Analysis of Factors Inhibiting the Dissemination of Telemedicine in Japan: Using the Interpretive Structural Modeling.

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Hiroki ShimizuKatsuhiko Ogasawara

Abstract

Background: Telemedicine is not significantly spreading globally and large variations in its availability and use exist internationally. Although many factors already inhibit the dissemination of telemedicine, its complexly intertwined factors make it more difficult to solve this problem. This study aimed to analyze and visualize relationships among factors inhibiting the dissemination of telemedicine. We applied the interpretive structural modeling method and cross-impact matrix multiplication applied to classification analysis. Materials and Methods: Factors inhibiting the dissemination of telemedicine in Japan were extracted by literature review and hearing from four medical informatics experts belonging to a university or hospital using the Kawakita Jiro method. Results: Eighteen factors were extracted as those inhibiting the dissemination of telemedicine service in Japan: initial and operation cost, research data, legal development, profitability, usability, human resources, image quality, network speed, information security, technical limitation, restriction for clinical practice, practice continuity, target use case, burden for physicians, respondence, risks for clinical safety, understanding of medical staff, and unders...Continue Reading

References

Nov 7, 2009·Nihon Hoshasen Gijutsu Gakkai zasshi·Nozomi KudoKatsuhiko Ogasawara
Aug 25, 2016·Journal of the American Medical Informatics Association : JAMIA·Jennifer ZelmerJulia Adler-Milstein
Jun 6, 2018·International Journal of Health Care Quality Assurance·Mohammadkarim BahadoriSeyed Mojtaba Hosseini
Dec 14, 2018·International Journal of Environmental Research and Public Health·Jawad KaramatKashif Mahmood
Jan 1, 2019·Health Marketing Quarterly·Neeraj Pandey, Ashutosh E Thombal
Feb 15, 2019·International Journal of Environmental Research and Public Health·Jawad KaramatKashif Mahmood
Apr 24, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Takumi TanikawaKatsuhiko Ogasawara
Jul 25, 2019·International Journal of Environmental Research and Public Health·Kefan Xie, Zimei Liu
Dec 15, 2019·International Journal of Environmental Research and Public Health·Amy H I Lee, He-Yau Kang

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