| Diffusion of telemedicine: a knowledge barrier perspective. | |
| | |
MedLine Citation:
|
PMID: 10908437 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Telemedicine, broadly defined as the use of information technology (IT) to deliver medical services over distances, is one proposed solution to problems of accessibility, quality, and costs of medical care. Although telemedicine applications have proliferated in recent years, their diffusion has remained low in terms of the volume of consultations. In this study, we extend Attewell's theory of knowledge barriers to explain why diffusion of telemedicine remains low. A longitudinal, embedded multiple case study of telemedicine programs in three medical centers in Boston, Massachusetts, reveals that, in addition to technical knowledge barriers, as suggested by Attewell, there are economic, organizational, and behavioral knowledge barriers that inhibit the diffusion of telemedicine. The lowering of these barriers entails intensive learning efforts by champions of applications within adopter organizations. They need to develop technically feasible, medically valid, reimbursable, and institutionally supported applications in order to justify the value of telemedicine and engender consistent and frequent use by physicians. |
| | |
Authors:
|
H Tanriverdi; C S Iacono |
Related Documents
:
|
17411757 - The blue cross blue shield association technology evaluation center: how we evaluate ra... 19845987 - Knowledge network for medical technology management in mexico. 18319127 - Medication safety. 10141347 - Technology assessment at the institute for clinical systems integration and healthpartn... 22287687 - Good medical practice or canmeds for education? 21822397 - Mobile care (moca) for remote diagnosis and screening. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Telemedicine journal : the official journal of the American Telemedicine Association Volume: 5 ISSN: 1078-3024 ISO Abbreviation: Telemed J Publication Date: 1999 |
Date Detail:
|
Created Date: 2000-08-22 Completed Date: 2000-08-22 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 9507612 Medline TA: Telemed J Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 223-44 Citation Subset: IM |
Affiliation:
|
Boston University School of Management, Information Systems Department, Boston, Massachusetts, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Boston Diffusion of Innovation* Health Services Research Hospitals, Teaching Humans Longitudinal Studies Models, Theoretical Telemedicine* / organization & administration Telepathology Teleradiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A usability evaluation for telemedicine medical equipment.
Next Document: The relative cost of outpatient telemedicine services.