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Implementation Science
Published in: Implementation Science 1/2007

Open Access 01-12-2007 | Systematic Review

Characteristics of successfully implemented telemedical applications

Authors: Aud Obstfelder, Kjersti H Engeseth, Rolf Wynn

Published in: Implementation Science | Issue 1/2007

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Abstract

Background

There has been an increased interest in the use of telemedical applications in clinical practice in recent years. Considerable effort has been invested in trials and experimental services. Yet, surprisingly few applications have continued beyond the research and development phase. The aim of this study is to explore characteristics of successfully implemented telemedical applications.

Methods

An extensive search of telemedicine literature was conducted in order to identify relevant articles. Following a defined selection process, a small number of articles were identified that described characteristics of successfully implemented telemedical applications. These articles were analysed qualitatively, drawing on central procedures from Grounded Theory (GT), including condensation and categorisation. The analysis resulted in a description of features found to be of importance for a successful implementation of telemedicine. Subsequently, these features were discussed in light of Science and Technology studies (STS) and the concept of 'social negotiation'.

Results

Telemedical applications introduced into routine practice are typically characterised by the following six features: 1) local service delivery problems have been clearly stated, 2) telemedicine has been seen as a benefit, 3) telemedicine has been seen as a solution to political and medical issues, 4) there was collaboration between promoters and users, 5) issues regarding organizational and technological arrangements have been addressed, and 6) the future operation of the service has been considered.

Conclusion

Our findings support research arguing that technologies are not fixed entities moving from invention through diffusion and into routine use. Rather, it is the interplay between technical and social factors that produces a particular outcome. The success of a technology depends on how this interplay is managed during the process of implementation.
Appendix
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Metadata
Title
Characteristics of successfully implemented telemedical applications
Authors
Aud Obstfelder
Kjersti H Engeseth
Rolf Wynn
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2007
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/1748-5908-2-25

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