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Evaluation of teleconsultation systems.

Josipa Kern1

  • 1University Medical School Zagreb, Andrija Stampar School of Public Health, Rockefellerova 4, 10000 Zagreb, Croatia. jkern@snz.hr

International Journal of Medical Informatics
|September 7, 2005
PubMed
Summary

Teleconsultation system evaluations increasingly focus on user satisfaction and care appropriateness, shifting away from technical aspects. These trends highlight a growing emphasis on patient-centered outcomes in healthcare technology assessments.

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Area of Science:

  • Medical Informatics
  • Health Services Research
  • Information and Communication Technology (ICT) Evaluation

Background:

  • Teleconsultation (TC) systems are increasingly integrated into healthcare delivery.
  • Evaluating the effectiveness and impact of these systems is crucial for optimizing their use.
  • Previous research has focused on various aspects of TC system evaluation, but trends in criteria require systematic analysis.

Purpose of the Study:

  • To identify and analyze the criteria used in evaluating teleconsultation systems.
  • To estimate the trends in the application of these evaluation criteria over time.
  • To provide insights into the evolving priorities in assessing healthcare technology.

Main Methods:

  • Systematic review of 82 teleconsultation (TC) system evaluation studies published between 1982 and 2002.

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  • Categorization of evaluation criteria into predefined aspects (e.g., hardware, user satisfaction, cost).
  • Analysis of criterion frequency in two distinct periods (1995-1998 and 1999-2002) to identify trends using a defined index of change.

    • Main Results:

    • Hardware and technical aspects, initially dominant (74.2%), showed a significant decrease (43.1%) in evaluation frequency.
    • User satisfaction (healthcare provider and patient) and appropriateness/cost of patient care demonstrated substantial increases.
    • Positive trends were observed for user satisfaction (Ic=0.20), patient satisfaction (Ic=0.19), appropriateness of care (Ic=0.13), and cost of care (Ic=0.09).

    Conclusions:

    • The evaluation of teleconsultation systems is shifting from technical feasibility towards user-centered and outcome-oriented metrics.
    • Increased focus on patient and provider satisfaction, along with care appropriateness and cost-effectiveness, reflects evolving priorities in healthcare technology assessment.
    • Future evaluations should prioritize these user and outcome-based criteria to better reflect the real-world impact of teleconsultation systems.