eHealth in the prelude to the pandemic. Delphi Implementation Vision Study
DOI:
https://doi.org/10.24197/fr1c3r28Keywords:
delphi technique, telemedicine, eHealth, digital exclusion, digital divideAbstract
In view of the introduction of ICT in the health field, the aim is to collect the vision of those who design and implement public eHealth policies to offer an overview of their state in the pre-pandemic context. To achieve this, the Delphi method was used, interviewing 20 experts from 15 CC. AA (2019). The services valued as most relevant are: electronic prescription, appointment request and digital image registration. Every participant values as high their future importance. In summary, the incorporation of ICT is vital and progress has been made in some services. Others still require a strong boost, them being relevant for vulnerable groups.
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Agudelo-Londoño, S. M. (2020). Reflexión sobre la evaluación de impacto en eSalud. «No todo lo que brilla es oro». Trilogía Ciencia Tecnología Sociedad, 12(22 SE-Artículos de revisión), 103-126. https://doi.org/10.22430/21457778.1262
Barral, B. (2021). Actores, coalicións e implementación nas políticas de eSaúde: Entre a continuidade e a innovación. Universidade de Santiago de Compostela.
Cernadas Ramos, A., Fernández Da Silva, Á., Barral Buceta, B., y Bouzas-Lorenzo, R. (2023). Offerings and User Demands of eHealth Services in Spain: National Survey. J Med Internet Res, 25, e42304. https://doi.org/10.2196/42304
Cerrillo Vidal, J. A., & Beluschi-Fabeni, G. (2024). Resistencias, dificultades y miedos. Una aproximación a las causas de las brechas digitales persistentes. European Public & Social Innovation Review, 9, 1–20.
Criado, J. I. (2009). Entre sueños utópicos y visiones pesimistas. INAP.
De Lancer Julnes, P., y Holzer, M. (2001). Promoting the Utilization of Performance Measures in Public Organizations: An Empirical Study of Factors Affecting Adoption and Implementation. Public Administration Review, 61(6), 693-708. https://doi.org/10.1111/0033-3352.00140
González López-Valcárcel, B., y Ortún, V. (2022). Reconstrucción del sistema sanitario: gobernanza, organización y digitalización. Informe SESPAS 2022. Gaceta Sanitaria, 36, S44-S50. https://doi.org/https://doi.org/10.1016/j.gaceta.2022.02.010
González-Medina, M., Bouzas-Lorenzo, R., y Mahou, X. M. (2013). El impacto de la producción normativa en el desarrollo y la capacidad de servicio de la e-Salud en España. Revista de estudios políticos, 162, 199-222.
Goodman, L. A. (1961). Snowball sampling. The annals of mathematical statistics, 148-170.
Gullón, P., Lumbreras, B., Sánchez-Martínez, F.-I., de Montalvo-Jaaskeläinen, F., y Ruiz-Cantero, M. T. (2022). La Salud Pública y la Administración Sanitaria ante la pandemia de COVID-19. Informe SESPAS 2022. Gaceta Sanitaria, 36, S1-S3. https://doi.org/10.1016/j.gaceta.2022.05.002
Heckathorn, D. D. (2011). Snowball Versus Respondent-Driven Sampling. Sociological methodology, 41(1), 355-366. https://doi.org/10.1111/j.1467-9531.2011.01244.x
Islam, S. M. R., Kwak, D., Kabir, M. H., Hossain, M., y Kwak, K.-S. (2015). The internet of things for health care: A comprehensive survey. IEEE Access, 3, 678-708. https://doi.org/10.1109/ACCESS.2015.2437951
Landeta, J. (2006). Current validity of the Delphi method in social sciences. Technological Forecasting and Social Change, 73(5), 467-482. https://doi.org/10.1016/J.TECHFORE.2005.09.002
Leppo, K., Ollila, E., Peña, S., Wismar, M., y Cook, S. (2013). Health in All Policies: seizing opportunities, implementing policies. Ministry of Social Affairs and Health, Finland.
Linder, D. (2012). From e-government to we-government: Defining a typology for citizen coproduction in the age of social media. Government Information Quarterly, 29(4), 446-454. https://doi.org/https://doi.org/10.1016/j.giq.2012.06.003
Linstone, H. A., y Turoff, M. (2002). The Delphi Method.Techniques and Applications. Addison-Wesley Reading, MA.
Lipsky, M. (2010). Street-level bureaucracy : Dilemmas of the individual in public services. Russell Sage Foundation.
