Factors Influencing Readiness Telemedicine Implementation During COVID-19: A Systematic Review

Authors

  • Balgis Alzagladi RS Hermina

https://doi.org/10.33476/jky.v29i2.1895

Keywords:

Telemedicine, implementation, readiness, factors influencing, COVID-19 pandemic

Abstract

Background: The Coronavirus Disease 2019 (COVID-19) pandemic has made a rapid and changing health care services. Moreover, currently with the COVID-19 pandemic, telemedicine can be used for providing safe care, without the physical presence of the patient or caregivers at healthcare or hospitals. The implementation of telemedicine may help improve healthcare service during COVID-19 pandemic. Several studies have identified both barriers and facilitating factors that influence the readiness of telemedicine implementation at healthcare facility. The purpose of this study is to explore and identify the factors that influencing the readiness of telemedicine implementation.

Methods: This article is a systematic review which is a method that uses review, analysis, structured evaluation, classification, and categorization based on the evidence that has been previously produced. This review uses the Preferred Reporting Items for Systematic Review and Meta-Analysis method, or commonly known as PRISMA. This review was conducted by searching published articles from 2020 to 2021, from Scopus, Science Direct, Springer Link and ProQuest database.

Results: Of the 99 studies identified, 5 were included in this study. Reported factors that influenced the readiness of implementation telemedicine were divided into five categories: technology, policy, people, resources, and organization. Concerns about the telemedicine system’s functionality were methods of using good data, infrastructure planning, human resources, effective management, and good technical implementation.

Conclusions: By using a narrative synthesis, we identified the success factors of readiness telemedicine implementation are infrastructure planning, human resources, effective management, and good technical implementation.

References

Barlow, J.G., 2015. Changing the innovation landscape in the UK’s National Health Service to meet its future challenges. Innovat. Enterpren. Health 2, 59–67. https:// doi.org/10.2147/IEH.S60802.

Hendy, J., Barlow, J., 2013. Adoption in practice: the relationship between managerial interpretations of evidence and the adoption of a healthcare innovation. Health Policy and Technology 2 (4), 216–221. https://doi.org/10.1016/j.hlpt.2013.07.004.

Hendy, J., Chrysanthaki, T., Barlow, J., Knapp, M., Rogers, A., Sanders, C., et al., 2012. An organisational analysis of the implementation of telecare and telemedicine: the whole systems demonstrator. BMC Health Serv. Res. 12 (1), 403. https://doi.org/ 10.1186/1472-6963-12-403.

Ilorah, Appolonia I; Ditsa, George E M; Mokwena, Sello N. Readiness Assessment Framework for Implementation of Mobile e-Healthcare in Rural South Africa. International Journal of Health and Economic Development; Beverly Hills Vol. 3, Iss. 1, (Jan 2017): 1-32.

Khodadad-Saryazdi, A. Exploring the telemedicine implementation challenges through the process innovation approach: A case study research in the French healthcare sector. Elvevier Technovation Volume 107. https://doi.org/10.1016/j.technovation.2021.102273

Lieneck, Cristian; Weaver, Eric; Thomas, Maryon. Outpatient Telemedicine Implementation in the United States during the COVID-19 Global Pandemic: A Systematic Review. Medicina; Basel.Vol. 57, Iss. 5, (2021): 462. DOI:10.3390/medicina57050462

Lockamy, A., Smith, D.L., 2009. Telemedicine: a process enabler for enhanced healthcare delivery systems. Bus. Process Manag. J. 15 (1), 5–19. https://doi.org/10.1108/ 14637150910931433.

Molfenter, Todd; Roget, Nancy; Chaple, Michael; Behlman, Stephanie; Cody, Olivia; et al. Use of Telemedicine in Substance Use Disorder Services During and After COVID-19: Online Survey Study. JMIR Mental Health; Toronto Vol. 8, Iss. 2, (Feb 2021). DOI:10.2196/25835

Rangachari, Pavani; Mushiana, Swapandeep S; Herbert, Krista. A Narrative Review of Factors Historically Influencing Telemedicine Use across Six Medical Specialties in the United States. International Journal of Environmental Research and Public Health; Basel Vol. 18, Iss. 9, (2021): 4995. DOI:10.3390/ijerph18094995

Richter KP, Shireman TI, Ellerbeck EF, Cupertino AP, Catley D, Cox LS, et al. Comparative and cost effectiveness of telemedicine versus telephone counseling for smoking cessation. J Med Internet Res 2015 May 08;17(5):e113

Saira Naim Haque; DeStefano, Sydney; Banger, Alison; Rutledge, Regina; Romaire, Melissa. Factors Influencing Telemedicine Implementation and Use in Frontier Critical Access Hospitals: Qualitative Study. JMIR Formative Research; Toronto Vol. 5, Iss. 5, (May 2021). DOI:10.2196/24118

Smith, W.R., Atala, A.J., Terlecki, R.P., Kelly, E.E., Matthews, C.A., 2020. Implementation guide for rapid integration of an outpatient telemedicine program during the COVID-19 pandemic. J. Am. Coll. Surg. 231 (2), 216–222. https://doi. org/10.1016/j.jamcollsurg.2020.04.030.

World Health Organization, 2010. Telemedicine: Opportunities and Developments in Member States. Report on the Second Global Survey on eHealth. World Health Organization.

Yusif S, Hafeez-Baig A, Soar J. e-Health readiness assessment factors and measuring tools: A systematic review. Int J Med Inform 2017 Nov;107:56-64.

Downloads

Published

2022-12-01

Issue

Section

Review Article