Organizational cooperation in teleradiology

Monrad, I. H.

doi:10.1258/1357633053430449

Cited by 9 publications

(12 citation statements)

References 16 publications

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“…This has been described in a previous study. 3 In response to the question 'Have you considered centralizing image interpretation in the health region(s) to fewer radiology departments than before PACS and teleradiology', 54% (n ¼ 14) answered 'no', 39% (n ¼ 10) 'yes' and 8% (n ¼ 2) 'don't know'.…”

Section: Resultsmentioning

confidence: 99%

“…The sampling method, sample size, respondents, external validity and the networks were described in a previous paper. 3 The present paper reports the results for one of the questions. The interviews were tape-recorded, and the larger investigation consisted of 27 h 37 min of recorded interviews.…”

Section: Methodsmentioning

confidence: 96%

“…Centralization increases the need for standardization of procedures. 3 Standardized procedures make it easier for a region to centralize interpretations. Centralization also makes standardized nomenclature important.…”

Section: Disadvantages With Centralizationmentioning

confidence: 99%

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Organizational centralization in radiology

Monrad¹

2006

J Telemed Telecare

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Traditionally, hospitals have a radiology department, where images are taken and interpretation occurs. Teleradiology makes it possible to capture images in one location and transmit them elsewhere for interpretation. Organizational centralization of radiology interpretations is therefore of interest. Empirical data have been collected in qualitative interviews of 26 resource persons with substantial experience with picture archiving and communication systems and teleradiology, from 12 departments of radiology in Norway. The response rate was 90%. A total of 21 theoretically possible types of centralization of image interpretation were identified, representing combinations of three categories of geographical centralization, and seven categories of centralization according to function. Various advantages and disadvantages of centralization were identified. Organizational changes may be decisive for the future of teleradiology, but it may be wise to plan for change in small steps, since we know little about how broad future organizational changes based on teleradiology will be, or what will decide how far particular organizations will go.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 96%

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Organizational centralization in radiology

Monrad¹

2006

J Telemed Telecare

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“…More details about the methodology, respondents, their experience with the technology, and networks of cooperation have been published elsewhere. 2 The question for which results are reported here is: 'Have you considered decentralizing image interpretation in the health region(s) to more organizational units than before PACS and teleradiology, and if so, what are the advantages and disadvantages of such decentralization? '…”

Section: Methodsmentioning

confidence: 99%

Organizational decentralization in radiology

Monrad¹

2006

J Telemed Telecare

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At present, most hospitals have a department of radiology where images are captured and interpreted. Decentralization is the opposite of centralization and means 'away from the centre'. With a Picture Archiving and Communication System (PACS) and broadband communications, transmitting radiology images between sites will be far easier than before. Qualitative interviews of 26 resource persons were performed in Norway. There was a response rate of 90%. Decentralization of radiology interpretations seems less relevant than centralization, but several forms of decentralization have a role to play. The respondents mentioned several advantages, including exploitation of capacity and competence. They also mentioned several disadvantages, including splitting professional communities and reduced contact between radiologists and clinicians. With the new technology decentralization and centralization of image interpretation are important possibilities in organizational change. This will be important for the future of teleradiology.

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“…Though this is a generic institute working on many aspects of work under the effect of modern methods, within this Aas has focused on the effects of the application of Information and Communication Technologies (ICT) within health. This has lead to a significant number of health sector studies (such as [14][15][16][17][18]).…”

Section: A Short History Of Evaluationmentioning

confidence: 99%

Evaluation – The Cinderella Science of ICT in Health

Rigby¹

2006

Yearb Med Inform

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SummaryObjectives: Information systems are expensive to create, and consume resources in their operation. They are justified in order to achieve clearly defined objectives in health service quality and efficiency. To ensure that these objectives are being met, and in order to build up an evidence-base to support well focused policies, systems, and practice, evaluation would seem to be fully justified and indeed essential. However, there are major factors jeopardising good evaluation practice, ranging from reluctance to commit resources or expose decisions to scrutiny, through to lack of appreciation of the full range of dimensions which should be studied. This paper seeks to create fuller appreciation of the issues and their importance. Methods: Experiential and literature reviews form the basis of an exposition of principles, methods, and key current activities. Results: A summary has been produced of the key challenges to health ICT evaluation, and its adverse comparison with other sectors. An explanation of the viewpoints and levels of health information evaluation is followed by a short history of principal milestones, current scientific methodology activity, and key collaborative activities. Conclusion:The need for a stronger commitment to health ICT evaluation is demonstrated if the application of health informatics systems is to receive due recognition as scientifically and empirically justified. Commitment of resources and scientific endeavour are needed, and thus the recent Declaration of Innsbruck, arising out of an event sponsored by the European Science Foundation, is timely and fully justified.

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Organizational cooperation in teleradiology

Cited by 9 publications

References 16 publications

Organizational centralization in radiology

Organizational centralization in radiology

Organizational decentralization in radiology

Evaluation – The Cinderella Science of ICT in Health

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