Factors Influencing the Application of Connected Health in Remote Areas, Taiwan: A Qualitative Pilot Study

Chen, Sonia Chien-I; Liu, Chenglian

doi:10.3390/ijerph17041282

Cited by 9 publications

(7 citation statements)

References 52 publications

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“…In the rural setting of the present study, ICT is used for collaboration among healthcare professionals. Using ICT with a mutual understanding among rural professionals can be vital for rural home care [ 34 , 35 , 36 ]. For the effective usage of ICT, the establishment of effective relationship on the regular basis among them important.…”

Section: Discussionmentioning

confidence: 99%

Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan

Ohta¹,

Ryu²,

Katsube³

et al. 2020

IJERPH

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Homecare nurses manage patients with extreme homecare dependence through interprofessional collaboration. The quality of the collaboration depends on situations, and the difficulties of homecare nurses are complicated in rural settings because of a few healthcare resources. This study determined rural homecare nurses’ difficulties during interprofessional collaboration in providing seamless patient care. Focus groups, followed by one-on-one interviews, were conducted with 13 rural homecare nurses working in rural Japan. Using thematic analysis, four themes were extracted: collaboration with physicians, the collaboration with the government, the collaboration with care workers, and the collaboration among hospital nurses. Rural homecare nurses have difficulties in their working relationships with other professionals, with vague definitions of each professional’s roles and responsibilities, and with information-sharing. Interprofessional education and information-sharing should respect rural professional and cultural backgrounds. Respect can accomplish mutual understanding among professional care, leading to seamless patient care in rural home care.

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Section: Discussionmentioning

confidence: 99%

Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan

Ohta¹,

Ryu²,

Katsube³

et al. 2020

IJERPH

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“…First, there is a tendency to pursue excellence in healthcare, such as by promoting and monitoring quality, efficiency, safety, and customer service [1,32,33]. Health professionals and institutions desire better access, quality, and efficiency of care [34,35]. Second, costs are rapidly increasing due to the ageing population, an increase in chronic conditions, better survival rates among patients fighting serious diseases, and longer lifespans [36,37].…”

Section: Current Status and Issues In Connected Healthmentioning

confidence: 99%

“…Quality improvement and fewer or less severe caregiver shortages are evident. These benefits overlap in improvements to healthcare accessibility, cost-effectiveness, and quality [32][33][34][35]. Many international CH pilot schemes show application feasibility; however, the cost saving is not significant.…”

Section: Current Status and Issues In Connected Healthmentioning

confidence: 99%

Fad or Trend? Rethinking the Sustainability of Connected Health

Chen

Liu

2020

Sustainability

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Policymakers, academics, and industry players have been focused on determining whether connected health (CH) is a fad or a trend by looking at its sustainability. Although the significance of innovation in healthcare is gradually rising, a definitive identification and systematic comprehension of the core drivers, structure, content, and pattern of innovation in CH are missing. To bridge this gap, this study re-examines and analyses CH from the perspectives of its industrial chain and structure, to assess its future prospects and sustainability by focusing on how its structures and participants act in the ecosystem. This study involves an inductive theory building approach based on multi-stage, semi-structured interviews (n = 60 in total). The results indicate that the core drivers, constituents, and components of CH need to be identified and restructured. A valid discourse, which is missing in the current literature, should be proposed with regard to the sustainability of CH. A sustainable business model innovation (BMI) system and the methods employed to achieve sustainability are suggested to discover indicators for future success. This study enriches the current CH understanding from a technology perspective and suggests some implications for practitioners as well as policymakers to enhance sustainable development in the healthcare sector.

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“…They are both included in the domain of CH as they both promote the goal of wellness. The government, industry, and academia all perform an equally important role in enabling CH, forming a triple helix partnership [69][70][71]. These three main roles are only general terms in the CH ecosystem.…”

Section: Connected Health In Operation and Practicementioning

confidence: 99%

“Nomen Omen”: Exploring Connected Healthcare through the Perspective of Name Omen

Chen

Liu

et al. 2020

Healthcare

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Background: The evolution of names, from “medical informatics” to “connected health”, implies that the evolvement of technology in health care has been shifted from technology-oriented to healthcare-oriented implementation. Connected healthcare, a healthcare platform of remote monitoring and self-management through technological measures, is suggested to contribute to the efficiency, cost-effectiveness, and satisfaction of healthcare recipient enhancement. However, limited understanding of related connected health (CH) terminology may constrain its implementation. Whether CH is a buzzword only or a practice that can contribute to an aging society is controversial. Objective: This study aims to distinguish CH-related terminology and to identify the trend of CH through reviewing its definition, initiation, development, and evolvement, in order to offer management insights and implications. The objective is to understand what is connected and who is cared about in the connected health model so that better applications can be addressed for the benefit of society. Method: This study reviews the evolution of names, from “medical informatics” in the 1970s to “connected health” after 2000, as well as relevant literature of CH, including e-health, telemedicine, telehealth, telecare, and m-health, to discover the trend of technology-related healthcare innovations. Results: The current status and issues facing accessibility, quality, and cost were presented. Its future trends will be explored through reviewing how changes in healthcare are managed, in addition to its operation and practice. Pre-conditions and requirements for implementing CH are identified to select a typical case to study. Findings suggest that areas with a complete business ecosystem—isolated locations, advanced information technology, aging in population, integrated health, and social care system—are prevalent for designing friendly CH environments. Conclusion: The evidence and tendency of technological convergence create a demand for innovation and partnering with start-up companies that offer a competitive advantage in innovation.

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Factors Influencing the Application of Connected Health in Remote Areas, Taiwan: A Qualitative Pilot Study

Cited by 9 publications

References 52 publications

Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan

Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan

Fad or Trend? Rethinking the Sustainability of Connected Health

“Nomen Omen”: Exploring Connected Healthcare through the Perspective of Name Omen

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