Exploring telemedicine and organizational challenges in the healthcare system: a qualitative analysis using Grounded Theory.

IF 1.7 4区 医学 Q3 HEALTH POLICY & SERVICES Journal of Health Organization and Management Pub Date : 2024-11-26 DOI:10.1108/JHOM-04-2024-0157
Surya Bahadur Thapa, Aradhana Gandhi
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Abstract

Purpose: Telemedicine is a context-specific intervention that implies significant procedural changes in a health organization. The objective of the study is to explore healthcare professionals' usage of and perceptions towards telemedicine technology and identify the perceived factors and related process change, influencing the effective adoption of telemedicine from an organizational perspective.

Design/methodology/approach: The study includes multi-disciplinary commentaries of a purposive sample of 31 healthcare professionals, conducted through semi-structured qualitative interviews and employs Grounded Theory and Thematic Analysis techniques to analyze the data.

Findings: Telemedicine is perceived as a highly beneficial digital intervention in healthcare, focusing on the delivery of effective healthcare, and promoting healthcare equity. Healthcare professionals showed their willingness to assimilate technology into clinical decision-making, resulting in better treatment outcomes, and recommended its' adoption into mainstream healthcare as a viable approach to providing remote healthcare. The key organizational issues with telemedicine adoption were system requirements, network connectivity, non-standardized medical records, and legal bottlenecks, that can be addressed by improving infrastructural convenience, optimizing service processes, imparting training, and adopting better technical measures.

Originality/value: The focus is on exploring factors significant for the adoption of telemedicine technology from the perspective of multi-specialties in a health organization, rather than a specific specialty, as studied in previous scholarly work. This study contributes to the theory by proposing a conceptual framework on critical factors for telemedicine adoption, integrating the theory of planned behavior (TPB) and diffusion of innovation (DOI).

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探索医疗保健系统中的远程医疗和组织挑战:运用基础理论进行定性分析。
目的:远程医疗是一种针对具体情况的干预措施,意味着医疗机构在程序上的重大改变。本研究旨在从组织角度探讨医疗保健专业人员对远程医疗技术的使用和看法,并确定影响有效采用远程医疗的感知因素和相关流程变化:本研究通过半结构化定性访谈的方式,对 31 名医疗保健专业人员的特定样本进行了多学科评论,并采用基础理论和主题分析技术对数据进行了分析:远程医疗被认为是医疗保健领域非常有益的数字化干预措施,其重点是提供有效的医疗保健服务和促进医疗保健公平。医疗保健专业人员表示愿意将技术融入临床决策,从而获得更好的治疗效果,并建议将其作为提供远程医疗保健的可行方法纳入主流医疗保健中。采用远程医疗的主要组织问题是系统要求、网络连接、非标准化病历和法律瓶颈,这些问题可以通过改善基础设施便利性、优化服务流程、开展培训和采取更好的技术措施来解决:本研究的重点是从医疗机构中多专业的角度来探讨采用远程医疗技术的重要因素,而非以往学术研究中的特定专业。本研究结合计划行为理论(TPB)和创新扩散理论(DOI),就远程医疗采用的关键因素提出了一个概念框架,为理论研究做出了贡献。
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来源期刊
CiteScore
3.20
自引率
7.10%
发文量
72
期刊介绍: ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.
期刊最新文献
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