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Integrating service development with evaluation in telehealthcare: an ethnographic study.

Finch, Tracy and May, Carl and Mair, Frances and Mort, Maggie and Gask, Linda (2003) Integrating service development with evaluation in telehealthcare: an ethnographic study. BMJ (British Medical Journal), 327 (7425). pp. 1205-1209. ISSN 0959-8138

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Abstract

Objectives To identify issues that facilitate the successful integration of evaluation and development of telehealthcare services. Design Ethnographic study using various qualitative research techniques to obtain data from several sources, including in-depth semistructured interviews, project steering group meetings, and public telehealthcare meetings. Setting Seven telehealthcare evaluation projects (four randomised controlled trials and three pragmatic service evaluations) in the United Kingdom, studied over two years. Projects spanned a range of specialties—dermatology, psychiatry, respiratory medicine, cardiology, and oncology. Participants Clinicians, managers, technical experts, and researchers involved in the projects. Results and discussion Key problems in successfully integrating evaluation and service development in telehealthcare are, firstly, defining existing clinical practices (and anticipating changes) in ways that permit measurement; secondly, managing additional workload and conflicting responsibilities brought about by combining clinical and research responsibilities (including managing risk); and, thirdly, understanding various perspectives on effectiveness and the limitations of evaluation results beyond the context of the research study. Conclusions Combined implementation and evaluation of telehealthcare systems is complex, and is often underestimated. The distinction between quantitative outcomes and the workability of the system is important for producing evaluative knowledge that is of practical value. More pragmatic approaches to evaluation, that permit both quantitative and qualitative methods, are required to improve the quality of such research and its relevance for service provision in the NHS.

Item Type: Article
Journal or Publication Title: BMJ (British Medical Journal)
Subjects: R Medicine > RZ Other systems of medicine
Departments: Faculty of Health and Medicine > Health Research
Faculty of Arts & Social Sciences > Sociology
ID Code: 13304
Deposited By: Mr Richard Ingham
Deposited On: 15 Sep 2008 16:17
Refereed?: Yes
Published?: Published
Last Modified: 18 Sep 2013 16:09
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/13304

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