Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India
Abstract
Background: Readiness is an integral and preliminary step in the
successful implementation of telehealth services into existing health
systems within rural communities. Methods and Materials: This paper
details and critiques published international peer-reviewed studies
that have focused on assessing telehealth readiness for rural and
remote health. Background specific to readiness and change theories is
provided, followed by a critique of identified telehealth readiness
models, including a commentary on their readiness assessment tools.
Results: Four current readiness models resulted from the search
process. The four models varied across settings, such as rural
outpatient practices, hospice programs, rural communities, as well as
government agencies, national associations, and organizations. All
models provided frameworks for readiness tools. Two specifically
provided a mechanism by which communities could be categorized by their
level of telehealth readiness. Discussion: Common themes across models
included: an appreciation of practice context, strong leadership, and a
perceived need to improve practice. Broad dissemination of these
telehealth readiness models and tools is necessary to promote awareness
and assessment of readiness. This will significantly aid organizations
to facilitate the implementation of telehealth