The
logic and arguments for telehealth are compelling. Providing people
with technology in their own homes to enable them to manage their own
care better and thus have better health. Additionally the technology can
be used by service providers to identify areas of patient concern
earlier and therefore support preventative health by intervening earlier
than otherwise would be possible.
Over
recent years the evidence base has become more informative, including
the large Randomised Control Trial through the Department of Health’s
Whole System Demonstrator project. However despite this momentum
telehealth is still in its infancy with more promise than reality.
In
a new book ‘Essential Lessons for the Success of Telehomecare’
published by the IOS, RAT group members Doctors Simon Brownsell and Annette Haywood have joined forces with Professor Sue Mawson to write a chapter
on the barriers and challenges to telehealth implementation.
By
highlighting common pitfalls as well as building upon known successes
the chapter discusses barriers often encountered with particular
attention given to lessons categorised under the following three
headings.(1) Structural – determining whether telehomecare should be
embraced; (2) Implementation - obstacles experienced when implementing
telehomecare, (3) Adoption - difficulties translating small scale
initiatives to mainstream service delivery.
[written by Simon Brownsell]
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