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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...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4407548/ https://www.ncbi.nlm.nih.gov/pubmed/25902829 http://dx.doi.org/10.1186/s12916-015-0305-8 |
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author | May, Carl R |
author_facet | May, Carl R |
author_sort | May, Carl R |
collection | PubMed |
description | 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 |
format | Online Article Text |
id | pubmed-4407548 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-44075482015-04-24 Making sense of technology adoption in healthcare: meso-level considerations May, Carl R BMC Med Commentary 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 BioMed Central 2015-04-23 /pmc/articles/PMC4407548/ /pubmed/25902829 http://dx.doi.org/10.1186/s12916-015-0305-8 Text en © May; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Commentary May, Carl R Making sense of technology adoption in healthcare: meso-level considerations |
title | Making sense of technology adoption in healthcare: meso-level considerations |
title_full | Making sense of technology adoption in healthcare: meso-level considerations |
title_fullStr | Making sense of technology adoption in healthcare: meso-level considerations |
title_full_unstemmed | Making sense of technology adoption in healthcare: meso-level considerations |
title_short | Making sense of technology adoption in healthcare: meso-level considerations |
title_sort | making sense of technology adoption in healthcare: meso-level considerations |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4407548/ https://www.ncbi.nlm.nih.gov/pubmed/25902829 http://dx.doi.org/10.1186/s12916-015-0305-8 |
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