Telemedicine across borders: A systematic review of factors that hinder or support implementation

International Journal of Medical Informatics

Volumn 81, Issue 12, 2012, Pages 793-809

  Saliba, Vanessa ^a   Legido Quigley, Helena ^a   Hallik, Riina ^b   Aaviksoo, Ain ^b   Car, Josip ^c   McKee, Martin ^a  

^a LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^b Praxis Centre for Policy Studies   (Estonia)

^c IMPERIAL COLLEGE LONDON   (United Kingdom)

Author keywords

Cross border; Systematic review; Telemedicine

Indexed keywords

CONTEXTUAL FACTORS; CROSS-BORDER; CROSS-BORDER SERVICES; CULTURAL FACTORS; GREY LITERATURE; HEALTH PROFESSIONALS; INNOVATIVE TECHNOLOGY; INTERNET SEARCH ENGINE; LEGAL AND REGULATORY FRAMEWORKS; LEGAL FACTORS; LOW AND MIDDLE INCOME COUNTRIES; LOW COSTS; MEDLINE; MIDDLE-INCOME COUNTRIES; QUALITATIVE APPROACH; REGIONAL NETWORKS; SIMPLE TECHNOLOGY; STUDY DESIGN; SYSTEMATIC REVIEW; TEAM LEADERSHIP; TELEMEDICINE SERVICES; TELEPATHOLOGY; TELERADIOLOGY; TELESURGERY;

ABSTRACTING; HEALTH CARE; PERSONNEL TRAINING; RURAL AREAS; SEARCH ENGINES;

TELEMEDICINE;

BIBLIOGRAPHIC DATABASE; CITATION ANALYSIS; CROSS BORDER TELEMEDICINE; CULTURAL FACTOR; EMBASE; EMERGENCY MEDICINE; HEALTH CARE DELIVERY; HEALTH PRACTITIONER; HUMAN; INCOME; INTERNET; LEADERSHIP; LEGAL ASPECT; LOWEST INCOME GROUP; MEDLINE; NARRATIVE; PRIORITY JOURNAL; QUALITATIVE ANALYSIS; REVIEW; SOCIAL ENVIRONMENT; STUDY DESIGN; SYSTEMATIC REVIEW; TELEMEDICINE; TELEPATHOLOGY; TELERADIOLOGY; TELESURGERY;

CULTURE; HUMANS; INTERNATIONAL COOPERATION; LEADERSHIP; NEOPLASMS; TELEMEDICINE;

EID: 84870489493     PISSN: 13865056     EISSN: 18728243     Source Type: Journal    
DOI: 10.1016/j.ijmedinf.2012.08.003     Document Type: Review

References (92)

