Commercialisation of eHealth Innovations in the Market of UK Healthcare Sector: A Framework for Sustainable Business Model.

This is the peer reviewed version of the following article: Festus Oluseyi Oderanti, and Feng Li, ‘Commercialization of eHealth innovations in the market of the UK healthcare sector: A framework for a sustainable business model’, Psychology & Marketing, Vol. 35 (2): 120-137, February 2018, which has been published in final form at https://doi.org/10.1002/mar.21074. Under embargo until 10 January 2020. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.Demographic trends with extended life expectancy are placing increasing pressures on the UK state-funded healthcare budgets. eHealth innovations are expected to facilitate new avenues for cost-effective and safe methods of care, for enabling elderly people to live independently at their own homes and for assisting governments to cope with the demographic challenges. However, despite heavy investment in these innovations, large-scale deployment of eHealth continues to face significant obstacles, and lack of sustainable business models (BMs) is widely regarded as part of the greatest barriers. Through various empirical methods that include facilitated workshops, case studies of relevant organizations, and user groups, this paper investigates the reasons the private market of eHealth innovations has proved difficult to establish, and therefore it develops a framework for sustainable BMs that could elimiesnate barriers of eHealth innovation commercialization. Results of the study suggest that to achieve sustainable commercialization, BM frameworks and innovation diffusion characteristics should be considered complements but not substitutes.Peer reviewe

Rethinking presence: a grounded theory of nurses and teleconsultation

Aims and objectives: To develop a theory that offered an evidence-based insight into the use of teleconsultation by nurses. Background: Teleconsultation is the use of video to facilitate real-time, remote interaction between healthcare practitioners and patients. Although its popularity is growing, there is little understanding of how teleconsultation impacts on the role of nurses. Design: The study adopted a constructivist grounded theory method, supplemented by the use of Straussian analytical approaches. Methods: Using selective and theoretical approaches, registered nurses with experience of using video in health care were sampled. Data were collected using semi-structured interviews exploring experiences, knowledge and feelings surrounding teleconsultation. Interviews were recorded, transcribed and subjected to three-stage, nonlinear manual analysis (open, axial and selective coding). Results: Theoretical saturation occurred after 17 interviews. The core category identified from the data was ‘nursing presence’ Four subcategories of nursing presence were identified: operational, clinical, therapeutic and social. The degree to which presence could be achieved was dependent upon three influencing factors – enablers, constraints and compensation. Conclusions: Nurses provide different types of presence during teleconsultation, with the degree of presence dependent on specific characteristics of video-mediated communication. Where the use of video constrains the delivery of presence, nurses use a range of compensatory mechanisms to enhance patient care. Relevance to clinical practice: Teleconsultation provides an innovative approach to enhancing the delivery of health care. This study provides nurses with insight into the impact of teleconsultation on their professional role, and an understanding of how best to use video-mediated communication to support patient care

Future bathroom: A study of user-centred design principles affecting usability, safety and satisfaction in bathrooms for people living with disabilities

Research and development work relating to assistive technology 2010-11 (Department of Health) Presented to Parliament pursuant to Section 22 of the Chronically Sick and Disabled Persons Act 197

Report on Establishing Telemedicine Services in Iran

The speed of technological changes, the advent of new innovations, and the increasing competition have made the use of new technologies as the focus of the business firms and government. Information technology has had a great impact on health as one of the areas in human social life by forming the information societies. Currently, all the health care processes are highly depending on technology. Whereas its management, transmission, the distance elimination, the diagnosis speed, and the disease treatment are necessary issues. These two major subjects have led to the formation of a new branch in medical sciences called telemedicine technology. Considering numerous advantages of telemedicine technology, the necessity of applying this technology in developing countries, including our country- Iran- is inevitable (1). Providing telemedicine healthcare services essentially involves extensive implications in both ICT and medical services. The range of these concepts is so broad that it may be probable to consider telemedicine as a cultural issue applying the features of communication concepts in health care offer, beyond considering it as a service. It is necessary to a simple telephone communication to establish a psychotherapeutic service, to use smart agents in a trans-continental relationship, using vital signs and various medical images to identify and even treat a patient (2). Remote patient monitoring or telemedicine provides appropriate solutions in urgent medical assistance, long distance monitoring, the management and logistics, the quality assurance and supervision, as well as preparation and training of health care professionals. Telemedicine plays an important role even in the fight against communicable diseases, as well as in helping injured people in disasters and accidents (2,5). Telemedicine has been most beneficial to various healthcare services in some countries, particularly in developing countries such as Iran which faces unbalanced distribution of resources and specialists in various fields of medical sciences, and to make it available in all over the country. Telemedicine services provide the opportunity to improve both the quality and the availability of health care services regardless of the geographical limitations. These services also present numerous socio-economic benefits considering the significant return of resources to investors, service providers and equipment providers can be highly effective in optimizing the use of existing financial and human facilities and resources (7,6). Telemedicine requires careful planning and precise management to perform and develop the goals. Therefore, to achieve the above-mentioned objectives and using telemedicine in a large scale, it is required to evaluate the problems and the performance of this system periodically by planning and making useful changes to overcome them and thereby improve the status quo. Although remote patient monitoring or telemedicine services have great potentials and provide significant long-term benefits to the healthcare system, especially in a country such as Iran that it’s not possible to uniformly distribute power and health services in all areas, the optimal use of this system requires the provision of resources and essential infrastructures in addition to resolve the problems and eliminating the shortcomings. It is also worth noting that for the useful and continuous application of this system, the geographical facilities and limitations of each satellite center should be considered as the reference when deciding to provide the necessary infrastructure. To increase the efficiency and purpose of this system, it is better to first investigate the requirements and shortages of each region in the fields of medical specialties as well as the prevalent diseases and health problems of the region, considering which disease and consultation with which of the specialized and technical services are considered. Besides, due to the recent advent of telemedicine consultation system in our country's health care system and its failure to implement routinely as a result of the inadequate acceptance by physicians, and the consulting hospitals' personnel, it is better to select the satellite centers ensured that there were sufficient psychological acceptance and the willingness to cooperate in the project and to prevent the imposition of this system on recipient counseling centers, which has a deterrent role in helping physicians and nurses work together to advance this plan. In the end, it is necessary to spend sufficient funds and using experiences obtained from the present plan, increasing the number and quality of this type of counseling to be more accurate than the evaluation of the medical consulting system, especially in terms of cost-effectiveness

