Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Health Serv Res. 2010 Aug;45(4):985-1004. doi: 10.1111/j.1475-6773.2010.01116.x. Epub 2010 Apr 30.

Sustainable rural telehealth innovation: a public health case study.

Author information

  • 1Center for Process Innovation, J. Mack Robinson College of Business, Georgia State University, 35 Broad Street, NW, Suite 400, Atlanta, GA 30303, USA. rsingh@ceprin.org

Abstract

OBJECTIVE:

To examine adoption of telehealth in a rural public health district and to explain how the innovation became sustainable.

STUDY SETTING:

Longitudinal, qualitative study (1988-2008) of the largest public health district in Georgia.

STUDY DESIGN:

Case study design provided deep insights into the innovation's social dynamics. Punctuated equilibrium theory helped present and make sense of the process. We identified antecedent conditions and outcomes, and we distinguished between episodes and encounters based on the disruptive effects of events.

DATA COLLECTION:

Twenty-five semistructured interviews with 19 decision makers and professionals, direct observations, published papers, grant proposals, technical specifications, and other written materials.

PRINCIPAL FINDINGS:

Strong collaboration within the district, with local community, and with external partners energized the process. Well-functioning outreach clinics made telehealth desirable. Local champions cultivated participation and generative capability, and overcame barriers through opportunistic exploitation of technological and financial options. Telehealth usage fluctuated between medical and administrative operations in response to internal needs and contextual dynamics. External agencies provided initial funding and supported later expansion.

CONCLUSIONS:

Extensive internal and external collaboration, and a combination of technology push and opportunistic exploitation, can enable sustainable rural telehealth innovation.

PMID:
20459449
[PubMed - indexed for MEDLINE]
PMCID:
PMC2910565
Free PMC Article

Images from this publication.See all images (1)Free text

Figure 1
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Blackwell Publishing Icon for PubMed Central
    Loading ...
    Write to the Help Desk