1. World Health Organization Trade, Foreign Policy, Diplomacy and Health: Globalization 2012, World Health Organization, Geneva, Available from: http://www.who.int/trade/glossary/story043/en/index.html (accessed 10.01.12).
2. Helble M. The movement of patients across borders: challenges and opportunities for public health. Bull. World Health Organ. 2011, 89(1):68-72.
3. Davis A. Outsourced radiology: will doctors be deskilled?. Br. Med. J. 2008, 337.
4. British Medical Association BMA Radiology Outsourcing Survey 2005, British Medical Association, London.
5. Maidstone and Tunbridge Wells NHS Trust Start innovative On-Call Teleradiology Service in Partnership with Telemedicine Clinic May 13, 2011, www.telemedicineclinic.com.
6. Fitzgerald R. Medical regulation in the telemedicine era. Lancet 2008, 372:1795-1796.
7. BCC Research Telemedicine: Opportunities for Medical and Electronic Providers 2007, Wellesley, BCC Research, US.
8. European Commission, Telemedicine for the benefit of patients, healthcare systems and society, Commission Staff Working Paper EC(2009)943 final, 2009.
9. Ross P., Sepper R., Pohjonen H. Cross-border teleradiology-experience from two international teleradiology projects. Eur. J. Radiol. 2010, 73(1):20-25.
10. Ross P., Pohjonen H. Images crossing borders: image and workflow sharing on multiple levels. Insights Imaging 2011, 2(2):141-148.
11. McCartney M. Show us the evidence for telehealth. Br. Med. J. 2012, 344.
12. Black A.D., Car J., Pagliari C., Anandan C., Cresswell K., Bokun T., et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011, 8(1):e1000387.
13. Dixon-Woods M., Cavers D., Agarwal S., Annandale E., Arthur A., Harvey J., et al. Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups. BMC Med. Res. Methodol. 2006, 6(1):35.
14. Popay J., Roberts H., Sowden A., Petticrew M., Arai L., Rodgers M., et al. Guidance on the Conduct of Narrative Synthesis in Systematic Reviews. A Product from the ESRC Methods Programme 2006.
15. Centre for Reviews and Dissemination Centre for Reviews and Dissemination's Guidance for Undertaking Reviews in Health Care 2008, Centre for Reviews and Dissemination, University of York, York.
16. Mays N., Pope C., Popay J. Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. J. Health Serv. Res. Policy 2005, 10(SUPPL. 1):6-20.
17. Legido-Quigley H., Glinos I., Baeten R., McKee M. Patient mobility in the European Union. Br. Med. J. 2007, 334:188-190.
18. Moher D.L.A., Tetzlaff J., Altman D.G., The PRISMA Group Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009, 6(6.).
19. Johnston K. The cost-effectiveness of technology transfer using telemedicine. Health Policy Plan. 2004, 19(5):302-309.
20. Halliday B.E., Bhattacharyya A.K., Graham A.R., Davis J.R., Leavitt S.A., Nagle R.B., et al. Diagnostic accuracy of an international static-imaging telepathology consultation service. Hum. Pathol. 1997, 28(1):17-21.
21. Swinfen Charitable Trust Swinfen Charitable Trust 2012, Available from: http://www.swinfencharitabletrust.org/ (accessed 10.01.12).
22. iPATH iPATH-Network 2011, Available from: http://www.ipath-network.com/ipath/ (accessed 10.01.12).
23. Graham L.E., Flynn P., Patterson V. Teleneuroradiology: a case from Nepal with clinical and educational benefit. J. Telemed. Telecare 2002, 8(6):356-358.
24. Graham L.E., Zimmerman M., Vassallo D.J., Patterson V., Swinfen P., Swinfen R., et al. Telemedicine - the way ahead for medicine in the developing world. Trop. Doct. 2003, 33(1):36-38.
25. Mukundan S., Vydareny K., Vassallo D., Irving S., Ogaoga D. Trial telemedicine system for supporting medical students on elective in the developing world. Acad. Radiol. 2003, 10(7):794-797.
26. Patterson V., Hoque F., Vassallo D., Roberts M.F., Swinfen P., Swinfen R. Store-and-forward teleneurology in developing countries. J. Telemed. Telecare 2001, 7(SUPPL. 1):52-53.
