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Int. J. Environ. Res. Public Health 2018, 15(1), 61; doi:10.3390/ijerph15010061

The Emergence and Unfolding of Telemonitoring Practices in Different Healthcare Organizations

Department of Sociology and Social Work, Center of Organization, Management and Administration, Aalborg University, Kroghstraede 7, 9220 Aalborg, Denmark
Received: 27 October 2017 / Revised: 19 December 2017 / Accepted: 22 December 2017 / Published: 3 January 2018
(This article belongs to the Special Issue eHealth: The Impact of Technology on Healthcare)
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Abstract

Telemonitoring, a sub-category of telemedicine, is promoted as a solution to meet the challenges in Western healthcare systems in terms of an increasing population of people with chronic conditions and fragmentation issues. Recent findings from large-scale telemonitoring programs reveal that these promises are difficult to meet in complex real-life settings which may be explained by concentrating on the practices that emerge when telemonitoring is used to treat patients with chronic conditions. This paper explores the emergence and unfolding of telemonitoring practices in relation to a large-scale, inter-organizational home telemonitoring program which involved 5 local health centers, 10 district nurse units, four hospitals, and 225 general practice clinics in Denmark. Twenty-eight interviews and 28 h of observations of health professionals and administrative staff were conducted over a 12-month period from 2014 to 2015. This study’s findings reveal how telemonitoring practices emerged and unfolded differently among various healthcare organizations. This study suggests that the emergence and unfolding of novel practices is the result of complex interplay between existing work practices, alterations of core tasks, inscriptions in the technology, and the power to either adopt or ignore such novel practices. The study enhances our understanding of how novel technology like telemonitoring impacts various types of healthcare organizations when implemented in a complex inter-organizational context. View Full-Text
Keywords: telemedicine; home telemonitoring; practice-based approach; inter-organizational; health technology; healthcare system; technology adoption; emerging practice telemedicine; home telemonitoring; practice-based approach; inter-organizational; health technology; healthcare system; technology adoption; emerging practice
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Christensen, J.K.B. The Emergence and Unfolding of Telemonitoring Practices in Different Healthcare Organizations. Int. J. Environ. Res. Public Health 2018, 15, 61.

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