Determinants of successful telemedicine implementations: a literature study

T.H.F. Broens, M.H.A. Huis in 't Veld, Miriam Marie Rosé Vollenbroek-Hutten, Hermanus J. Hermens, Aart van Halteren, Lambertus Johannes Maria Nieuwenhuis

Research output: Contribution to journalArticleAcademicpeer-review

332 Citations (Scopus)
45 Downloads (Pure)


Telemedicine implementations often remain in the pilot phase and do not succeed in scaling-up to robust products that are used in daily practice. We conducted a qualitative literature review of 45 conference papers describing telemedicine interventions in order to identify determinants that had influenced their implementation. The identified determinants, which would influence the future implementation of telemedicine interventions, can be classified into five major categories: (i) Technology, (ii) Acceptance (iii) Financing, (iv) Organization and (v) Policy and Legislation. Each category contains determinants that are relevant to different stakeholders in different domains. We propose a layered implementation model in which the primary focus on individual determinants changes throughout the development life cycle of the telemedicine implementation. For success, a visionary approach is required from the multidisciplinary stakeholders, which goes beyond tackling specific issues in a particular development phase. Thus the right philosophy is: ‘start small, think big’.
Original languageUndefined
Article number10.1258/135763307781644951
Pages (from-to)303-309
Number of pages7
JournalJournal of telemedicine and telecare
Issue number1/6
Publication statusPublished - Sept 2007


  • IR-63802
  • EWI-8517
  • METIS-241901

Cite this