The organising vision for telehealth and telecare: discourse analysis

Greenhalgh, Trisha; Procter, Rob; Wherton, Joseph; Sugarhood, Paul; Shaw, Sara

doi:10.1136/bmjopen-2012-001574

Cited by 174 publications

(199 citation statements)

References 43 publications

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“…The approach has been applied to healthcare studies since the 1990s, though not yet with great frequency. [7][8][9][10][11] bIAses of trAdItIonAl reseArch ApproAches versus Internet forum-bAsed dIscourse AnAlysIs The assessment of patients' behaviour for research purposes is fraught with difficulties (Box 1). 12 One of the problems of measuring behaviours is that the act of measurement can itself influence behaviour.…”

Section: Discourse Analysismentioning

confidence: 99%

Making sense of patients’ internet forums: a systematic method using discourse analysis

et al. 2014

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IntroductIonA survey of access to the internet in the UK conducted in 2008 revealed that the internet is used by 79% of men and 75% of women of all ages including 72% of people aged 55-64 years and 32% of people aged ≥65 years.1 Internet data that is freely and publicly accessible are now being used for research purposes. 2,3 Internet communities offer an increasingly important source of information expressed openly by individuals. In particular, the internet offers access to hard-to-reach groups who are often excluded (or exclude themselves) from traditional research studies. dIscourse AnAlysIsDiscourse analysis (DA), an approach to analysing naturally occurring language, is a technique that is particularly suited to examining internet data. 4,5 DA is pertinent to health care for it has the potential to reveal the dimensions of health beliefs, the doctorpatient relationships and the dissemination of health information. The focus of DA is on communicative behaviour. 6 Within internet forums communicative behaviour is the manner in which individuals communicate through written text.At a basic level, interrogation with linguistic analysis software reveals word frequency. Frequency is a simple way to identify problems and issues. We can look at how patterns of words colocate together and uncover associations between words (that is, concordances) that may provide insights into people, groups, and ideas. With the development of computers, linguistics has become involved using concordancing where keywords from a body of text, often termed a corpus, are highlighted in their surrounding context. Search engines like Google and Yahoo are, at heart, simple concordancers in their browsing functions. They offer the casual user the opportunity to search a very large database for examples of a single word or phrase (one's own name, for instance). Linguistic concordancing offers the opportunity for more sophisticated language-based analyses. The techniques are very widely-used in language studies; for example, in forensic linguistics (assessing whether a document has been forged or to examine witness statements). The approach has been applied to healthcare studies since the 1990s, though not yet with great frequency. 7-11bIAses of trAdItIonAl reseArch ApproAches versus Internet forum-bAsed dIscourse AnAlysIs The assessment of patients' behaviour for research purposes is fraught with difficulties (Box 1). 12 One of the problems of measuring behaviours is that the act of measurement can itself influence behaviour. The measurement of behaviour is vulnerable to reactivity and self-presentational bias on the part of the patient. Reactivity is the tendency of attention from others to influence behaviour. If patients are aware that their behaviour is being monitored, this might stimulate a specific behaviour simply by drawing attention to it. This is because of self-presentational bias. Patients may perceive that a certain behaviour, for example, adherence to treatment, is one of the duties expected of the 'good patient' and may be re...

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Section: Discourse Analysismentioning

confidence: 99%

Making sense of patients’ internet forums: a systematic method using discourse analysis

et al. 2014

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“…[3][4][5][6][7][8][9] The £31 million Department of Health Whole Systems Demonstrator trial suggested that tele-health was associated with a statistically significant reduction in morbidity, mortality and use of conventional health services, if used correctly with appropriate staffing and organisational infrastructure, although this study has been criticised for 'pro-innovation bias' and failing to engage effectively with the social and psychological aspects of the use of technology in chronic illness care. 10 Conventional methods for improving self-management have often been personnel-intensive, e.g.…”

Section: Discussionmentioning

confidence: 99%

DAWN: Diabetes Appointments via Webcam in Newham

et al. 2015

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The diabetes service at Newham, East London, exemplifies challenges faced in the National Health Service with increasing demand, pressure to improve efficiency, high non-attendance rates and poor health outcomes, reflecting the complex lives of many patients with long-term illness. Perceived lack of control, poor engagement with inflexible services and poor self-management are common with these patients. Early evidence from our work so far suggests that web-based appointments can be used as part of outpatient services to improve patient experience and provide better access to effective care, with the potential to improve longer-term efficiency. By using readily available video conferencing software (Skype), our service model can be easily replicable across the majority of outpatient care. Further work is now being done to explore the impact of online consultations on improving patient self-management, particularly for those patients labelled "hard to reach". Br J Diabetes Vasc Dis 2015;15:123-126

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“…Technology Enabled Care Services that encompass telehealth, telecare, telemedicine, telecoaching and self-care apps with remote video consultation are starting to be used in rural countries such as Australia. 5 This technology is also developing in the UK, although current evidence for its effectiveness and cost effectiveness is mixed, and strong barriers to adoption remain (Greenhalgh et al 2012;Henderson et al 2013). Consumer preferences are likely to play an important role in their success.…”

Section: Next-generation Ictmentioning

confidence: 99%

Travel in Britain in 2035: Future scenarios and their implications for technology innovation

Rohr¹,

Ecola²,

Zmud³

et al. 2016

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Future scenarios and their implications for technology innovationFor more information on this publication, visit www.rand.org/t/RR1377Published by the RAND Corporation, Santa Monica, Calif., and Cambridge, UK R ® is a registered trademark. © 2016 Innovate UKRAND Europe is a not-for-profit organisation whose mission is to help improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.All rights reserved. No part of this book may be reproduced in any form by any electronic or mechanical means (including photocopying, recording, or information storage and retrieval) without permission in writing from the sponsor.Support RAND Make a tax-deductible charitable contribution at www.rand.org/giving/contribute www.rand.org www.randeurope.org iii Preface RAND Europe, in collaboration with Risk Solutions and Dr Johanna Zmud from the Texas A&M Transportation Institute, was commissioned by Innovate UK to develop future travel scenarios for 2035, considering possible social and economic changes and exploiting key technologies and innovation in ways that could reduce congestion. The purpose of this independent research is to explore and examine how new technologies may infl uence travel and to facilitate discussion about how transport can be more effi cient in future. In no way are the fi ndings intended to refl ect the views, opinions or policy of Innovate UK or the UK Government.The scenario methodology focuses on identifying the potential impact of critical factors and technologies on fi ve activities and the travel associated with them -undertaking work and business, shopping, seeking healthcare, making long-distance journeys for work or leisure, and freight activity. It combines expert opinion, gathered via in-person workshops, with crossimpact analysis, consistency analysis and cluster analysis. The scenarios are then used to identify innovation investments and policies that provide benefi ts across the range of possible futures.This report describes the main aspects of the study: the identifi cation of key future technologies, the development of the scenarios, and the fi ndings from interviews with experts about what the scenarios may mean for innovation and policy priorities. It may be of use to policymakers or researchers who are interested in future travel and the infl uence of technology.RAND Europe is a not-for-profi t organisation whose mission is to help improve policy and decisionmaking through research and analysis. RAND Europe's clients include European governments, institutions, NGOs and fi rms with a need for rigorous, independent, multidisciplinary analysis.

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The organising vision for telehealth and telecare: discourse analysis

Cited by 174 publications

References 43 publications

Making sense of patients’ internet forums: a systematic method using discourse analysis

Making sense of patients’ internet forums: a systematic method using discourse analysis

DAWN: Diabetes Appointments via Webcam in Newham

Travel in Britain in 2035: Future scenarios and their implications for technology innovation

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