1. What is the research question? Why is this research question important?
The research topic is Exploring the Trust-Based Service Value Chain Framework in Tele-healthcare Services. This research topic is important because the Tele-heatlhcare services which extending healthcare services from medical perspective of treatment and diagnosis to enhance holistic wellness of individuals, have been widely recognized by healthcare providers and also Tele-healthcare service has been the promise for the evolution of healthcare industry by improving healthcare accessibility, increasing care quality, and controlling healthcare costs . It largely contributes to the home care, people self-management and provides connectivity between patients and their hospitals.
2. What is the author’s conceptual model of the phenomenon? Describe the conceptual model in writing, and also provide a sketch of the key conceptual relationships.
The author's conceptual model of phenomenon can be described as the tele-healthcare business model can be classified to
-VHA of US
-Integrated provider-based health plans
-Home-care agency
-Hospital-based delivery system
These all models have different benefits which are discussed below
VHA of US-
Reduce ED (Emergence Department) visits
_ Hospitalizations
_ Reduce final pressure for patients (shift
long-term care bed days in care to outpatient
clinics or into the home)
Integrated provider-based health plans
_ Reduce ED visits
_ Hospitalizations
_ Cost saving for service provider
Home-care agency
_ Cost-effective in human resources leverage
Hospital-based delivery system
_ Care model transit from hospital to home
(depends on the hospital scale and resources)
_ Help long-term ca...
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...he model or measured. Technology structural assurance and situational normality trust factors only served in provider side, and did not generalize to other kinds of trust. A more complete, specific set of external determinants could explain more variance in trust and provide more insight to the implementation of tele-healthcare services.
7. Any other comments on the methodology in the article you have chosen?
I thought that they should discuss the reciprocal relationship, which could exist between a truster and his/her trustee after a long-term established relationship. Subjective norm may subsume some culture issues, such as the concern of privacy and I also hope that there should be researchers that would examine this underexplored area in the lens of service science principles to strengthen the theories of value co-creation in service sustainability
Although equipped with years of schooling, countless clinical experiences, and modern technology, healthcare professionals would accomplish very little without if they do not establish trusting relationships. When a health care provider establishes a trusting with a patient, they are more likely to commit to treatment plans or follow advice. A trusting relationship must also be established between doctors and family members to ensure the best possible solution is achieved for the patient. Moreover, a health care provider is not the sole person in charge of caring for people. He or she is a member of a team of other experienced personnel that must trust each other’s judgments and decisions to create a unified staff dedicated to caring for patients.
American Well is a major producer of telehealth technology in the health care industry. The company is faced with several ethical and regulatory issues that impact the decisions made in the organization. Ethical issues in telehealth pertains to the demand of American Well to develop products that improve health care quality and are acceptable to all stakeholders in health care. Regulatory issues in telehealth include concerns of the privacy and security of protected health information (PHI). This paper will discuss the business decisions that need to be made in regards to regulatory and ethical issues of American Well and how the decisions impact the culture and stakeholders of the organization. In
[20]Charles BL. (2000) Telemedicine can lower costs and improve access. Healthcare Financial Management. 54(4): 66.
The purpose of telemedicine is to remove distance as a barrier to health care. While telehealth is an accepted resource to bridge the gap between local and global health care, integrating telehealth into existing health infrastructures presents a challenge for both governments and policy makers (HRSA, 2011). Today there are policy barriers that prevent the expansion of telehealth, including reimbursement issues raised by Medicare and private payers, state licensure, and liability and privacy concerns.
... Anglin, S. (2006). Success factors for telehealth—a case study. International Journal of Medical Informatics, 75(10), 755-763.
“Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status” (American Telemedicine Association, 2013). Telemedicine is the use of technology such as email, mobile devices, and computers to communicate health information (Mayoclinic.com, 2014). Telemedicine has enabled the use of communication technologies by healthcare professionals for the evaluation, diagnose, and the treatment of patients in rural areas (GlobalMed.com, 2014). Telemedicine is used in a variety of health care services like primary care, patients monitoring, health information sharing, health education (America Telemedicine Association, 2013). These services are delivered using various mechanisms such as video conferencing, personal health apps, e-visits (Mayoclinic.com, 2014). These technologies have been proven to increase access, to be cost efficient, to improve quality, and intensify patients’ satisfaction according to the America Telemedicine Association.
Trust is a vital part of the doctor patient relationship. Physician trust has great implications because it is needed for the effective care of a single patient as well as for the general health of the public. Due to the sensitivity of information provided to doctors, confidentiality
A very value-adding viable strategy for rural healthcare organizations, including PMH, is the use of Telehealth to increase access for patients (Weinstein, et al., 2014). Telehealth technologies include videoconferencing, remote patient monitoring and mhealth (mobile health) applications to drive volume by offering better patient access to healthcare to provide quality care and attract providers and staff to PMH. This will also help with compliance to reforms requiring upgrades to IT infrastructures. Tele-health technologies will allow PMH to connect with other providers for consultations on patients, relieve providers and staff when overwhelmed with patients, and enable providers to remotely connect with patients (Mueller, Potter, MacKinney, & Ward,
Summary: Purpose of the study: According to Dinc and Gastmans, the purpose of this study is to look over empirical studies on the trust within the nurse- patient relationship and to analyze and synthesize the results.
Implementing telehealth. support medical practice in rural/remote regions: what are the conditions for success? Implement Sci. 2006 Aug 24;1:18. Epub 2006 Aug 24.
Telemedicine is a new comer to the field of medicine and it is the treatment of patients by means of telecommunications technology. Telemedicine is carried out in a variety of ways whether it is by smart phone, wireless tools or other forms of telecommunications. Examples of telemedicine include: 1) transmission of medical images 2) care services at the home of the patient 3) Diagnosis at distance 4) education and training of patients. The diversity of practices in what is known as telemedicine raises many questions and one of those questions, which is extremely important, relate to the safety of the practice and the risks involved.
Telehealth definition according to our textbook by Hebda, T., & Czar, P., 2013 is the use of telecommunications technologies and electronic information to exchange healthcare information and to provide and support services such as long-distance clinical healthcare to clients. It provides health care to patients that may not be able to have access to care. Telehealth requires a patient to have electronic tools to facilitate this type of service. Electronic tools can be a telephone, computer, or a video camera. The patient is able to call or enable video conferencing to have access to their health care provider.
Trust is identified with a variety of settings and applications. Trust is regarded as the foundation of any therapeutic relationship, and an essential element of nurse–patient relationships. The concept applies to nurses in professional settings as it is considered inherent in the relationship between a nurse and their patient, (Britcher, 1999) and the patients’ family. A clear definition of what constitutes trust is difficult to find in the literature, and various concepts are viewed from the perspectives of the nurse-patient relationship, the nurse's work environment, and contexts from other disciplines. The dual perspectives of trust as process and outcome are adopted, and their relationship to measurement of the construct is identified. The concept is examined to determine if differences in its ...
The technical issues that need to be addressed are fairly straightforward and deal largely with the set-up and maintenance of a telemedicine clinic. A clear understanding of the stakeholders in such a program is required along with a delineation of services that will initially be provided by the telemedicine clinics. As we have mentioned, we believe starting off with neurology, dermatology, and rheumatology clinics in three rural offices is the best way to start the telemedicine initiative. It of course follows that hardware that meets both communication and privacy standards will need to be acquired along with personnel hiring and training.
This essay will then evaluate the key studies within these two models and explain the strengths and weaknesses of the main theories.