Making sense of technology adoption in healthcare: meso-level considerations

BMC Medicine

Carl R May¹ 

[1] Faculty of Health Sciences, University of Southampton, Building 67 (Nightingale), University Road, Southampton SO17 1 BJ, UK

关键词: Telecare;    Technology adoption;    Burden of treatment;   

Others  :  1174830
DOI  :  10.1186/s12916-015-0305-8

 received in 2015-02-17, accepted in 2015-03-02,  发布年份 2015

【 摘 要 】

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 webcite

【 授权许可】

   
2015 May; licensee BioMed Central.

【 图 表 】

Figure 1.

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