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<pdf width="1500px">https://ceur-ws.org/Vol-984/abstract7.pdf</pdf>
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            mHealth, Telehealth and the Digital Society:
                  Where does the ‘Value’ Lie?

                                          Claudia Pagliari

                                     University of Edinburgh
                                    claudia.pagliari@ed.ac.uk
                                 http://www.cphs.mvm.ed.ac.uk



            Abstract. The Digital Agenda for Europe predicts economic and social
            benefits for governments and citizens arising from the use of healthcare
            ICTs. However, despite the overwhelmingly positive rhetoric of policy
            documents and industry hype, evidence of these benefits remains weak
            and inconsistent. This paper considers some of the reasons for this
            mismatch and its implications for effective decision making. It focuses
            on applications of telehealth and mobile health, which are attracting
            unprecedented levels of investment at the current time. Drawing on
            insights from studies by the author and colleagues, it considers the
            challenges presented by evaluations of complex interventions in
            complex settings and points out difficulties with attributing cause and
            effect where impacts may be caused as much by organisational changes
            as by the technologies whose implementation prompts them. Examples
            from studies of home based and mobile telehealth for long term
            conditions such as asthma, diabetes, COPD and hypertension illustrate
            the unexpected ways in which eHealth can both generate costs and add
            value, sometimes in ways that are hard to quantify. It reflects on the
            need for better evidence to inform eHealth strategy and procurement
            decisions and calls for the use of creative paradigms for evaluating
            innovations in practice, recognising the ‘co-creation’ of value in the
            context of healthcare redesign and delivery.



Biography
Claudia Pagliari PhD FRCPE is a Senior Lecturer in Primary Care and Health
Informatics, based in the Centre for Population Health Sciences at the University of
Edinburgh. Originally trained as a psychologist, she has worked in the area of health
technology assessment for over 16 years, specialising in the study and evaluation of
eHealth. Her work involves a range of methods, including controlled clinical trials,
qualitative studies of implementation processes, user-centred design and citizen
engagement, particularly in the areas of telehealth and electronic health records. She
has a longstanding interest in interdisciplinary research paradigms and leads the
Edinburgh interdisciplinary research network in eHealth and the MSc programme in
Health Informatics.
http://uk.linkedin.com/pub/claudia-pagliari/6/32/a53
http://www.researchgate.net/profile/Claudia_Pagliari/


Copyright © 2013 by the paper's authors. Copying permitted for private and academic purposes.

In: H. Gilstad, L. Melby, M. G. Jaatun (eds.): Proceedings of the European Workshop on Practical Aspects
of Health Informatics (PAHI 2013), Edinburgh, Scotland, UK, 11-MAR-2013, published at
http://ceur-ws.org

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