolved and have been accompanied by an evolution in attitudes to information and communications technologies (Stanworth, 1998). Previously, only companies owned computers and it was the IT specialists, rather than ordinary users, who determined their use and application. Today's response to technological change is profoundly different. On average, around 1 in 4 European households already owns a personal computer; in some countries this rises to more than 50% and in some local communities it is even higher.A recent study confirms this trend and predicts that, in two years time, it is expected that the use of information communication technology will increase markedly (Marien, 1989). The ease with which we use them and the take-up of remote working in the European Union continues at a rapid pace. Recent estimates (European Telework Organization, 1999) show that approximately 6.7 million Europeans (4.5% of the workforce) were practising remote working in one form or another at the beginning of 1999.Social, cultural, economic and regulatory factors determine how we organise our business, our work and, hence, our lives (Stanworth, 1998). Technology-led change opens up opportunities for new working methods in three main ways: allowing existing activities to be carried out more rapidly, with more consistency and at a lower cost than could previously be achieved.

Ashish (2019) Soft side of knowledge transfer partnership between universities and small to medium enterprises: exploratory study to understand process improvement. Production Planning and Control, 30 (10-12). pp. 907-918.

In recent years, a number of countries have introduced plans for national electronic patient record (EPR) systems. This paper argues that, in the near future, both patients and healthcare stakeholders will be able to access medical records from WWW-based EPR systems. We contend that the primary impediment to the successful implementation and widespread uptake of the EPR concept is the fact that current healthcare information security (HIS) applications are not sufficiently robust. This paper identifies two main Information Security technologies: 1) Public key infrastructure (PIU) and 2) Biometrics that hold a lot of promise in a healthcare context. The key contribution of this paper is to propose a novel multi-layered HIS framework based on a combination of PIU, Smartcard and Biometrics technologies. We argue that this new HIS framework could assist healthcare institutions to provide a truly secure infrastructure for the electronic transmission of clinical data in the future. This paper also makes a case for the creation of a new nodal HIS body because existing information security bodies like the Forum of Incident Response and Security Teams are for general-purpose organizations and not specifically suited for the healthcare sector.

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-In recent years, healthcare institutions have had problems accessing and maintaining the large amounts of data they deal with. This paper identifies current approaches and technologies which relate to patient administration systems. It argues that, in the near future, WWW-based multimedia patient administration systems would become the norm for healthcare institutions. The development and acceptance of web-based multimedia patient administration systems is likely to aggravate the problem of healthcare institutions being flooded with large amounts of clinical data. A large amount of clinical procedures relating to patient management are repetitive and Workflow Management Systems (WFMS) can automate these repeated activities. We believe that the introduction of WFMS would enable healthcare institutions to face this challenge of transforming large amounts of medical data into contextually relevant clinical information. The central contention of this paper is that there is a dynamic connection between healthcare, workflow and internet technologies, which is being ignored. This paper further establishes that it is possible to build a virtual electronic health record database based on the client server architecture using current internet and object-oriented (OO) technologies.