Kuei-Feng Chiang1, Hsiu-Hung Wang2, I-Kuang Chien3, Jhao-Kun Liou4, Chung-Lieh Hung5, Chien-Min Huang6, Feng-Yueh Yang7. 1. College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan; Tainan Sin-Lau Hospital, Tainan, Taiwan. Electronic address: slh98@sinlau.org.tw. 2. College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address: hhwang@kmu.edu.tw. 3. Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. Electronic address: ikchien@kmu.edu.tw. 4. Changhua Christian Hospital, Changhua, Taiwan. Electronic address: 146080@cch.org.tw. 5. MacKay Memorial Hospital, Taipei, Taiwan. Electronic address: jotaro3791@yahoo.com.tw. 6. Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan. Electronic address: 0890321@kmhk.org.tw. 7. Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. Electronic address: 970559@ms.kmuh.org.tw.
Abstract
OBJECTIVES: Telecare has not only brought down medical expenses, but has also become an important tool to address healthcare needs. In recent years, the Taiwanese government has been concerned about this healthcare issue. However, only a few hospitals provide telecare. This study aims at investigating the barriers that healthcare providers face while implementing home telecare in Taiwan. METHODS: A qualitative research design was employed in this study, with semi-structured in-depth interviews. The sample was obtained from five hospitals, including three medical centers and two regional hospitals. A total of 31 healthcare providers were interviewed, including case managers (n=11), administrators (n=7), physicians (n=7), and nurses (n=6). RESULTS: The results were summarized into five themes, including: (1) unsuitable laws and vague policies, (2) the policy implementation fails to meet public needs, (3) lack of organizational support, (4) lack of quality and convenience of the system, and (5) inadequate public perception and attitudes. CONCLUSIONS: Obstacles in policy and regulations are the most fundamental difficulties for telecare implementation, therefore the government should provide a clear direction by planning policies, legislate appropriate regulations, and incorporate telecare into the scope of medical insurance, in order to improve the environment and stimulate the telecare service market. In order to improve the success rate of telecare, administrators should be able to identify an appropriate cost-benefit model to build a humane system to satisfy public needs and to provide staff with resources and support.
OBJECTIVES: Telecare has not only brought down medical expenses, but has also become an important tool to address healthcare needs. In recent years, the Taiwanese government has been concerned about this healthcare issue. However, only a few hospitals provide telecare. This study aims at investigating the barriers that healthcare providers face while implementing home telecare in Taiwan. METHODS: A qualitative research design was employed in this study, with semi-structured in-depth interviews. The sample was obtained from five hospitals, including three medical centers and two regional hospitals. A total of 31 healthcare providers were interviewed, including case managers (n=11), administrators (n=7), physicians (n=7), and nurses (n=6). RESULTS: The results were summarized into five themes, including: (1) unsuitable laws and vague policies, (2) the policy implementation fails to meet public needs, (3) lack of organizational support, (4) lack of quality and convenience of the system, and (5) inadequate public perception and attitudes. CONCLUSIONS: Obstacles in policy and regulations are the most fundamental difficulties for telecare implementation, therefore the government should provide a clear direction by planning policies, legislate appropriate regulations, and incorporate telecare into the scope of medical insurance, in order to improve the environment and stimulate the telecare service market. In order to improve the success rate of telecare, administrators should be able to identify an appropriate cost-benefit model to build a humane system to satisfy public needs and to provide staff with resources and support.