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Telehealth technology: consequences for structure through use.

T Cornford1, E Klecun-Dabrowska

  • 1Department of Information Systems, London School of Economics and Political Science, London WC2A 2AE, UK. t.cornford@lse.ac.uk

Studies in Health Technology and Informatics
|October 18, 2001
PubMed
Summary

Information and communication technologies (ICTs) are shifting to patient care, driven by modernization and telehealth. This study examines how telehealth technologies reshape healthcare structures through routine use in London case studies.

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Area of Science:

  • Health Informatics
  • Digital Health
  • Healthcare Management

Background:

  • The focus of Information and Communication Technologies (ICTs) in healthcare has shifted from administrative functions to direct patient care.
  • Modernization pressures, administrative reforms, and inter-organizational boundary blurring are key drivers of this shift.
  • Traditional barriers between health service administration and medical practice are being dismantled by technological advancements.

Purpose of the Study:

  • To explore the role of technology, specifically telehealth, in transforming healthcare delivery.
  • To analyze the consequences of new telehealth technologies in routine healthcare settings.
  • To understand how these technologies become integrated as resources and rules, shaping new healthcare structures.

Main Methods:

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  • The study employs a set of linked case studies conducted in an inner-city borough of London.
  • Qualitative analysis of the routine use of telehealth technologies within these case studies.
  • Examination of how technology adoption influences healthcare structures and practices.

Main Results:

  • Telehealth technologies are actively reshaping the front-end of patient care, moving beyond back-office applications.
  • The integration of telehealth into routine practice varies, influencing whether they become established resources and rules.
  • Case studies reveal the complex interplay between technology, organizational structures, and the practice of medicine.

Conclusions:

  • Telehealth technologies are significant agents of change in contemporary healthcare systems.
  • The successful integration and impact of telehealth depend on its routine use and embodiment within healthcare structures.
  • Understanding the dynamic between technology and healthcare practice is crucial for effective digital health implementation.