Making sense of technology adoption in healthcare: meso-level considerations
Making sense of technology adoption in healthcare: meso-level considerations
It has been clear for some time that the development of telecare faces significant problems. Large scale studies and clinical trials seem to suggest that the cost and clinical effectiveness of telecare systems is doubtful, and the claim that these systems empower or enable service users often seems greatly overstated. The question that stems from this is, can these problems be overcome? Greenhalgh et al. have critiqued the construction of telecare as a generalised technological solution to problems of the delivery of care and have offered a new framework for defining quality in telecare and telehealth. They outline a set of principles that focus on user-centredness, co-creation, integration, and evaluation. This is a valuable approach, and is part of a much wider transformation of the way in which policy and practice researchers conceptualise healthcare delivery as a problem of performativity. Recognising that this is an important shift, in this paper I argue that we also need to keep in mind the meso-level factors that structure new technology applications in practice. Please see the related article: http://dx.doi.org/10.1186/s12916-015-0279-6.
burden of treatment, technology adoption, telecare
1-3
May, Carl R.
17697f8d-98f6-40d3-9cc0-022f04009ae4
23 April 2015
May, Carl R.
17697f8d-98f6-40d3-9cc0-022f04009ae4
Abstract
It has been clear for some time that the development of telecare faces significant problems. Large scale studies and clinical trials seem to suggest that the cost and clinical effectiveness of telecare systems is doubtful, and the claim that these systems empower or enable service users often seems greatly overstated. The question that stems from this is, can these problems be overcome? Greenhalgh et al. have critiqued the construction of telecare as a generalised technological solution to problems of the delivery of care and have offered a new framework for defining quality in telecare and telehealth. They outline a set of principles that focus on user-centredness, co-creation, integration, and evaluation. This is a valuable approach, and is part of a much wider transformation of the way in which policy and practice researchers conceptualise healthcare delivery as a problem of performativity. Recognising that this is an important shift, in this paper I argue that we also need to keep in mind the meso-level factors that structure new technology applications in practice. Please see the related article: http://dx.doi.org/10.1186/s12916-015-0279-6.
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Making sense of technology adoption in healthcare.pdf
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Accepted/In Press date: 2 March 2015
Published date: 23 April 2015
Keywords:
burden of treatment, technology adoption, telecare
Organisations:
Faculty of Health Sciences
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Local EPrints ID: 383942
URI: http://eprints.soton.ac.uk/id/eprint/383942
PURE UUID: 6dbb4b3f-91ef-4ba1-8034-75c0b5b01efe
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Date deposited: 01 Dec 2015 10:21
Last modified: 14 Mar 2024 21:50
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Author:
Carl R. May
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