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Title: Adoption and diffusion of telemedicine and its impacts on health care systems and competition
Authors: Hu, Paul Jen-Hwa
Sheng, Olivia R. Liu
Wei, Chih-Ping
Keywords: Telemedicine
Health care
Issue Date: 1996
Citation: Proceedings of the first Asia-Pacific Decision Sciences Institute Conference, Hong Kong, June 21-22, 1996, Hong Kong University of Science and Technology, Hong Kong, 1996, p. 1067-1076
Abstract: Telemedicine can be broadly defined as the use of telecommunication technology to provide medical information and services. To become a viable supplement of or an alternative to the conventional face-to-face care, telemedicine still has several challenges to address and many of them are of nontechnical nature involving managerial, organizational, economic and social-political considerations. In this paper, we propose a general framework to study the adoption and diffusion of telemedicine in an organizational setting and discuss its probable impacts on the contemporary health care systems and competition. We postulate that telemedicine has the potentials of re-shaping health care delivery systems by making them more hierarchical and integrated with different underpinnings and that telemedicine may bring changes to health care competition, forcing care providers to engage in more price and quality oriented competition. The impacts of telemedicine represent changes in the contingencies facing health care providers who need to re-configure and re-design their organizational forms in order to better fit the changed environment and technology and remain competitive.
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