Telehealth success: evaluation framework development.

摘要: Implementing telehealth applications represents a substantial investment of resources, which is one reason why success great interest. Many research and evaluation studies have investigated measures successful systems. However, the term "telehealth" wide range variables including clinical application, characteristics information being transmitted, temporal relationships data transfer organizational context. These sources variability pose many challenges for as well building cumulative history research. A conceptual framework required that assists in categorizing results drawing conclusions based on an accumulation findings. One measure "success" health care quality patient this reflects primary ICT investments. For reason, Donabedian's work evaluating provides basis proposed framework. DeLone McLean's definitions IS assist conceptualizing structure-outcome-process Multiple approaches been used to address different types questions. Prior technologies introduced care, there are usually demonstrate their effectiveness. Health Technology Assessment examines broader context than technology alone, costs comparing alternatives would exist absence telehealth. It considers performance measures; outcomes; summary measures, operational considerations, other issues. Program Evaluation use provide service or deliver program. questions often whether program goals met if it operating expected. Perhaps greater concern approach taken generalizability Recent given inadequate attention defining what done (i.e. comparison most appropriate alternative), identifying beneficiaries ensuring randomly selected participants take part) measured benefits, drawbacks side effects telehealth). efforts frameworks identified factors such technical acceptability system, cost/benefit/effectiveness, support, satisfaction, recruitment retention, client outcomes life, acceptance by consumers providers. Less known about relationship among these findings around variable generalizable settings applications. example, support may be essential provider-patient interactions via videoconference, result higher life. accumulating type evidence supporting more advanced efforts.