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The Influence of Telepathology on Coordination Practices
11 School of Health Services Management, Ted Rogers School of Management, Ryerson University , Toronto, Canada .
Summary
Implementing telepathology transforms coordination between pathologists, technologists, and surgeons. This requires formalizing new workflows and supporting evolving professional roles for successful collaboration in intraoperative consultations (IOCs).
Area of Science:
- Medical Informatics
- Health Services Research
- Digital Pathology
Background:
- Effective care delivery relies on physician and allied professional coordination, impacting patient outcomes.
- Information technology offers transformative potential for professional collaboration in healthcare.
- There is increasing interest in optimizing coordination through technological advancements.
Purpose of the Study:
- To investigate how telepathology implementation alters coordination practices among pathologists, technologists, and surgeons.
- To understand the extent of transformation in collaborative workflows.
- To identify specific changes in communication and task management.
Main Methods:
- An interpretive case study approach was employed.
- Sixty semistructured interviews were conducted with key stakeholders.
- Direct observation of telepathology-based intraoperative consultations (IOCs) was performed.
Main Results:
- Telepathology systems constrain and disrupt established coordination routines, such as slide presentation.
- Proactive anticipation of intraoperative consultations (IOCs) by laboratory personnel necessitates more formal requests.
- Local technologists gain autonomy in macroscopy and laboratory tasks previously handled by pathologists.
Conclusions:
- Successful telepathology-based intraoperative consultations (IOCs) demand anticipation and management of significant workflow transformations.
- Project managers must formalize new work processes and support evolving professional roles.
- Mitigating hindrances caused by minor material changes is crucial for smooth work routines.
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