An Empirical Study on the Intentional Behaviors of Healthcare Consumers in a Telehealthcare System in Taiwan

Due to an aging population and the impact of chronic disease health insurance costs in Taiwan have increased year by year In order to allow people access to great medical care from home or within their community the Taiwanese government has promoted a number of telehealthcare policies Most related research emphasizes the technology involved in such policies but this study considers instead the combination of a technology acceptance model a health belief model and measures of trust within the community to probe the Taiwanese telehealthcare system This study was developed to examine factors that affect the usage attitudes and intentions of healthcare consumers within a telehealthcare system 284 responses were collected via an online survey and analyzed using SPSS 23 and smart PLS2 0 The results showed that perceived ease of use and usefulness were affected by social trust perceived usefulness was affected by perceived ease of use users attitudes were affected by perceived ease of use and perceived usefulness and user intention was affected by perceived usefulness perceived seriousness perceived benefits and cues to actio

Digital Telehealthcare Services: Exploring Future Designs of Innovative and Sustainable Service Business Models (35)

The rising elderly demographic in the UK represents a significant challenge in terms of planning for the efficient use of increasingly expensive and constrained health and care resources. Digital technology-enabled assistive living health and care (Telehealthcare) services could potentially serve to address the problem. Review of academic and practice literature suggests that one of the key barriers of large scale adoption of Telehealthcare technologies remains lack of evidence around \u27business cases\u27, creating enough value for all the stakeholders involved. Drawing perspectives from the literature on business model and service innovation, we adopt a value-driven approach that focuses around both value creation and value capture for key stakeholders and explores opportunities for value co-production with service users, network partners, collaborators and regulators to design future Telehealthcare service business models. Using a single case study with exploratory and interpretive focus, we empirically contextualise our value-driven investigative framework and present our findings that recognise critical needs for resource recombination and integration across the service ecosystem – such as the need for information flows and governance across the service ecosystem towards an integrated health and care information infrastructure

Connectivity for Healthcare and Well-Being Management: Examples from Six European Projects

Technological advances and societal changes in recent years have contributed to a shift in traditional care models and in the relationship between patients and their doctors/carers, with (in general) an increase in the patient-carer physical distance and corresponding changes in the modes of access to relevant care information by all groups. The objective of this paper is to showcase the research efforts of six projects (that the authors are currently, or have recently been, involved in), CAALYX, eCAALYX, COGKNOW, EasyLine+, I2HOME, and SHARE-it, all funded by the European Commission towards a future where citizens can take an active role into managing their own healthcare. Most importantly, sensitive groups of citizens, such as the elderly, chronically ill and those suffering from various physical and cognitive disabilities, will be able to maintain vital and feature-rich connections with their families, friends and healthcare providers, who can then respond to, and prevent, the development of adverse health conditions in those they care for in a timely manner, wherever the carers and the people cared for happen to be

Designing value creating and sustainable business models: An investigation of telehealthcare service ecosystem in North East England

