Identifying barriers in telemedicine-supported integrated care research: scoping reviews and qualitative content analysis

  • Lorenz HarstEmail author
  • Patrick Timpel
  • Lena Otto
  • Peggy Richter
  • Bastian Wollschlaeger
  • Katja Winkler
  • Hannes Schlieter
Original Article



Integrated care is said to improve the way in which care is delivered. To support integrated care by ensuring close collaboration between involved stakeholders, information and communication technologies, especially telemedicine, are needed. Despite their potential, most telemedicine solutions never make it from pilot project stage to full implementation into usual care. Especially in integrated care scenarios, understanding of the barriers hampering successful telemedicine implementation and application is limited.

Objective and method

Four rapid scoping reviews were carried out to cover the following broad sets of barriers in telemedicine implementation: technical, behavioural, economical and organisational barriers. The identified barriers and obstacles were categorised into problem areas with sub-categories and, afterwards, combined in order to identify future research potentials for telemedicine implementation.


A total of 118 studies were included for further analysis. The findings suggest that the individuals’ characteristics, as well as the surrounding social and health care system, are the most important barriers for telemedicine-supported integrated care. The information system development and application, as well as missing data and evidence for the effectiveness of telemedicine and integrated care, are hampering successful implementation.


The consolidated problem areas deepen the understanding on how barriers for telemedicine solutions in integrated care settings are interrelated. Conclusively, this helps to successfully develop and implement telemedicine-supported integrated care.


Integrated care Telemedicine Barriers for implementation Digitisation Scoping review 



This research was supported by the European Social Funds (ESF) and the Free State of Saxony (Junior Research Group, project number: 100310385).

Compliance with ethical standards

Conflict of interest

All authors declare no conflict of interest.

Supplementary material

10389_2019_1065_MOESM1_ESM.docx (17 kb)
ESM 1 (DOCX 16 kb)


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© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Research Association Public Health, Center for Evidence-Based Health Care, Faculty of Medicine Carl Gustav CarusTechnische Universität DresdenDresdenGermany
  2. 2.Prevention and Care of Diabetes, Department of Medicine III, Faculty of Medicine Carl Gustav CarusTechnische Universität DresdenDresdenGermany
  3. 3.Chair of Wirtschaftsinformatik, esp. Systems DevelopmentTechnische Universität DresdenDresdenGermany
  4. 4.Chair of Technical Information SystemsTechnische Universität DresdenDresdenGermany

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