Abstract
Telehealth, the provision of health care services at a distance, is one way to address increasing problems of resource scarcity and equity of access to healthcare. However, the literature suggests there are difficulties with embedding telehealth into routine care and that in the complex system of healthcare consideration of the multiple system components would perhaps aid understanding. Using video-conferencing for the delivery of services is one approach to telehealth and the most commonly used in New Zealand. In this study, a sociotechnical systems approach was used to explore the perspectives of an expert stakeholder group regarding the current characteristics of telehealth video-conferencing services and the impact of these services on work systems. Twenty semi-structured interviews were recorded, transcribed and thematically analysed. Preliminary analysis suggest that key themes include initial experiences of using the technology, changes in the way of working, support to provide and receive telehealth, collaboration, leadership and funding models. The themes are interrelated across the work system components and system mismatches are emerging which may be significant in explaining the lack or slower than expected realization of telehealth goals.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
World Health Organization (2010) Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth. Geneva. http://www.who.int/goe/publications/goe_telemedicine_2010.pdf
Bradford NK, Caffery LJ, Smith AC (2016) Telehealth services in rural and remote Australia: a systematic review of models of care and factors influencing success and sustainability. Rural Remote Health 16(4):3808 (online)
van Dyk L (2014) A review of telehealth service implementation frameworks. Int J Environ Res Public Health 11(2):1279–1298
New Zealand Telehealth Forum (2014) New Zealand Telehealth Stocktake: District Health Boards. www.telehealth.co.nz
World Health Organization (2016) Global diffusion of eHealth: making universal health coverage achievable. Report of the third global survey on eHealth. Geneva. http://www.who.int/goe/publications/global_diffusion/en/
Akiyama M, Yoo BK (2016) A systematic review of the economic evaluation of telemedicine in Japan. J Prev Med Public Health 49(4):183–196
Wade VA, Karnon J, Elshaug AG, Hiller JE (2010) A systematic review of economic analyses of telehealth services using real time video communication. BMC Health Serv Res 10:233
Müller KI, Alstadhaug KB, Bekkelund SI (2016) Acceptability, feasibility, and cost of telemedicine for nonacute headaches: a randomized study comparing video and traditional consultations. J Med Internet Res 18(5):e140
Wootton R, Bahaadinbeigy K, Hailey D (2011) Estimating travel reduction associated with the use of telemedicine by patients and healthcare professionals: Proposal for quantitative synthesis in a systematic review. BMC Health Serv Res 11:185
Birns J, Roots A, Bhalla A (2013) Role of telemedicine in the management of acute ischemic stroke. Clin Pract 10(2):189–200
Moffatt JJ, Eley DS (2010) The reported benefits of telehealth for rural Australians. Aust Health Rev 34(3):276–281
Zanaboni P, Wootton R (2012) Adoption of telemedicine: from pilot stage to routine delivery. BMC Med Inform Decis Mak 12(1):1
Eason K, Waterson P, Davda P (2014) The sociotechnical challenge of integrating telehealth and telecare into health and social care for the elderly. In: Healthcare administration: concepts, methodologies, tools, and applications, vol 3, pp 1177–1189
Hendy J, Chrysanthaki T, Barlow J, Knapp M, Rogers A, Sanders C, Bower P, Bowen R, Fitzpatrick R, Bardsley M, Newman S (2012) An organisational analysis of the implementation of telecare and telehealth: the whole systems demonstrator. BMC Health Serv Res 12(1):403
Brewster L, Mountain G, Wessels B, Kelly C, Hawley M (2014) Factors affecting front line staff acceptance of telehealth technologies: a mixed-method systematic review. J Adv Nurs 70(1):21–33
Kruse CS, Karem P, Shifflett K, Vegi L, Ravi K, Brooks M (2016) Evaluating barriers to adopting Telemedicine worldwide: a systematic review. J Telemed Telecare 0(0):1–9
McLean S, Sheikh A, Cresswell K, Nurmatov U, Mukherjee M, Hemmi A, Pagliari C (2013) The impact of telehealthcare on the quality and safety of care: a systematic overview. PLoS ONE 8(8):e71238
Demiris G, Charness N, Krupinski E, Ben-Arieh D, Washington K, Wu J, Farberow B (2010) The role of human factors in telehealth. Telemed J E-health Off J Am Telemed Assoc 16(4):446–453
Hignett S, Carayon P, Buckley P, Catchpole K (2013) State of science: human factors and ergonomics in healthcare. Ergonomics 56(10):1491–1503
Bazeley P (2009) Analysing qualitative data: more than ‘identifying themes’. Malays J Qual Res 2:6–22
Gale NK, Heath G, Cameron E, Rashid S, Redwood S (2013) Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol 13:117
Carayon P, Schoofs Hundt A, Karsh BT, Gurses AP, Alvarado CJ, Smith M, Brennan PF (2006) Work system design for patient safety: the SEIPS model. Qual Saf Health Care 15(suppl. 1):i50–i58
Ammenwerth E, Iller C, Mahler C (2006) IT-adoption and the interaction of task, technology and individuals: a fit framework and a case study. BMC Med Inform Decis Mak 6:3
Greenhalgh T, Shaw S, Wherton J, Vijayaraghavan S, Morris J, Bhattacharya S, Hanson P, Campbell-Richards D, Ramoutar S Hodkinson I (2018) Real-world implementation of video outpatient consultations at macro, meso, and micro levels: mixed-method study. J Med Internet Res 20(4):e150
Cresswell K, Sheikh A (2013) Organizational issues in the implementation and adoption of health information technology innovations: an interpretative review. Int J Med Inform 82(5):e73–e86
Holden RJ, Carayon P, Gurses AP, Hoonakker P, Hundt AS, Ozok AA, Rivera-Rodriguez AJ (2013) SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients. Ergonomics 56(11):1669–1686
Acknowledgements
The participation of the NZ Telehealth Forum members is greatly appreciated. Nicola Green acknowledges the support of Massey University, by means of the Massey University Conference Presentation Grant.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Green, N., Tappin, D., Bentley, T. (2019). The Impact of Telehealth Video-Conferencing Services on Work Systems in New Zealand: Perceptions of Expert Stakeholders. In: Bagnara, S., Tartaglia, R., Albolino, S., Alexander, T., Fujita, Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol 818. Springer, Cham. https://doi.org/10.1007/978-3-319-96098-2_25
Download citation
DOI: https://doi.org/10.1007/978-3-319-96098-2_25
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-96097-5
Online ISBN: 978-3-319-96098-2
eBook Packages: Intelligent Technologies and RoboticsIntelligent Technologies and Robotics (R0)