E-health, health systems and social innovation: a cross-national study of telecare diffusion

Q3 Business, Management and Accounting

International Journal of Foresight and Innovation Policy Pub Date : 2017-10-06 DOI:10.1504/IJFIP.2017.087082

S. Sliwa, A. Brem, Nivedita Agarwal, S. Kraus

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引用次数: 5

Abstract

This paper explores telecare as one of the practical applications in the field of e-health. Using 11 expert interviews the study evaluates development of cross-national analogies between the different institutional contexts of health systems in Germany, Austria, and Denmark. Telecare is treated as a set of ideas regarding future processes in health and home care services, involving technological solutions, starting to change stakeholders' behaviour, work practices, and social roles. A system-centric framework is proposed to evaluate the interdependencies between telecare, the changing relationships, and the institutional context. Complexity and documentation requirements were identified as major hindrances to the improvement of efficiency and quality of health outcomes in Austria and Germany. On the contrary, in Denmark, governmental guidance supporting patient-centered approaches was found to be driving socially innovative solutions. Implications for research and practice, as well as future research directions, are elaborated.

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电子健康、卫生系统和社会创新：远程医疗传播的跨国研究

本文探讨了远程医疗作为电子医疗领域的实际应用之一。通过11次专家访谈，该研究评估了德国、奥地利和丹麦卫生系统不同体制背景之间跨国类比的发展情况。远程医疗被视为一套关于保健和家庭护理服务未来进程的想法，涉及技术解决方案，开始改变利益相关者的行为、工作做法和社会角色。提出了一个以系统为中心的框架来评估远程医疗、不断变化的关系和制度背景之间的相互依赖性。在奥地利和德国，复杂性和文件要求被确定为提高保健结果的效率和质量的主要障碍。相反，在丹麦，支持以患者为中心的方法的政府指导被发现正在推动社会创新解决方案。最后阐述了研究与实践的意义，以及未来的研究方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Foresight and Innovation Policy Business, Management and Accounting-Management of Technology and Innovation

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： The IJFIP has been established as a peer reviewed, international authoritative reference in the field. It publishes high calibre academic articles dealing with knowledge creation, diffusion and utilisation in innovation policy. The journal thus covers all types of Strategic Intelligence (SI). SI is defined as the set of actions that search, process, diffuse and protect information in order to make it available to the right person at the right time in order to make the right decision. Examples of SI in the domain of innovation include Foresight, Forecasting, Delphi studies, Technology Assessment, Benchmarking, R&D evaluation and Technology Roadmapping.