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
Empower Yourself...Welcome to your future and beyond.... Working together we will build upon our "collective wisdom" to create, for tomorrow, what we can only imagine today...J. Perl, Editor
Other Nursing Informatics & HIT Blogs of Interest
Nursing Informatics & Technology: A Blog for All Levels of Users
News from healthcareitnews.com
mobihealthnews
iHealthBeat
Health information technology improves care and saves lives
AHRQ Research about: * Telemedicine * School Health * Health Maintenance
Ethics and HIT
Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
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.