Otto Lena, Schlieter Hannes, Harst Lorenz, Whitehouse Diane, Maeder Anthony
Research Group Digital Health, Technische Universität Dresden, Dresden, Germany.
Center for Evidence-Based Healthcare, Branch Office at the Medical Campus Chemnitz of the TU Dresden, University Hospital Carl Gustav Carus, Dresden, Germany.
Front Digit Health. 2023 Feb 23;5:1057347. doi: 10.3389/fdgth.2023.1057347. eCollection 2023.
To successfully scale-up telemedicine initiatives (TIs), communities play a crucial role. To empower communities fulfilling this role and increase end users' acceptance of TIs, support tools (from now on entitled artifacts) are needed that include specific measures to implement and scale up telemedicine. Addressing this need, the article introduces the Telemedicine Community Readiness Model (TCRM). The TCRM is designed to help decision-makers in communities to create a favorable environment that facilitates the implementation and scale-up of TIs. The TCRM is a practical tool to assess communities readiness to implement TIs and identify aspects to improve this readiness. The development process follows a design-science procedure, which integrates literature reviews and semi-structured expert interviews to justify and evaluate design decisions and the final design. For researchers, the paper provides insights into factors that influence telemedicine implementation and scale-up (descriptive role of knowledge) on the community level. For practitioners, it provides a meaningful tool to support the implementation and scale-up of TIs (prescriptive role of knowledge). This should help to realize the potential of telemedicine solutions to increase access to healthcare services and their quality.
要成功扩大远程医疗计划（TIs），社区发挥着关键作用。为了使社区能够履行这一职责并提高最终用户对远程医疗计划的接受度，需要支持工具（以下称为工件），其中包括实施和扩大远程医疗的具体措施。为满足这一需求，本文介绍了远程医疗社区准备模型（TCRM）。TCRM旨在帮助社区中的决策者营造一个有利于实施和扩大远程医疗计划的环境。TCRM是一种实用工具，用于评估社区实施远程医疗计划的准备情况，并确定需要改进的方面。其开发过程遵循设计科学程序，该程序整合了文献综述和半结构化专家访谈，以论证和评估设计决策及最终设计。对于研究人员而言，本文提供了关于社区层面影响远程医疗实施和扩大的因素的见解（知识的描述性作用）。对于从业者来说，它提供了一个有意义的工具来支持远程医疗计划的实施和扩大（知识的规范性作用）。这应有助于实现远程医疗解决方案在增加医疗服务可及性及其质量方面的潜力。