27. Swinfen P., Swinfen R., Youngberry K., Wootton R. A review of the first year's experience with an automatic message-routing system for low-cost telemedicine. J. Telemed. Telecare 2003, 9(SUPPL. 2). S63-S65.
28. Swinfen R., Swinfen P. Low-cost telemedicine in the developing world. J. Telemed. Telecare 2002, 8(SUPPL. 3). S3:63-S3:65.
29. Wootton R., Youngberry K., et al. Prospective case review of a global e-health system for doctors in developing countries. J. Telemed. Telecare 2004, 10(SUPPL. 1). S1:94-S1:96.
30. Vassallo D.J., Swinfen P., Swinfen R., Wooton P. Experience with a low-cost telemedicine system in three developing countries. J. Telemed. Telecare 2001, 7(SUPPL. 1):56-58.
31. Wootton R. Design and implementation of an automatic message-routing system for low-cost telemedicine. J. Telemed. Telecare 2003, 9(SUPPL. 1):S44-S47.
32. Wootton R., Menzies J., Ferguson P. Follow-up data for patients managed by store and forward telemedicine in developing countries. J. Telemed. Telecare 2009, 15(2):83-88.
33. Wootton R., Swinfen P., Swinfen R., Warrenz M., Wilkinsony D., Brooks P. Medical students represent a valuable resource in facilitating telehealth for the under-served. J. Telemed. Telecare 2007, 13(3):92-97.
34. Patterson PS V., Swinfen R., Azzo E., Taha H., Wootton R. Supporting hospital doctors in the Middle East by email telemedicine: something the industrialized world can do to help. J. Med. Internet Res. 2007, 9(4.).
35. Hitchcock C.L. The future of telepathology for the developing world. Arch. Pathol. Lab. Med. 2011, 135(2):211-214.
36. Brauchli K., Oberli H., Hurwitz N., Kunze K.-D., Haroske G., Jundt G., et al. Diagnostic telepathology: long-term experience of a single institution. Virchows Archiv. 2004, 444(5):403-409.
37. Brauchli K., O'Mahony D., Banach L., Oberholzer M. iPath: a telemedicine platform to support health providers in low resource settings. J. Inf. Technol. Healthcare 2005, 3(4):227-235.
38. Geissbuhler A., Bagayokoa C.O., Lyb O. The RAFT network: 5 years of distance continuing medical education and tele-consultations over the Internet in French-speaking Africa. Int. J. Med. Inform. 2007, 76(5-6):351-356.
39. Mireskandari M., Kayser G., Hufnagl P., Schrader T., Kayser K. Teleconsultation in diagnostic pathology: experience from Iran and Germany with the use of two European telepathology servers. J. Telemed. Telecare 2004, 10(99-103.).
40. Mucic D. International telepsychiatry: a study of patient acceptability. J. Telemed. Telecare 2008, 14(5):241-243.
41. Micali S., Virgili G., Vannozzi E., Grassi N., Jarrett T.W., Bauer J.J., et al. Feasibility of telementoring between Baltimore (USA) and Rome (Italy): the first five cases. J. Endourol. 2000, 14(6):493-496.
42. Bove P., Stoianovici D., Micali S., Patriciu A., Grassi N., Jarrett T.W., et al. Is telesurgery a new reality? Our experience with laparoscopic and percutaneous procedures. J. Endourol. 2003, 17(3):137-142.
43. Lee B.R., Bishoff J.T., Janetschek G., Bunyaratevej P., Kamolpronwijit W., Cadeddu J.A., et al. A novel method of surgical instruction: international telementoring. World J Urol. 1998, 16(6):367-370.
44. Pagni F., Bono F., Bella C.D., Faravelli A., Cappellini A. Virtual surgical pathology in underdeveloped countries: the Zambia Project. Arch. Pathol. Lab. Med. 2011, 135(2):215-219.
45. Anogianakis G., Maglavera S., Pomportsis A. Relief for maritime medical emergencies through telematics. IEEE Trans. Inf. Technol. Biomed. 1998, 2(4):254-260.
46. Ahmed S.N., Mann C., Siddiqui F., Sheerani M., Syed N.A., Snyder T., et al. Experiences from an international tele-epilepsy collaboration. Can. J. Neurol. Sci. 2009, 36(5):582-586.
47. Qaddoumi I., Bouffet E. SUPPLementation of a successful pediatric neuro-oncology telemedicine-based twinning program by e-mails. Telemed. J. E-Health 2009, 15(10):975-982.
