Restructuring of the healthcare system and the diffusion of telemedicine

Abstract

This contribution focuses on the medical applications of new information and communication technologies (NICTs). We discuss the paradoxical nature of the spread of these technologies, related to the discrepancy between the promises held out by their use in a healthcare system searching for new mechanisms of coordination and their actual implementation, involving a series of experiments that to date have been short-lived. We then argue that solving this paradox requires understanding the complexity of the interaction process between NICTs and organisational changes. Thus while NICTs can facilitate the restructuring of provider networks, one of the principal challenges facing healthcare systems, they also reveal the tensions engendered by some new formal coordination mechanisms.

Telemedicine for healthcare: Capabilities, features, barriers, and applications

“…It allows practices to sell extended or weekend hours without incurring the cost of having the office open. This also makes practices more attractive to the growing number of patients who insist on telemedicine as a primary care provider choice [ [79] , [80] , [81] ]. It is a cost-effective and easy way to assist people with severe illnesses in managing their disease, being involved in their treatment, and preventing complications from worsening.…”

Sog'liqni Saqlashda Teletibbiyot Imkoniyatlari, Xususiyatlari Va To'siqlari

“…Bu, shuningdek, teletibbiyotni birlamchi tibbiy yordam ko'rsatuvchisi sifatida tanlashni talab qiladigan bemorlar soni ortib borayotgani uchun amaliyotni yanada jozibador qiladi [13]. Bu og'ir xastaliklarga duchor bo'lgan odamlarga o'z kasalliklarini davolashda, ularni davolashda ishtirok etishda va asoratlarning kuchayishining oldini olishda yordam berishning tejamkor va oson usulidir [14][15].…”

Les pratiques médicales et soignantes à distance

“…Nous retrouvons ici une configuration classique dans l'étude des technologies de l'information et de la communication, à savoir un décalage important entre des espérances fortes qui répondent à des enjeux d'envergure et une réalité complexe et moins réjouissante (Kerleau et Pelletier-Fleury, 2002). Ce décalage est même le point de départ des deux ouvrages majeurs en STS sur la télémédecine (Oudshoorn, 2011 ; Pols, 2012), qui se fondent sur des enquêtes réalisées aux Pays-Bas : les constats formulés en France résonnent avec ces cas étrangers.…”