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Sustainable implementation of innovative, technology-based health care practices: A qualitative case study from stroke telemedicine
SDGs Impacted

Technology-based innovation requires long-term changes to workforce routines, otherwise practices will not be sustained. The aim of this study was to identify influential factors in the ongoing use of an acute stroke telemedicine programme. A constructivist approach using an exploratory case study was undertaken. Interviews with metropolitan and regional clinicians involved in the Victorian Stroke Telemedicine (VST) programme pilot were undertaken. The pilot site was a regional hospital, with a catchment population of almost 308,000, approximately 200 km from Melbourne, Australia.

Impact / Outcome
The benefits of utilisation captured the positive outcomes for different groups. Compared to pre-implementation, fewer direct patient-related benefits and more clinician-related benefits emerged post-implementation. Despite the single regional site context, there was considerable variation in individuals’ perceptions of the programme, their beliefs about tPA and how the programme was integrated (or not), suggesting that the setting was sufficient for our purpose.
Funding sources
Public
Key Metrics
Utilisation of an acute stroke telemedicine programme
Locations
Oceania, Australia
Sector
Health
Intervention lever
Policy
Operating model
Fully public
Target population
Disabled
Year published
01 January 2018

The EDISON Alliance

A World Economic Forum Initiative