Barriers to the Adoption of Telemedicine Services

1) a lack of financial support, mainly by social security systems, (2) a lack of adequate measures to assure patient safety and patient information security, as well as (3) a lack of awareness of health professionals and the great public about the possibilities of Telemedecine, However, the industrial push linking human captors, diagnostic tools and at distance operations will most likely be recognized as" life saving" in case of major disasters or lack of local specialists! 

iTriage just did a survey among 2600 consumers to gauge their usage and awareness of telehealth and it's possible the reality of current adoption rates are a deterrent. Similar to what you see in the banking industry, it took a while for consumers to embrace new tech services (paperless checking, mobile banking apps, etc) that add significant convenience and efficiency while reducing cost, and now nearly every bank offers at least one form of consumer mobile app. One of our clinicians blogged about the research on HL7 Standards - here's a link if it's helpful: http://www.hl7standards.com/blog/2014/08/07/telehealth-future/

Berg Insights recently published a report that indicated a current low global adoption of prescribed remote monitoring (as opposed to zillions of useless quantify self solutions) - but forecasted an incredible growth rate the next 3-4 year.
This is also primarily attributed to the growing platform of smartphones.

http://www.berginsight.com/ReportPDF/ProductSheet/bi-mhealth6-ps.pdf 


See Chapter 6 for a literature review which includes this area and also the publication about a grounded theory on the key factor in uptake. The final chapter contains additional commentary on the barriers.

http://digital.library.adelaide.edu.au/dspace/handle/2440/83508

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Ethics and HIT

Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

e-Behaviorial Health


Benefit from new technologies... enable people to have remote access to CBT

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