Skip to main content
Log in

Telehomecare Challenge Collaboration Among Healthcare Professionals

  • Published:
Wireless Personal Communications Aims and scope Submit manuscript

Abstract

The aim of this study was to identify the organizational problems that emerge when telehomecare technology for heart patients is implemented across healthcare sectors. The overall methodology of the study is the case study. A triangulation of data collection techniques was used in order to provide multiple sources of evidence for identifying the problems. During the design and implementation phases of a telehomecare system, several problems emerged: hospital nurses feared losing control over their job content, district nurses were confronted with more clinical tasks, there were competing visions about patient treatment and care between healthcare professionals, new patterns for collaboration across sectors emerged, and the lack of payment structure for home hospitalisation of patients created no incentives for telehomecare. These issues should be taken into account when implementing wireless telehomecare technology. If attention is not paid to these challenges telehomecare will remain marginalized and not be able to be implemented effectively.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Dinesen B., Nøhr C., Andersen S.K., Sejersen H., Toft E. (2008) Home hospitalisation of heart patients—patient and spouse/partner perspectives of telehomecare. European Journal of Cardiovascular Nursing 7(3): 239–246

    Article  Google Scholar 

  2. Jennett P., Yeo M., Pauls M., Graham J. (2003) Organizational readiness for telemedicine: Implications for success and failure. Journal of Telemedicine and Telecare 9(2): 27–30

    Article  Google Scholar 

  3. Whitten P., Adams I. (2003) Success and failure: A case study of two rural telemedicine projects. Journal of Telemedicine and Telecare 9(3): 125–129

    Article  Google Scholar 

  4. Larsen F., Gjerdrum E., Obstfelder A., Lundvoll L. (2003) Implementing telemedicine services in northern Norway: Barriers and facilitators. Journal of Telemedicine and Telecare 9(1): 17–18

    Article  Google Scholar 

  5. Hjelm N. H. (2005) Benefits and drawbacks of telemedicine. Journal of Telemedicine and Telecare 11(2): 60–70

    Article  Google Scholar 

  6. May C., Harrison R., Finch T., MacFarlane A., Mair F., Wallace P. (2003) Understanding the normalization of telemedicine services through qualitative evaluation. Journal of the American Medical Informatics Association 10(6): 596–604

    Article  Google Scholar 

  7. Gagnon, M. P., Duplantie, J., Fortin, J. P., & Landry, R. (2006). Implementing telehealth to support medical practice in rural/remote regions: What are the conditions for success? Implementation Science, 1(18), doi:10.1186/1748-5908-1-18.

  8. de Mul M., Bont A., de Berg M. (2007) IT-supported skill-mix change and standardisation in integrated eyecare: Lessons from two screening projects in The Netherlands. International Journal of Integrated Care 16(7): e15

    Google Scholar 

  9. Alter C., Hage J. (1983) Organisations working together. Sage, Newbury Park, CA

    Google Scholar 

  10. Gustafsson, J. (2007). Ledarskap i interorganisatoriska nätverk öfolkhälsa och välfärd. In R. Axelsson & S. B. Axelsson (Eds.), Folkhälsa i samverkan mellan professioner och samhällsektorer [Public health in inter-professional relations and social sectors] (pp. 61–86). Pozkal, Poland: Studentlitteratur.

  11. Gustafsson, J., & Seemann, J. (1985). Små institutioner i store systemer—tilpasning og påvirkning [Small institutions within large systems—adaptation and influences]. PhD Thesis, Forlaget alUFUFF, Aalborg, Denmark.

  12. Mønsted M. (2003) Strategic networking in small high tech firms. Samfundslitteratur, Copenhagen

    Google Scholar 

  13. Axelsson R., Axelsson S. B. (2006) Integration and collaboration in public health—a conceptual framework. The International Journal of Health Planning and Management 21(1): 75–88

    Article  Google Scholar 

  14. Collins P. D., Hage J., Hull F. (1986) A framework for analyzing technical systems in complex organizations. In: Bacharach S., Ditomaso N. (eds) Research in the sociology of organizations. JAI Press, Greenwich, CT, pp 81–100

    Google Scholar 

  15. Abbott A. (1988) The system of professions: An essay on the division of expert labour. The University of Chicago Press, Chicago

