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dc.contributor.authorEngeseth, Kjersti H.
dc.contributor.authorObstfelder, Aud
dc.contributor.authorWynn, Rolf
dc.date.accessioned2007-08-24T08:25:18Z
dc.date.available2007-08-24T08:25:18Z
dc.date.issued2007-07-27
dc.description.abstractBackground: There has been an increased interest in the use of telemedical applications in clinical practice in recent years. Considerable effort has been invested in trials and experimental services. Yet, surprisingly few applications have continued beyond the research and development phase. The aim of this study is to explore characteristics of successfully implemented telemedical applications. Methods: An extensive search of telemedicine literature was conducted in order to identify relevant articles. Following a defined selection process, a small number of articles were identified that described characteristics of successfully implemented telemedical applications. These articles were analysed qualitatively, drawing on central procedures from Grounded Theory (GT), including condensation and categorisation. The analysis resulted in a description of features found to be of importance for a successful implementation of telemedicine. Subsequently, these features were discussed in light of Science and Technology studies (STS) and the concept of 'social negotiation'. Results: Telemedical applications introduced into routine practice are typically characterised by the following six features: 1) local service delivery problems have been clearly stated, 2) telemedicine has been seen as a benefit, 3) telemedicine has been seen as a solution to political and medical issues, 4) there was collaboration between promoters and users, 5) issues regarding organizational and technological arrangements have been addressed, and 6) the future operation of the service has been considered. Conclusions: Our findings support research arguing that technologies are not fixed entities moving from invention through diffusion and into routine use. Rather, it is the interplay between technical and social factors that produces a particular outcome. The success of a technology depends on how this interplay is managed during the process of implementation.en
dc.format.extent247459 bytes
dc.format.mimetypeapplication/pdf
dc.identifier.citationImplementation Science 2(2007), article no 25en
dc.identifier.doidoi:10.1186/1748-5908-2-25
dc.identifier.issn1748-5908
dc.identifier.urihttps://hdl.handle.net/10037/1153
dc.identifier.urnURN:NBN:no-uit_munin_969
dc.language.isoengen
dc.publisherBioMed Centralen
dc.rights.accessRightsopenAccess
dc.subjectVDP::Technology: 500::Medical technology: 620en
dc.subjectTelemedicinen
dc.subjectClinical practiceen
dc.subjectImplementationen
dc.titleCharacteristics of successfully implemented telemedical applicationsen
dc.typeJournal articleen
dc.typeTidsskriftartikkelen
dc.typePeer reviewed


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