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Organizational and environmental factors affecting the utilization of telemedicine in rural home healthcare
Author(s)Vivian L West, Nancy Milio
Journal titleHome Health Care Services Quarterly, vol 23, no 4, 2004
PublisherHaworth Press, 2004
Pagespp 49-67
Sourcehttp://www.tandfonline.com
KeywordsTherapeutic services [domiciliary] ; Home nursing ; Information technology ; Usage [services] ; Rural areas ; United States of America.
AnnotationIn the last five years, home health agencies have become increasingly interested in telemedicine as a potential means to meet the future healthcare needs of their aged and chronically ill clientele. This case study examines the organizational and environmental conditions that affected the implementation of a telemedicine programme in one rural home healthcare organization. Several factors restricted the utilization of telemedicine, including Medicare's Prospective Payment System and corresponding documentation (Outcome Assessment and Information Set), the organisation controlling grant funding for the programme, and several environmental factors. Findings suggest that in rural communities, older homecare patients may have less opportunity to benefit from telemedicine. The study demonstrates the importance of environmental and organizational factors when implementing a telemedicine programme, and recommendations are made for home healthcare organisations. (KJ/RH).
Accession NumberCPA-061006203 A
ClassmarkN3: N4: UVB: QLD: RL: 7T

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