Abstract
Provider organizations lack: 1. a definition of "virtual" healthcare delivery relative to the products, services, and processes offered by dot.coms, web-compact disk healthcare content providers, telemedicine, and telecommunications companies, and 2. a model for integrating real and virtual healthcare delivery. This paper defines virtual healthcare delivery as asynchronous, outsourced, and anonymous, then proposes a 2x2 Real-Virtual Healthcare Delivery model focused on real and virtual patients and real and virtual provider organizations. Using this model, provider organizations can systematically deconstruct healthcare delivery in the real world and reconstruct appropriate pieces in the virtual world. Observed barriers to virtual healthcare delivery are: resistance to telecommunication integrated delivery networks and outsourcing; confusion over virtual infrastructure requirements for telemedicine and full-service web portals, and the impact of integrated delivery networks and outsourcing on extant cultural norms and revenue generating practices. To remain competitive provider organizations must integrate real and virtual healthcare delivery.
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- Butz J. T., Dilday D. The economic model for health care delivery. A business plan to create the virtual clinic. Med Group Manage J. 2000 Mar-Apr;47(2):16–23. [PubMed] [Google Scholar]
- Cork R. D., Detmer W. M., Friedman C. P. Development and initial validation of an instrument to measure physicians' use of, knowledge about, and attitudes toward computers. J Am Med Inform Assoc. 1998 Mar-Apr;5(2):164–176. doi: 10.1136/jamia.1998.0050164. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kuperman G. J., Spurr C., Flammini S., Bates D., Glaser J. A clinical information systems strategy for a large integrated delivery network. Proc AMIA Symp. 2000:438–442. [PMC free article] [PubMed] [Google Scholar]
- Menduno M. E-commerce. Point, click, purchase. Hosp Health Netw. 1999 Oct;73(10):54–58. [PubMed] [Google Scholar]
- Schneider M. Clinical information systems: strategic imperatives driving IDNs forward. Med Netw Strategy Rep. 1999 Nov;8(11):1, 8-10, 12. [PubMed] [Google Scholar]
- Wong H. J., Legnini M. W., Whitmore H. H. The diffusion of decision support systems in healthcare: are we there yet? J Healthc Manag. 2000 Jul-Aug;45(4):240–253. [PubMed] [Google Scholar]