Løberg, I. B. (2021). Efficiency through digitalization? How electronic communication between frontline workers and clients can spur a demand for services. Government Information Quarterly, 38(2). https://doi.org/10.1016/j.giq.2020.101551
Lupač, P. (2018). Manuel Castells: Towards the Digital Divide of the Information Age. Beyond the Digital Divide: Contextualizing the Information Society (pp. 17-44). Emerald Publishing Limited. https://doi.org/10.1108/978-1-78756-547-020181007
Maderuelo-Fernández, J. A., Hernández-García, I., González-Hierro, M., y Velázquez-San Francisco, I. (2009). Information needs of patients in primary care from the perspective of health professionals. A Delphi study. Gaceta Sanitaria, 23(5), 365-372. https://doi.org/10.1016/j.gaceta.2008.08.002
Mahou, X., Barral, B., Fernández, Á., Bouzas-Lorenzo, R., y Cernadas, A. (2021). eHealth and mHealth Development in Spain: Promise or Reality? International journal of environmental research and public health, 18(24), 13055. https://doi.org/10.3390/ijerph182413055
Marcus, E., y Fabius, R. (2004). What is E-health.
Martín Fernández, A. (2021). Role of the information systems and e-health in the COVID-19 pandemic. A call to action. Revista española de salud publica, 95.
Matland, R. E. (1995). Synthesizing the Implementation Literature: The Ambiguity-Conflict Model of Policy Implementation. Journal of Public Administration Research and Theory: J-PART, 5(2), 145-174. https://doi.org/https://doi.org/10.1093/oxfordjournals.jpart.a037242
Manzanera-Román, S., & Haz-Gómez, F. E. (2022). Soluciones tecnológicas y organizativas en la adaptación de la Administración electrónica a las personas mayores. Sociología y tecnociencia, 12(2), Article 2. https://doi.org/10.24197/st.2.2022.73-95
MSCBS. (2022). Barómetro Sanitario 2022 (Total Oleadas).
ONTSI. (2016). Los ciudadanos ante la e-sanidad. Opiniones y expectativas de los ciudadanos sobre el uso y aplicación de las TIC en el ámbito sanitario.
O’Toole, L. J. Jr. (2000). Research on Policy Implementation: Assessment and Prospects. Journal of Public Administration Research and Theory, 10(2), 263-288. https://doi.org/10.1093/oxfordjournals.jpart.a024270
Pérez Andrés, C. (2000). Are consensus methods qualitative research? Revista Espanola de Salud Publica, 74(4), 319-321.
Pizzi, A., Pecourt, J., y Rius-Ulldemolins, J. (2023). De la “brecha digital” al control de internet. Usos, actitudes y participación digital en España. Revista Española de Sociología, 32(3), a178. https://doi.org/10.22325/fes/res.2023.178
Rodríguez-Pasquín, M., García-Luque, O., & López-Martínez, M. (2023). Digitalization and skills in Spain: Regional differences and gender gaps. Sociología y Tecnociencia, 13(2), Article 2. https://doi.org/10.24197/st.2.2023.94-117
Roth, A.-N. (2002). Políticas públicas: formulación, implementación y evaluación. Ediciones Auroras.
Sabatier, P., y Mazmanian, D. (1980). The implementation of public policy: a framework of analysis. Policy Studies Journal, 8(4), 538-560. https://doi.org/10.1111/j.1541-0072.1980.tb01266.x
Santiago, M. A. M., y Lirio, J. M. R. (2017). Materiality analysis of health plans based on stakeholder engagement and the issues included at ISO 26000:2010. Revista Espanola de Salud Publica, 91.
Sociedad Española de Informática de la Salud. (2022). Índice SEIS 2022.
Spillane, J. P., Reiser, B. J., y Reimer, T. (2002). Policy Implementation and Cognition: Reframing and Refocusing Implementation Research. Review of Educational Research, 72(3), 387-431. https://doi.org/10.3102/00346543072003387
Subirats, J., Knoepfel, P., Larrue, C., y Varone, F. (2008). Análisis y gestión de políticas públicas. Ariel.
Tummers, L., y Bekkers, V. (2014). Policy Implementation, Street-level Bureaucracy, and the Importance of Discretion. Public Management Review, 16(4), 527-547. https://doi.org/10.1080/14719037.2013.841978
Vaquero, B. R. (2007). La implementación de políticas públicas. Díkaion, 21(16), 135-156.
Varela-Ruiz, M., Díaz-Bravo, L., y García-Durán, R. (2012). Descripción y usos del método Delphi en investigaciones del área de la salud. Investigación en educación médica: Vol. 1(2) (pp. 90-95).
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