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Reference: Hendy, J, Chrysanthaki, T, Barlow, J et al., (2012). An organisational analysis of the implementation of telecare and telehealth: the whole systems demonstrator. BMC Health Services Research, 12 (1), Article: 403.Citable link to this page:

 

An organisational analysis of the implementation of telecare and telehealth: the whole systems demonstrator.

Abstract: BACKGROUND: To investigate organisational factors influencing the implementation challenges of redesigning services for people with long term conditions in three locations in England, using remote care (telehealth and telecare). METHODS: Case-studies of three sites forming the UK Department of Health's Whole Systems Demonstrator (WSD) Programme. Qualitative research techniques were used to obtain data from various sources, including semi-structured interviews, observation of meetings over the course programme and prior to its launch, and document review. Participants were managers and practitioners involved in the implementation of remote care services. RESULTS: The implementation of remote care was nested within a large pragmatic cluster randomised controlled trial (RCT), which formed a core element of the WSD programme. To produce robust benefits evidence, many aspect of the trial design could not be easily adapted to local circumstances. While remote care was successfully rolled-out, wider implementation lessons and levels of organisational learning across the sites were hindered by the requirements of the RCT. CONCLUSIONS: The implementation of a complex innovation such as remote care requires it to organically evolve, be responsive and adaptable to the local health and social care system, driven by support from front-line staff and management. This need for evolution was not always aligned with the imperative to gather robust benefits evidence. This tension needs to be resolved if government ambitions for the evidence-based scaling-up of remote care are to be realised.

Peer Review status:Peer reviewedPublication status:PublishedVersion:Publisher's version Funder: Department of Health   Notes:© 2012 Hendy et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Bibliographic Details

Publisher: BioMed Central Ltd.

Publisher Website: http://www.biomedcentral.com/

Journal: BMC Health Services Researchsee more from them

Publication Website: http://www.biomedcentral.com/bmchealthservres/

Issue Date: 2012

pages:Article: 403Identifiers

Urn: uuid:c9737b4f-6cbd-44d7-b84e-951be89ca48a

Source identifier: 377462

Eissn: 1472-6963

Doi: https://doi.org/10.1186/1472-6963-12-403

Issn: 1472-6963 Item Description

Type: Journal article;

Language: eng

Version: Publisher's versionKeywords: Humans Long-Term Care Telemedicine Interviews as Topic Organizational Case Studies Qualitative Research Organizational Innovation Program Development England Tiny URL: pubs:377462

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Author: Hendy, J - - - Chrysanthaki, T - - - Barlow, J - - - Knapp, M - - - Rogers, A - - - Sanders, C - - - Bower, P - - - Bowen, R - -

Source: https://ora.ox.ac.uk/objects/uuid:c9737b4f-6cbd-44d7-b84e-951be89ca48a



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