Health technology assessment in its local contexts: studies of telehealthcare

May, Carl; Mort, Maggie; Williams, Tracy L.; Mair, Frances S; Gask, Linda

doi:10.1016/s0277-9536(02)00419-7

Cited by 117 publications

(117 citation statements)

References 32 publications

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“…teledermatology). There are many proof-of-concept studies [73][74][75][76][77] and examples of up-and-running services, largely in remote regions (e.g. in rural Wales, UK 78 ).…”

Section: Telemedicinementioning

confidence: 99%

Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study

Shaw

Wherton

Vijayaraghavan

et al. 2018

Health Serv Deliv Res

148

186

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Health Services and Delivery ResearchISSN 2050-4349 (Print) ISSN 2050-4357 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: journals.library@nihr.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hsdr This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its preceding programmes as project number 13/59/26. The contractual start date was in March 2015. The final report began editorial review in July 2017 and was accepted for publication in November 2017. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of Health and Social Care. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Depar...

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“…teledermatology). There are many proof-of-concept studies [73][74][75][76][77] and examples of up-and-running services, largely in remote regions (e.g. in rural Wales, UK 78 ).…”

Section: Telemedicinementioning

confidence: 99%

Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study

Shaw

Wherton

Vijayaraghavan

et al. 2018

Health Serv Deliv Res

148

186

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“…Together with Finch et al (2003); they recommend ethnographic studies as suitable for evaluating tele-health care. See also May et al 2003;Callén et al 2009. For an impressive demonstration of the use of auto-ethnography that articulates yet different matters of concern in care, see Taylor 2010.…”

Section: Eu Partnersmentioning

confidence: 99%

Care at a Distance : On the Closeness of Technology

Pols¹

2012

219

286

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Care and welfare are changing rapidly in contemporary welfare states. The Care & Welfare series publishes studies on changing relationships between citizens and professionals, on care and welfare governance, on identity politics in the context of these welfare state transformations, and on ethical topics. It will inspire international academic and political debate by developing and reflecting upon theories of (health) care and welfare through detailed national case studies and/or international comparisons. This series will offer new insights into the interdisciplinary theory of care and welfare and its practices. series editors

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“…The systems are politically attractive but often clinically or economically contentious. Simply put, this is an area of innovation where champions need to work hard to persuade others of the potential of this technology (May et al 2003). The difficulty of implementation also means remote care provides comparative longitudinal cases 7 studies of champions, and their work, as they attempt to reposition remote care as a routine and taken-for-granted part of healthcare.…”

Section: Research Context and Designmentioning

confidence: 99%

The role of the organizational champion in achieving health system change

Hendy

Barlow

2012

Social Science & Medicine

140

157

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In healthcare there is a long held wisdom that 'champions' are a key aspect of organizational change. Drawing on organizational management theory, we examine the role of champions in three health and social care organizations in England as they attempt to move services to a remote model of delivery. The delivery of remote care is a significant policy in the UK and elsewhere, but its introduction has been challenging. Over three years ethnographic methods were used to analyse the role of organizational champions in implementing remote care.Cases were local authorities and associated primary care trusts. Participants were champions and organizational members involved in implementation.Our study shows that organizational champions are highly effective in the first phase of adoption, when change is contained within distinct sub-sets of practice. Moving beyond local contexts the effectiveness of the champions varied. Identification centred on the remote-care work. This identification enabled the champions to motivate others and move beyond their normally prescribed roles, contributing to innovation ideas, processes and practices. When required to shift their work organization-wide, and share ideas outside their professional culture, some champions responded with resistance, resulting in a lack of innovation spread.These results caution against allowing change to become positioned within the remit of a few individuals. Whilst this strategy may be initially beneficial, the role of champion may be less useful, even detrimental to progress, in the later stages of implementation, particularly if identification with the new circumstances is not established.

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Health technology assessment in its local contexts: studies of telehealthcare

Cited by 117 publications

References 32 publications

Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study

Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study

Care at a Distance : On the Closeness of Technology

The role of the organizational champion in achieving health system change

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