Factors influencing the adoption and implementation of teledentistry in the UK, with a focus on orthodontics
Factors influencing the adoption and implementation of teledentistry in the UK, with a focus on orthodontics
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DOI：
10.1111/cdoe.12029
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发表时间：
2013-10-01
影响因子：
2.3
通讯作者：
Antonarakis, Gregory S.
中科院分区：
文献类型：
--
作者：
Patel, Reena N.;Antonarakis, Gregory S.
目的利用罗杰斯的创新扩散理论，本研究旨在更好地理解远程牙科项目所面临的挑战，并概述影响远程牙科项目采用和实施的因素，重点是牙科学，从而试图为英国的低吸收率提供解释，以及建议的因素，以鼓励success.MethodsA文献检索进行，以获得有关远程牙科（和远程医疗）从初级和二级研究来源的信息。使用获得的相关信息，罗杰斯的扩散创新理论被用作一个框架，随后被应用到一个医疗机构的主要利益相关者群体。ResultsThe模型描述了五个特征的创新：相对优势，兼容性，复杂性，可试用性和可观察性。这些属性讨论的背景下，关键利益相关者群体在医疗机构：临床医生，患者，医院管理者，医疗决策者和资助者。每个利益相关者群体的动机不同的价值观和经验，这反过来又影响他们的决定，采用一种新的technology.ConclusionsImplementing远程牙科应用程序需要充分理解和考虑的医疗环境，也承诺完全整合远程牙科在该环境中。这是一个需要与临床和组织目标、临床参与和强有力的政治支持保持战略一致的过程。必须具体针对每个利益攸关方群体内的挑战。
ObjectivesUtilizing Rogers' diffusion of innovation theory, this study aims to develop a better understanding of the challenges faced in teledental projects, and outline the factors that impact upon the adoption and implementation of teledental projects, with a focus on orthodontics, thus attempting to provide an explanation for the low uptake in the UK, as well as to suggest factors to encourage success.MethodsA literature search was carried out to obtain information concerning teledentistry (and telemedicine) from both primary and secondary research sources. Using the relevant information obtained, Rogers' diffusion of innovation theory was used as a framework, which was subsequently applied to the key stakeholder groups of a healthcare organization.ResultsThe model describes five characteristics of an innovation: relative advantage, compatibility, complexity, trialability and observability. These attributes are discussed in the context of key stakeholder groups within a healthcare organization: clinicians, patients, hospital managers, and healthcare decision-makers and funders. Each stakeholder group is motivated by different values and experiences, which in turn influence their decision to adopt a new technology.ConclusionsImplementing teledental applications necessitates full comprehension and consideration of the healthcare environment and also a commitment to completely integrate teledentistry within that environment. This is a process that demands strategic alignment with clinical and organizational goals, clinical engagement and strong political support. The challenges within each stakeholder group must be specifically targeted.