ArticleBMC medical informatics and decision making2017
Exploring factors associated with the uneven utilization of telemedicine in Norway: a mixed methods study.
Article in BMC medical informatics and decision making, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.
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Who cites it
46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.
- The 4P telehealth business framework for Iran.BMC medical informatics and decision making · 2022Pooled it
- Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework.Journal of medical Internet research · 2021Pooled it
- Numbers, graphs and words - do we really understand the lab test results accessible via the patient portals?Israel journal of health policy research · 2020Trial
- Pandemic planning for primary care in Southwestern Ontario: protocol for a sequential multiple-methods design.BMJ open · 2025Article
- Enabling Telemedicine From the System-Level Perspective: Scoping Review.Journal of medical Internet research · 2025Article
- Technological and Socio-Demographic Factors Influencing Telemedicine Literacy in Trinidad and Tobago: A Cross-Sectional Study Using Multidimensional Approach.Health science reports · 2025Article
- The Implementation of Infection Prevention and Control Procedures in Primary Care During the COVID-19 Pandemic: A Qualitative Study of Nursing Roles.Journal of nursing management · 2025Article
- Understanding the integration of artificial intelligence in healthcare organisations and systems through the NASSS framework: a qualitative study in a leading Canadian academic centre.BMC health services research · 2024Article
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- How digital health translational research is prioritised: a qualitative stakeholder-driven approach to decision support evaluation.BMJ open · 2023Article
- Observational
- Insights into the use of telemedicine in primary care in times of the SARS-CoV-2 pandemic - a cross-sectional analysis based on the international PRICOV-19 study in Austria.BMC primary care · 2023Article
- "There's nothing like a good crisis for innovation": a qualitative study of family physicians' experiences with virtual care during the COVID-19 pandemic.BMC health services research · 2023Article
- Virtual Care and Emergency Department Use During the COVID-19 Pandemic Among Patients of Family Physicians in Ontario, Canada.JAMA network open · 2023Article
- Integrating Digital Innovation Mechanisms in Digital Infrastructures: The Case of Digital Remote Care.Health services insights · 2023Article
- Digital health understanding and preparedness of medical students: a cross-sectional study.Medical education online · 2022Article
- Article
- Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: A survey study.Exploratory research in clinical and social pharmacy · 2022Article
- How midwives implemented teleconsultations during the COVID-19 health crisis: a mixed-methods study.BMJ open · 2022Article
- Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNorway has a long history of using telemedicine, especially for geographical reasons. Despite the availability of promising telemedicine applications and the implementation of national initiatives and policies, the sustainability and scaling-up of telemedicine in the health system is still far from accomplished. The main objective of this study was to explore and identify the multi-level (micro, meso and macro) factors affecting telemedicine utilization in Norway.
methodsWe used a mixed methods approach. Data from a national registry were collected to analyze the use of outpatient visits and telemedicine contacts in Norway from 2009 to 2015. Interviews with key stakeholders at national, regional and local level helped complete and contextualize the data analysis and explore the main issues affecting the use of telemedicine by health authorities and hospitals. Relevant national documents were also used to support, contradict, contextualize or clarify information and data.
resultsTelemedicine use in Norway from 2009 to 2015 remained very low, not exceeding 0.5% of total outpatient activity at regional level and 0.1% at national level. All four regions used telemedicine. Of the 29 hospitals, 24 used it at least once over the 7-year period. Telemedicine was not used regularly everywhere, with some hospitals using it sporadically. Telemedicine was mostly used in selected specialties, including rehabilitation, neurosurgery, skin and venereal diseases. Three major themes affecting implementation and utilization of telemedicine in Norway emerged: (i) governance and strategy; (ii) organizational and professional dimensions; (iii) economic and financial dimensions. For each theme, a number of factors and challenges faced at different health care levels were identified.
conclusionsThis study allowed shedding light on multi-level and interdependent factors affecting utilization of telemedicine in Norway. The identification of the main implementation and utilization challenges might support decision makers and practitioners in the successful scaling-up of telemedicine. This work provides a knowledge base useful to other countries which intend to implement telemedicine or other digital health services into their healthcare systems.
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