Healthcare Technology in Context : Lessons for Telehealth in the Age of COVID-19

This book investigates how the technology used by telehealth services shapes our healthcare, and how we, as humans, collectively change and shape the technology and services used in healthcare. Based on extensive field research on telehealth services in Australia and Brazil, the book reveals some surprisingly obvious conclusions about our powers to shape the society. Preface Acknowledgements Contents Abbreviations List of Figures List of Tables 1: Introduction 1.1 What Are Telehealth Services? 1.2 Understanding Telehealth Services 1.3 Telehealth Services in the Pandemic Era 1.4 Researching Telehealth Services 1.5 Outline of the Book References 2: Organisational and Professional Practice of Telehealth 2.1 Organisational Contexts Provide a Place to Practise 2.2 Professional Contexts Define Practice 2.3 Contrasting Visions for Telehealth Services 2.4 Privacy, Confidentiality and Patient Consent 2.5 Maintaining Quality and Safety 2.6 Responsibility for and Relationships with Patients 2.7 Minimising Liability and Risk References 3: Incorporating Technologies into Telehealth Services 3.1 Has Technology a Social Component? 3.2 Is Technology Designed or Tamed? 3.3 Acceptance of Technology 3.4 Cumulative Adoption of Technology 3.5 Incorporating Technology into Clinical Practice 3.6 The Sociotechnical Codes of Telehealth References 4: Healthcare in Australia and Brazil 4.1 Universal Healthcare 4.2 Organisation of Healthcare 4.3 Access to Healthcare 4.4 Availability of Human Resources 4.5 Financing Healthcare Services 4.6 Information and Communications Technology References 5: Telehealth Services in Australia and Brazil 5.1 Contrasting Contexts, Different Services 5.2 Evolution of Telehealth in Australia 5.3 Evolution of Telehealth in Brazil 5.4 Telehealth in the State of Queensland, Australia 5.5 Telehealth in the State of Santa Catarina, Brazil References 6: Organisational Structures Influence Telehealth Services 6.1 Organising Healthcare: Managing Inequities in Universal Care 6.2 Structuring Healthcare: Traversing the Boundaries 6.3 Automation of Care: Accessing and Sharing Health Records References 7: Contested Professional Practices When Care Is Separated 7.1 Separation of Care: Challenging Usual Practice 7.2 Practice at a Distance: Adapting Norms 7.3 Controlling Separated Care: Aligning Technology References 8: Legitimising Telehealth Services 8.1 Organisational Strategies Shape Norms 8.2 Guidelines and Regulations Shape Practices 8.3 Social Interactions Influence Practice References 9: Building Confidence in Telehealth Practices 9.1 Accepting Technology in Practice 9.2 Managing Risks of Practice 9.3 Creating Trust in Practice References 10: Building Relationships to Underpin Telehealth Practices 10.1 Collaboration Establishes Relationships 10.2 Relationships Provide a Means of Resolving Conflicts 10.3 Leadership Develops Relationships Across Boundaries References 11: Applying Resources to Telehealth Services 11.1 Distribution of Resources 11.2 Availability of Infrastructure 11.3 Workforce Distribution, Training and Education 11.4 Availability of Funding 11.5 Sustainability of Funding References 12: How Contexts and Mechanisms Influence Telehealth Services 12.1 Are Telehealth Services Sustainable Over Time? 12.2 Contexts Are Moments in History 12.3 Contextual Influences on Telehealth Services 12.4 Mechanisms as Social Forces 12.5 Critical Events Trigger Mechanisms 12.6 The Mechanisms of Telehealth Services References 13: Telehealth Services in the Age of the COVID-19 Pandemic 13.1 Reorganising Healthcare 13.2 Changing the Culture of Healthcare 13.3 Legitimising Telehealth Services 13.4 Resourcing Telehealth Services 13.5 Building Confidence 13.6 Building Relationships 13.7 Adjusting to Separated Care 13.8 Changing the New Normal! References Glossary Bibliography Index