A rising elderly population in England, together with the prevalence of long-term chronic health conditions and higher demands for social care, is creating significant challenges for both the English National Health Service (NHS), and for Local Authorities. These challenges relate to the effective planning, commissioning and provisioning of services for people with complex social and health care needs, amidst a predominantly public-funded health and care system. Digital technology innovations, such as telecare and telehealth (telehealthcare) can facilitate assisted living through technology-mediated preventions, early detections of risks, timely interventions, and self-directed care. Policymakers acknowledge the potential of these technologies to drive greater operational efficiency and cost savings by supporting the policy agenda of ‘ageing in place’, as opposed to an increasing reliance on commissioning expensive institutional provisions such as care homes. In order to realise the opportunities of technology-enabled care, policymakers have started advocating faster adoption, provisioning and implementation of telehealthcare services on an increased population scale. A review of the relevant health technology and systems literature indicates that prior and current research does not sufficiently address the business model and service perspectives, which are considered critical to the practical justification and adoption of complex health service innovations such as telehealthcare. This research study and thesis brings together two interdisciplinary and complementary theoretical frames, synthesised from the extant literature on business models and service innovation. A new theoretical framework is developed in order to examine, interrogate and explain the phenomena of value creation and value realisation within a telehealthcare service ecosystem. Conventional business model-based thinking focuses on value propositions and the financial realisation of value. In contrast, service-dominant logic offers more relational and systemic insights on value co-creation (emphasising social as well as economic factors) through stakeholders’ resource integration within the entire service ecosystem. Using the principles of Critical Realism (CR) to inform a case study approach, this qualitative study employs a multiple case-based research design, resulting in five case studies of telehealthcare services (including one pilot) in the North East of England. The analysis of empirical data collected from the case studies, including a representative sample comprising forty key-informant stakeholder interviews, combined with documentary and observational evidence, reveals four main themes. In the next stage of analysis, following a critical realist perspective, abduction and retroduction based reasoning are applied, leading to a theoretical explanation concerning the underlying structures and their causal powers (mechanisms). Three most significant causal mechanisms, namely Organisational Inertia, Fragmented Ecosystem, and Quasi-market Characteristics, have been identified to explain the stratified reality within a telehealthcare service ecosystem. This research analysis results in both theoretical, and practitioner related contributions concerning the development of a typology for telehealthcare service business models with illustrations of three archetype business models and their related elements. These archetype models signify the dynamic possibilities or potential variations of business models and new service designs contingent upon the operational contexts in which the business models are to be situated

Medical Legal Aspects of Telemedicine in Italy: Application Fields, Professional Liability and Focus on Care Services During the COVID-19 Health Emergency

Telemedicine services can be classified into the macro-categories of specialist Telemedicine, Tele-health and Tele-assistance. From a regulatory perspective, in Italy, the first provision dedicated to the implementation of Telemedicine services is represented by the Agreement between the Government and the Regions on the document bearing “Telemedicine—National guidelines,” approved by the General Assembly of the Superior Health Council in the session of 10th July 2012 and by the State Regions Conference in the session of 20th February 2014. Scientifically, several studies in the literature state that information and communication technologies have great potential to reduce the costs of health care services in terms of planning and making appropriate decisions that provide timely tools to patients. Another clear benefit is the equity of access to health care. The evolution of telemedicine poses a series of legal problems ranging from the profiles on the subject of authorization and accreditation to those concerning the protection of patient confidentiality, the definition and solution of which, in the absence of specific regulatory provisions, is mainly left to the assessment of compatibility of the practices adopted so far, with the general regulatory framework. In terms of professional liability, it is necessary to first clarify that the telemedicine service is comparable to any diagnostic-therapeutic health service considering that the telemedicine service does not replace the traditional health service, but integrates the latter to improve its effectiveness, efficiency and appropriateness

Feros Care's My Health Clinic at Home pilot: Final report

This study was one of the first remote monitoring studies in Australia. It enabled me to create, deliver and evaluate the first health literacy patient education program delivered by group videoconferencing, forming part of my PhD studies.\ua0Results of this study is significant because it revealed that patients who were remotely monitored could be taught how to understand their readings and consequently make changes in their health behaviours leading to better self-managementThis study provides rare and unique findings from real-world research with demonstrates remote monitoring empowers older people to better understand and manage their health.\ua0 Additionally it found group education via videoconferencing is acceptable to seniors with little to no experience in using technology

Process evaluation for complex interventions in primary care: understanding trials using the normalization process model

Background: the Normalization Process Model is a conceptual tool intended to assist in understanding the factors that affect implementation processes in clinical trials and other evaluations of complex interventions. It focuses on the ways that the implementation of complex interventions is shaped by problems of workability and integration.Method: in this paper the model is applied to two different complex trials: (i) the delivery of problem solving therapies for psychosocial distress, and (ii) the delivery of nurse-led clinics for heart failure treatment in primary care.Results: application of the model shows how process evaluations need to focus on more than the immediate contexts in which trial outcomes are generated. Problems relating to intervention workability and integration also need to be understood. The model may be used effectively to explain the implementation process in trials of complex interventions.Conclusion: the model invites evaluators to attend equally to considering how a complex intervention interacts with existing patterns of service organization, professional practice, and professional-patient interaction. The justification for this may be found in the abundance of reports of clinical effectiveness for interventions that have little hope of being implemented in real healthcare setting