Abstract：
OBJECTIVE:Despite the clear political will to promote telemedicine and the large number of initiatives, the incorporation of this modality in clinical practice remains limited. The objective of this study was to identify the barriers perceived by key professionals who actively participate in the design and implementation of telemedicine in a healthcare system model based on purchasing of healthcare services using providers' contracts. METHODS:We performed a qualitative study based on data from semi-structured interviews with 17 key informants belonging to distinct Catalan health organizations. RESULTS:The barriers identified were grouped in four areas: technological, organizational, human and economic. The main barriers identified were changes in the healthcare model caused by telemedicine, problems with strategic alignment, resistance to change in the (re)definition of roles, responsibilities and new skills, and lack of a business model that incorporates telemedicine in the services portfolio to ensure its sustainability. CONCLUSIONS:In addition to suitable management of change and of the necessary strategic alignment, the definitive normalization of telemedicine in a mixed healthcare model based on purchasing of healthcare services using providers' contracts requires a clear and stable business model that incorporates this modality in the services portfolio and allows healthcare organizations to obtain reimbursement from the payer.
journal_name
Gac Sanitjournal_title
Gaceta sanitariaauthors
Roig F,Saigí Fdoi
10.1016/j.gaceta.2011.01.004subject
Has Abstractpub_date
2011-09-01 00:00:00pages
397-402issue
5eissn
0213-9111issn
1578-1283pii
S0213-9111(11)00101-4journal_volume
25pub_type
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