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Related Experiment Videos

Diffusion of telemedicine: a knowledge barrier perspective.

H Tanriverdi1, C S Iacono

  • 1Boston University School of Management, Information Systems Department, Boston, Massachusetts, USA.

Telemedicine Journal : the Official Journal of the American Telemedicine Association
|July 25, 2000
PubMed
Summary

Telemedicine adoption faces barriers beyond technical knowledge, including economic, organizational, and behavioral factors. Overcoming these requires dedicated learning efforts to ensure consistent physician use.

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Area of Science:

  • Health Services Research
  • Medical Informatics

Background:

  • Telemedicine, utilizing information technology (IT) for remote medical services, is proposed to address healthcare access, quality, and cost issues.
  • Despite proliferation, telemedicine's diffusion in terms of consultation volume remains limited.

Purpose of the Study:

  • To extend Attewell's theory of knowledge barriers and explain the low diffusion of telemedicine.
  • To identify specific barriers hindering telemedicine adoption in medical centers.

Main Methods:

  • A longitudinal, embedded multiple case study design.
  • Investigation of telemedicine programs across three medical centers in Boston, Massachusetts.

Main Results:

  • Telemedicine diffusion is inhibited by technical, economic, organizational, and behavioral knowledge barriers.

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  • Champions within organizations must overcome these multifaceted barriers.

    • Conclusions:

    • Intensive learning efforts are crucial for telemedicine champions to develop viable applications.
    • Applications must be technically feasible, medically valid, reimbursable, and institutionally supported for consistent physician use.