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Success factors for telehealth--a case study.

J R Moehr1, J Schaafsma, C Anglin

  • 1School of Health Information Science, University of Victoria, P.O. Box 3050 STN CSC, Victoria, BC, Canada V8W 3P5. jmoehr@uvic.ca

International Journal of Medical Informatics
|January 4, 2006
PubMed
Summary

This telehealth project evaluation reveals that focusing on chronic conditions and established teams improves success. Administrative applications generated savings, making clinical and educational uses more accessible.

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Area of Science:

  • Health Informatics
  • Telemedicine
  • Health Services Research

Background:

  • Telehealth implementation presents unique evaluation challenges.
  • Understanding success factors is crucial for sustainable e-health initiatives.
  • Previous assumptions about telehealth evaluation require re-examination.

Purpose of the Study:

  • To share lessons learned from a comprehensive telehealth project evaluation.
  • To identify key success factors and effective evaluation methodologies for telehealth.
  • To inform future telehealth project design and implementation.

Main Methods:

  • Evaluation of clinical, educational, and administrative telehealth applications in BC, Canada.
  • Utilized formative and summative approaches with mixed qualitative and quantitative methods.

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  • Employed an exploratory, progressively focused data gathering strategy under tight constraints, including economic simulation.

    • Main Results:

    • One clinical domain was discontinued; another continues, highlighting the importance of chronic condition focus and established teams.
    • Ad hoc and emergency applications, and those disregarding referral patterns, encountered significant issues.
    • Administrative applications yielded substantial savings, offsetting capital investment and enabling other telehealth services.

    Conclusions:

    • Rigorous evaluation is possible even under severe resource constraints.
    • Success factors include strong program management, needs analysis, and tailored applications.
    • An exploratory, multi-method evaluation approach can provide rich insights for telehealth sustainability.