    Google Scholar 

  16. Yin R. K. (2003) Case study research design and methods. Sage, Thousand Oaks, CA

    Google Scholar 

  17. Koshy V. (2005) Action research for improving practice. Paul Chapman, London

    Google Scholar 

  18. Cummings T. G., Worley C. G. (2005) Organization development and change, 8th edn. Thomson South Western, Mason, OH, pp 22–43

    Google Scholar 

  19. Greenwood D. J., Levin M. (1988) Introduction to action research. Sage, Thousand Oaks, CA

    Google Scholar 

  20. Delamont S. (2007) Ethnography and participant observation. In: Seale C., Gobo G., Gubrium J. F., Silverman D. (eds) Qualitative research practice. Sage, London, England, pp 205–217

    Google Scholar 

  21. Kristiansen, S., & Krogstrup, H. K. (2004). Deltagende observation: Introduktion til en forsknings metodik [Participant observation: Introduction to research methodology]. Copenhagen: Hans Reitzels Forlag.

  22. Kvale, S. (2002). Interview: En introduktion til det kvalitative forskningsinterview [The interview: An introduction to the qualitative research interview]. Copenhagen: Hans Reitzels Forlag.

  23. Taylor M. C. (2005) Interviewing. In: Holloway I. (eds) Qualitative research in health care. Open University Press, Maidenhead (Berkshire, UK), pp 39–55

    Google Scholar 

  24. Steward D. W., Shamdasani P. N., Rook D. W. (2007) Focus groups: Theory and practice. Sage, Thousand Oaks, CA

    Google Scholar 

  25. Gibbs G. R. (2002) Qualitative data analysis. Open University Press, Philadelphia

    Google Scholar 

  26. Lamothe L., Fortin J. P., Labbè F., Gagnon M. P., Messikh D. (2006) Impacts of telehomecare on patients, providers, and organizations. Telemedicine Journal and e-Health 12(3): 363–369

    Article  Google Scholar 

  27. Perrin, K. M., Burke, G. S., O’Connor, D., Walby, G., Shippey, C., Pitt, S., et al. (2006). Factors contributing to intervention fidelity in a multi-site chronic disease self-management program. Implementation Science 1(26), doi:10.1186/86/1748-5908-1-26.

  28. Dinesen B., Gustafsson J., Nøhr C., Andersen S. K., Sejersen H., Toft E. (2007) Implementation of the concept of home hospitalisation for heart patients by means of telehomecare technology: Integration of clinical task. International Journal of Integrated Care 7: e17

    Google Scholar 

  29. Freshwater D. (2005) Action research for changing and improving practice. In: Holloway I. (eds) Qualitative research in health care. Open University Press, Berkshire, England, pp 210–228

    Google Scholar 

  30. Aas I. H. M. (2002) Learning in organizations working with telemedicine. Journal of Telemedicine and Telecare 8(2): 107–111

    Article  Google Scholar 

  31. Robinson D. F., Savage G. T., Campbell K. S. (2003) Organizational learning, diffusion of innovation, and international collaboration in telemedicine. Health Care Management Review 28(1): 68–78

    Google Scholar 

  32. Hibbert D., Mair F.S., May C.R., Boland A., O’Connor J., Capewell S. et al (2004) Health professionals’ responses to the introduction of a home telehealth service. Journal of Telemedicine and Telecare 10(4): 226–230

    Article  Google Scholar 

  33. Hamilton K.E., Sullivan F.M., Donnan P.T., Taylor R., Scott A.I. et al (2005) A managed clinical network for cardiac services: Set-up, operation and impact on patient care. International Journal of Integrated Care 5: e10

    Google Scholar 

  34. Gravel, K., Legare, F., & Graham, I. D. (2006). Barriers and facilitators to implementering shared decision-making in clinical practice: A systematic review of health professionals’ perceptions. Implementation Science, 1(6), doi:10.1186/1748-5908-1-16.

  35. Williams T. L., May C., Aneez E. (2001) Limitations of patient satisfaction studies in telehealthcare: A systematic review of the literature. Telemedicine Journal and e-Health 7(4): 293–316

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Birthe Dinesen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dinesen, B., Toft, E. Telehomecare Challenge Collaboration Among Healthcare Professionals. Wireless Pers Commun 51, 711–724 (2009). https://doi.org/10.1007/s11277-009-9767-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11277-009-9767-3

Keywords

Navigation