Making Sense of Technology Adoption in Healthcare: Meso-level Considerations

Overview

Journal BMC Med

Publisher Biomed Central

Specialty General Medicine

Date 2015 Apr 24

PMID 25902829

Citations 9

Authors

Carl R May

Affiliations

Soon will be listed here.

Abstract

It has been clear for some time that the development of telecare faces significant problems. Large scale studies and clinical trials seem to suggest that the cost and clinical effectiveness of telecare systems is doubtful, and the claim that these systems empower or enable service users often seems greatly overstated. The question that stems from this is, can these problems be overcome? Greenhalgh et al. have critiqued the construction of telecare as a generalised technological solution to problems of the delivery of care and have offered a new framework for defining quality in telecare and telehealth. They outline a set of principles that focus on user-centredness, co-creation, integration, and evaluation. This is a valuable approach, and is part of a much wider transformation of the way in which policy and practice researchers conceptualise healthcare delivery as a problem of performativity. Recognising that this is an important shift, in this paper I argue that we also need to keep in mind the meso-level factors that structure new technology applications in practice. Please see the related article: http://dx.doi.org/10.1186/s12916-015-0279-6.

Citing Articles

Health Professionals' Experience with the First Implementation of the Organizational Health Literacy Self-Assessment Tool for Primary Care (OHL Self-AsseT)-A Qualitative Reflexive Thematic Analysis.

Stuermer N, De Gani S, Beese A, Giovanoli Evack J, Jaks R, Nicca D Int J Environ Res Public Health. 2022; 19(23).

PMID: 36497990 PMC: 9735722. DOI: 10.3390/ijerph192315916.

Carers' experience of using assistive technology for dementia care at home: a qualitative study.

Sriram V, Jenkinson C, Peters M BMJ Open. 2020; 10(3):e034460.

PMID: 32193267 PMC: 7150602. DOI: 10.1136/bmjopen-2019-034460.

Large-scale clinical implementation of PROMIS computer adaptive testing with direct incorporation into the electronic medical record.

Papuga M, Dasilva C, McIntyre A, Mitten D, Kates S, Baumhauer J Health Syst (Basingstoke). 2019; 7(1):1-12.

PMID: 31214335 PMC: 6452834. DOI: 10.1057/s41306-016-0016-1.

'Pushed' self-tracking using digital technologies for chronic health condition management: a critical interpretive synthesis.

Morgan H Digit Health. 2018; 2:2055207616678498.

PMID: 29942573 PMC: 6001233. DOI: 10.1177/2055207616678498.

Drivers for precision livestock technology adoption: A study of factors associated with adoption of electronic identification technology by commercial sheep farmers in England and Wales.

Lima E, Hopkins T, Gurney E, Shortall O, Lovatt F, Davies P PLoS One. 2018; 13(1):e0190489.

PMID: 29293617 PMC: 5749824. DOI: 10.1371/journal.pone.0190489.

References

Milligan C, Roberts C, Mort M . Telecare and older people: who cares where?. Soc Sci Med. 2010; 72(3):347-54. DOI: 10.1016/j.socscimed.2010.08.014. View

Mort M, Roberts C, Callen B . Ageing with telecare: care or coercion in austerity?. Sociol Health Illn. 2012; 35(6):799-812. DOI: 10.1111/j.1467-9566.2012.01530.x. View

Wootton R . Twenty years of telemedicine in chronic disease management--an evidence synthesis. J Telemed Telecare. 2012; 18(4):211-20. PMC: 3366107. DOI: 10.1258/jtt.2012.120219. View

May C, Montori V, Mair F . We need minimally disruptive medicine. BMJ. 2009; 339:b2803. DOI: 10.1136/bmj.b2803. View

May C, Eton D, Boehmer K, Gallacher K, Hunt K, Macdonald S . Rethinking the patient: using Burden of Treatment Theory to understand the changing dynamics of illness. BMC Health Serv Res. 2014; 14:281. PMC: 4080515. DOI: 10.1186/1472-6963-14-281. View

Mair F, May C . Thinking about the burden of treatment. BMJ. 2014; 349:g6680. DOI: 10.1136/bmj.g6680. View

Rogers A, Kirk S, Gately C, May C, Finch T . Established users and the making of telecare work in long term condition management: implications for health policy. Soc Sci Med. 2011; 72(7):1077-84. DOI: 10.1016/j.socscimed.2011.01.031. View

May C, Finch T, Cornford J, Exley C, Gately C, Kirk S . Integrating telecare for chronic disease management in the community: what needs to be done?. BMC Health Serv Res. 2011; 11:131. PMC: 3116473. DOI: 10.1186/1472-6963-11-131. View

May C . Agency and implementation: understanding the embedding of healthcare innovations in practice. Soc Sci Med. 2012; 78:26-33. DOI: 10.1016/j.socscimed.2012.11.021. View

10.

May C, Finch T, Mair F, Mort M . Towards a wireless patient: chronic illness, scarce care and technological innovation in the United Kingdom. Soc Sci Med. 2005; 61(7):1485-94. DOI: 10.1016/j.socscimed.2005.03.008. View

11.

May C, Mort M, Williams T, Mair F, Gask L . Health technology assessment in its local contexts: studies of telehealthcare. Soc Sci Med. 2003; 57(4):697-710. DOI: 10.1016/s0277-9536(02)00419-7. View

12.

Greenhalgh T, Procter R, Wherton J, Sugarhood P, Hinder S, Rouncefield M . What is quality in assisted living technology? The ARCHIE framework for effective telehealth and telecare services. BMC Med. 2015; 13:91. PMC: 4407351. DOI: 10.1186/s12916-015-0279-6. View