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  • Lars Klack (a1), Martina Ziefle (a1), Wiktoria Wilkowska (a1) and Johanna Kluge (a1)

Objectives: In this study, we explored crucial factors that explain a person's attitude toward and his or her assessment of telemedical systems. Special focus lies on the link between the perspective of physicians (telemedicine users) and technicians (telemedicine designers) to find potential barriers hindering the broad application of telemedical systems in hospitals and doctors’ offices.

Methods: A survey among medical professionals (n = 34), technical professionals (n = 39), and a control group (n = 44) was conducted. The collected data were assessed in terms of domain knowledge, attitudes toward telemedicine, and potential implementation barriers.

Results: Participants favored the conventional method over telemedical monitoring in regards to privacy, security, and time efficiency. In contrast, telemedicine was preferred with reference to efficiency of data analysis, long-term care, and emergency adequacy. Significant differences between the professional groups were found regarding perceived cost effectiveness, patients’ compliance, privacy protection, and false alarm sensitivity. Medical professionals exhibited the most reluctance toward using telemedical treatments.

Conclusions: The perceived drawbacks are attributed to a general uncertainty about the reliability of telemedical systems, in combination with concerns about personal data privacy, security, and loss of control. The reported fear of not being able to correctly use and handle the systems assumes a low usability of devices. To acquaint medical professionals with the benefits and limitations of telemedical systems, telemonitoring and tele-treatment should be included in the education of medical personnel at an early stage.

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1.Röcker, C, Ziefle, M. E-Health, assistive technologies and applications for assisted living. Hershey, PA: IGI Global; 2011.
2.Martin, AB, Probst, JC, Shah, K, Chen, Z, Garr, D. Differences in readiness between rural hospitals and primary care providers for telemedicine adoption and implementation: Findings from a statewide telemedicine survey. J Rural Health. 2012;28:815.
3.Whited, JD. Economic analysis of telemedicine and the teledermatology paradigm. Telemed J E Health. 2010;16:223228.
4.Zanaboni, P, Wootton, R. Adoption of telemedicine: from pilot stage to routine delivery. BMC Med Inform Decis Mak. 2012;12:1.
5.Rao, B, Lombardi, A Jr. Telemedicine: Current status in developed and developing countries. J Drugs Dermatol. 2009;8:371375.
6.Spaulding, RJ, Russo, T, Cook, DJ, Doolittle, GC. Diffusion theory and telemedicine adoption by Kansas health-care providers: critical factors in telemedicine adoption for improved patient access. J Telemed Telecare. 2005;11 (Suppl 1):107109.
7.Gagnon, M-P, Duplantie, J, Fortin, J-P, Jennett, P, Scott, R. A survey in Alberta and Quebec of the telehealth applications that physicians need. J Telemed Telecare. 2007;13:352356.
8.Bashshur, R, Shannon, G, Sapci, H. Telemedicine evaluation. Telemed J E Health. 2005;11:296316.
9.Alagöz, F, Ziefle, M, Wilkowska, W, Calero-Valdez, A. Openness to accept medical technology - A cultural view. In: Holzinger, A, Simonic, K-M, eds. Information quality in e-Health. Vol 7058. Heidelberg: Springer; 2011:151170.
10.Klack, L, Schmitz-Rode, T, Wilkowska, W, et al.Integrated home monitoring and compliance optimization for patients with mechanical circulatory support devices. Ann Biomed Eng. 2011;39:29112921.
11.Mennicken, S, Ziefle, M, Sack, O. People and a virtual doctor's visit: Learning about multiple facets of acceptance in a telemedical scenario. In: Workshop user-centered-design of pervasive health applications. IEEE Xplore; 2011.
12.Buck, S. Nine human factors contributing to the user acceptance of telemedicine applications: A cognitive-emotional approach. J Telemed Telecare. 2009;15:5558.
13.Wilkowska, W, Ziefle, M. Privacy and data security in E-health: Requirements from users’ perspective. Health Informatics J. 2012;18:191201.
14.Beier, G. Locus of control when interacting with technology (Kontrollüberzeugungen im Umgang mit Technik). Psychol Rep. 1999;24:684693.
15.Ziefle, M, Röcker, C, Holzinger, A. Medical technology in smart homes: Exploring the user's perspective on privacy, intimacy and trust. In: Computer software and applications conference workshops. Munich: 2011:410415.
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International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
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