Towards a Smarter organization for a Self-servicing Society

Traditional social organizations such as those for the management of healthcare are the result of designs that matched well with an operational context considerably different from the one we are experiencing today. The new context reveals all the fragility of our societies. In this paper, a platform is introduced by combining social-oriented communities and complex-event processing concepts: SELFSERV. Its aim is to complement the "old recipes" with smarter forms of social organization based on the self-service paradigm and by exploring culture-specific aspects and technological challenges.Comment: Final version of a paper published in the Proceedings of International Conference on Software Development and Technologies for Enhancing Accessibility and Fighting Info-exclusion (DSAI'16), special track on Emergent Technologies for Ambient Assisted Living (ETAAL

Employing Information and Communications Technologies in Homes and Cities for the Health and Well-Being of Older People

YesHe X and Sheriff RE (Eds.) Employing ICT in Homes and Cities for the Health and Well-Being of Older People. Workshop Proceedings of ICT4HOP’16. 15-17 Aug 2016. Sichuan University, Chengdu, China.British Council, Researcher Links, Newton Fund, NSF

The Ethical Implications of Personal Health Monitoring

Personal Health Monitoring (PHM) uses electronic devices which monitor and record health-related data outside a hospital, usually within the home. This paper examines the ethical issues raised by PHM. Eight themes describing the ethical implications of PHM are identified through a review of 68 academic articles concerning PHM. The identified themes include privacy, autonomy, obtrusiveness and visibility, stigma and identity, medicalisation, social isolation, delivery of care, and safety and technological need. The issues around each of these are discussed. The system / lifeworld perspective of Habermas is applied to develop an understanding of the role of PHMs as mediators of communication between the institutional and the domestic environment. Furthermore, links are established between the ethical issues to demonstrate that the ethics of PHM involves a complex network of ethical interactions. The paper extends the discussion of the critical effect PHMs have on the patient’s identity and concludes that a holistic understanding of the ethical issues surrounding PHMs will help both researchers and practitioners in developing effective PHM implementations

Co-production in practice : how people with assisted living needs can help design and evolve technologies and services

Background The low uptake of telecare and telehealth services by older people may be explained by the limited involvement of users in the design. If the ambition of ‘care closer to home’ is to be realised, then industry, health and social care providers must evolve ways to work with older people to co-produce useful and useable solutions. Method We conducted 10 co-design workshops with users of telehealth and telecare, their carers, service providers and technology suppliers. Using vignettes developed from in-depth ethnographic case studies, we explored participants’ perspectives on the design features of technologies and services to enable and facilitate the co-production of new care solutions. Workshop discussions were audio recorded, transcribed and analysed thematically. Results Analysis revealed four main themes. First, there is a need to raise awareness and provide information to potential users of assisted living technologies (ALTs). Second, technologies must be highly customisable and adaptable to accommodate the multiple and changing needs of different users. Third, the service must align closely with the individual’s wider social support network. Finally, the service must support a high degree of information sharing and coordination. Conclusions The case vignettes within inclusive and democratic co-design workshops provided a powerful means for ALT users and their carers to contribute, along with other stakeholders, to technology and service design. The workshops identified a need to focus attention on supporting the social processes that facilitate the collective efforts of formal and informal care networks in ALT delivery and use