An Overview and Analysis of Theories Employed in Telemedicine Studies

D. Gammon; L. K. Johannessen; T. Sørensen; R. Wynn; P. Whitten

doi:10.3414/ME0484

Methods of Information in Medicine, Table of Contents

Methods Inf Med 2008; 47(03): 1-10
DOI: 10.3414/ME0484

Original Article

Schattauer GmbH

An Overview and Analysis of Theories Employed in Telemedicine Studies

A Field in Search of an Identity

D. Gammon

¹Norwegian Centre for Telemedicine, Tromsø, Norway

²Department of Clinical Psychiatry, Institute for Clinical Medicine, University of Tromsø, Tromsø, Norway

,

L. K. Johannessen

¹Norwegian Centre for Telemedicine, Tromsø, Norway

,

T. Sørensen

¹Norwegian Centre for Telemedicine, Tromsø, Norway

,

R. Wynn

³Department of Telemedicine and e-health, Institute for Clinical Medicine, University of Tromsø and Department of Specialised Psychiatric Services, University Hospital of Northern Norway, Tromsø, Norway

,

P. Whitten

⁴College of Communication Arts and Sciences, Michigan State University, East Lansing, MI, USA Summary

› Author Affiliations

Abstract

Summary

Objectives: This study asks: What theories are employed in telemedicine studies? How might they be categorized in ways that help distinguish the knowledge base of telemedicine?

Methods: Theories in use were identified from a database of telemedicine-related publications between 1990 and 2005. Eighty-three (5% of 1615) articles referred to a theoretical concept. Grounded Theory procedures were used to analyze and categorize theories, while descriptive statistics were used for supplementary information.

Results: The proportion of studies with theory was 3% in 1999 and 7% in 2005. The 83 articles were dispersed among 48 of the in total 795 different journals in the original sample. Identified theories were grouped into two main categories; ‘shared’ (used in two or more studies) and ‘lone ranger’. All of the shared theories are social science theories employed without notable adjustments to any uniquely defining features of telemedicine; diffusion, technology acceptance, health behavior, science and technology studies (STS), and economics. Theoretical concepts within the lone ranger category may well address unique features of telemedicine, but have yet to attract the attention of colleagues.

Conclusion: The theories identified as ‘shared’ play an important role, but are inadequate in illuminating any unique features of telemedicine. The future of telemedicine as a field will need to identify its underlying theo - retical components. Frameworks employed in the field of evaluation may aid in identifying the types of theo - ries worth articulating in telemedicine.

Keywords

Telemedicine - ehealth - theory - evaluation - review

Full Text

References

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