48. Qaddoumi I., Mansour A., Musharbash A., Drake J., Swaidan M., Tihan T., et al. Impact of telemedicine on pediatric neuro-oncology in a developing country: the Jordanian-Canadian experience. Pediatr. Blood Cancer 2007, 48(1):39-43.
49. Qaddoumi I., Musharbash A., Elayyan M., Mansour A., Al-Hussaini M., Drake J., et al. Closing the survival gap: implementation of medulloblastoma protocols in a low-income country through a twinning program. Int. J. Cancer 2007, 122(6):1203-1206.
50. Schmid-Grendelmeier P., Masenga E.J., Haeffner A., Burg G. Teledermatology as a new tool in sub-Saharan Africa: an experience from Tanzania. J. Am. Acad. Dermatol. 2000, 42(5):833-835.
51. Zaliunas R., Benetis R., Vanagas G., Slapikas R., Vainoras A. Implementation of international transtelephonic ECG platform for patients with ischemic heart disease. Medicina (Kaunas, Lithuania) 2009, 45(2):104-110.
52. Zolfo M., Bateganya M.H., Adetifa I.M., Colebunders R., Lynen L. A telemedicine service for HIV/AIDS physicians working in developing countries. J. Telemed. Telecare 2010, 17(2):65-70.
53. Furr M.C., Larkin E., Blakeley R., Albert T.W., Tsugawa L., Weber S.M. Extending multidisciplinary management of cleft palate to the developing world. J. Oral Maxillofac. Surg. 2011, 69(1):237-241.
54. Garshnek V. Applications of space communications technology to critical human needs: rescue, disaster relief, and remote medical assistance. Space Commun. 1991, 8(3-4):311-317.
55. Meade K., Lam D.M. A deployable telemedicine capability in support of humanitarian operations. Telemed. e-Health 2007, 13(3):331-340.
56. Ritchie C. British Army establishes telemedicine unit in Bosnia. Lancet 1998, 352(9121):46.
57. Jarvis L., Stanberry B. Teleradiology: threat or opportunity?. Clin. Radiol. 2005, 60(8):840-845.
58. Kalyanpur A., Neklesa V.P., Pham D.T., Forman H.P., Stein S.T., Brink J.A. Implementation of an international teleradiology staffing model. Radiology 2004, 232(2):415-419.
59. Mosquera M. Senator Udall Drafting Bill to Kill Telemedicine Barriers February 2, 2012, Government Health IT MedTech Media.
60. Lester N., Durazzo T., Kaye A., Ahl M., Forman H.P. Referring Physicians' attitudes toward international interpretation of teleradiology images. Am. J. Roentgenol. 2007, 188(1):W1-W8.
61. Soyer H.P., Hofmann-Wellenhof R., Massone C., Gabler G., Dong H., Ozdemir F., et al. telederm.org: freely available online consultations in dermatology. PLoS Med./Public Libr. Sci. 2005, 2(4.).
62. Martínez álvarez M., Chanda R., Smith R.D. How is Telemedicine perceived? A qualitative study of perspectives from the UK and India. Globalization Health 2011, 7(1):17.
63. Royal College of Radiologists The Regulation of Teleradiologists. A Position Statement by the Royal College of Radiologists 2011.
64. Royal College of Radiologists Standards for the Provision of Teleradiology in the UK 2010, The Royal College of Radiologists, London.
65. Cooke F.J., Holmes A. E-mail consultations in International health. Lancet 2000, 356(9224):138.
66. Ferguson E.W., Doarn C.R., Scott J.C. Survey of global telemedicine. J. Med. Syst. 1995, 19(1):35-46.
67. Nakashima N., Shimizu S., Okamura K., Hahm J.S., Kim Y.W., Han H.S., et al. Development of a broadband telemedical network based on Internet protocol in the Asia-Pacific region. Methods Inf. Med. 2007, 46:709-715.
68. Williams B.H., Mullick F.G., Butler D.R., Herring R.F., O'Leary T.J. Clinical evaluation of an international static image-based telepathology service. Hum. Pathol. 2001, 32(12):1309-1317.
69. Geissbuhler A., Ly O., Lovis C., L'Haire J.-F. Telemedicine in Western Africa: lessons learned from a pilot project in Mali, perspectives and recommendations. AMIA Ann. Symp. Proc. 2003, 249-253.
