MacFarlane A et al. 2005 "Role flexibility among telemedicine service providers in the north-west and west of Ireland."

MacFarlane A, Clerkin P, Murphy A. Role flexibility among telemedicine service providers in the north-west and west of Ireland. J Telemed Telecare 2005;11 Suppl 1:62.
"A recent review of telemedicine services in the north-west and west of Ireland identified 11 telemedicine services, most of which were in the early stages of implementation. A qualitative approach was used to review them. Semistructured interviews were conducted with a multidisciplinary group of primary- and secondary-care providers (n=21) who were involved with either synchronous or asynchronous telemedicine services. Data were analysed according to the principles of framework analysis. Participants described the ways in which they were flexible about their workload, professional identities and roles to facilitate the organization and delivery of telemedicine services, and to ensure that services ran smoothly. While the positive effect of product champions and members of a wider supportive network or alliance on the conception and development of telemedicine services must be acknowledged, questions remain about associated long-term implementation and sustainability."

"To examine ways in which the participants have worked to organize and deliver telemedicine services."

Tools Used
Type Clinic
Primary care and specialty care
Small and/or medium
Urban and rural
Type of Health IT
Workflow-Related Findings
"Participants were being flexible on a daily basis in order to ensure that the telemedicine service ran smoothly. It was not uncommon, for instance, for participants to explain that they took responsibility for new tasks or duties in addition to their existing ones." "These new tasks and duties were often beyond the existing professional identities and roles of the participants," such as administrative services.
Study Design
Only postintervention (no control group)
Study Participants
Twenty-one primary and specialty care providers participated in the study.