70. Zbar R.I., Otake L.R., Miller M.J., Persing J.A., Dingman D.L. Web-based medicine as a means to establish centers of surgical excellence in the developing world. Plast. Reconstr. Surg. 2001, 108(2):460-465.
71. Zolfo M., Arnould L., Huyst V., Munter P.D., Na S., Bateganya M., et al. Telemedicine as a distance learning tool for HIV/AIDS care in low resource settings. J. Inf. Technol. Healthcare 2005, 3(3):173-178.
72. European Parliament and European Council Directive 95/46/EC on the Protection of Individuals with Regard to the Processing of Personal Data and the Free Movement of Such Data 1995, European Parliament and European Council, Brussels.
73. European Parliament the Council of the European Union Directive 2002/58/EC Concerning the Processing of Personal Data and the Protection of Privacy in the Electronic Communications Sector 2002, European Parliament and the Council of the European Union, Brussels.
74. Mossialos E., Baeten R., Hervey T.K. Health Systems Governance in Europe: The Role of EU Law and Policy 2010, Cambridge University Press, Cambridge.
75. Houtchens B.A., Clemmer T.P., Holloway H.C., Kiselev A.A., Logan J.S., Merrell R.C., et al. Telemedicine and international disaster response. Medical consultation to Armenia and Russia via a Telemedicine Spacebridge. Prehosp. Disaster Med. 1993, 8(1):57-66.
76. Kohler F., Schierbaum C., Konertz W., Schneider M., Kern H., Int E., et al. Partnership for the heart: German-Estonian health project for the treatment of congenital heart defects in Estonia. Health Policy 2005, 73(2):151-159.
77. Wootton R. Telemedicine support for the developing world. J. Telemed. Telecare 2008, 14(3):109-114.
78. Wootton R. Telemedicine and developing countries-successful implementation will require a shared approach. J. Telemed. Telecare 2001, 7(SUPPL. 1):1-6.
79. Hazin R., Qaddoumi I. Teleoncology: current and future applications for improving cancer care globally. Lancet Oncol. 2010, 11(2):204-210.
80. Brandling-Bennett H., Kedar I., Pallin D., Jacques G., Gumley G., Kvedar J. Delivering health care in rural Cambodia via store-and-forward telemedicine: a pilot study. Telemed. J. e-Health 2005, 11(1):56-62.
81. Bagayoko C., Muller H., Geissbuhler A. Assessment of Internet-based tele-medicine in Africa (the RAFT project). Comput. Med. Imaging Graph. 2006, 30(6-7):407-416.
82. Cone S.W., Hummel R., León J., Merrell R.C. Implementation and evaluation of a low-cost telemedicine station in the remote Ecuadorian rainforest. J. Telemed. Telecare 2007, 13:34.
83. NHS Confederation Remote Control. The Patient-Practitioner Relationship in a Digital Age 2010, NHS Confederation, London.
84. Screnci D., Hirsch E., Levy K., Skawinski E., DerBoghosian M. Medical outreach to Armenia by telemedicine linkage. J. Med. Syst. 1996, 20(2):67-76.
85. Brauchli K., Jagilly R., Oberli H., Kunze K., Phillips G., Hurwitz N., et al. Telepathology on the Solomon Islands: two years' experience with a hybrid web- and email-based telepathology system. J. Telemed. Telecare 2004, (SUPPL. 1):14-17.
86. Telemedicine Clinic Telemedicine Clinic 2012, Available from: http://www.telemedicineclinic.com/ (accessed 01.02.12).
87. Johns Hopkins Medicine International. Johns Hopkins Medicine International. Available from: (accessed 01.02.12). http://www.hopkinsmedicine.org/international/patients/second_opinions.html.
88. European Commission, ePractice.eu. Available from: (accessed 01.02.12). http://epractice.eu/.
89. Ekeland A.G., Bowes A., Flottorp S. Methodologies for assessing telemedicine: a systematic review of reviews. Int. J. Med. Inform. 2012, 81(1):1-11.
90. Wise J. UK government signals its support for telemedicine. Br. Med. J. 2011, 343.
91. Fitzgerald R. Rapid response: telemedicine doctors abroad dont have to register with the GMC. Br. Med. J. January 23, 2012, 344.
92. Dunbar-Rees R., McGough R. Challenges of EU competition law for general practice commissioning. Br. Med. J. 2011, 342:2071.