The Acceptability of Teleconsultations in Teledentistry: A Case Study

The Acceptability of Teleconsultations in Teledentistry: A Case Study

Roxana Ologeanu-Taddei (Université Montpellier, France), Isabelle Bourdon (KEDGE Business School, France & Université Montpellier, France), Chris Kimble (KEDGE Business School, France & Université Montpellier, France) and Nicolas Giraudeau (Université Montpellier, France)
Copyright: © 2016 |Pages: 12
DOI: 10.4018/978-1-4666-9978-6.ch001

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Telemedicine and teledentistry are both relatively recent developments. Even telework, the field from which these specialties emerged, only dates back to the 1973-1974 oil crisis (Bailey & Kurland, 2002). Telework is often classified along three dimensions: organizational (working in the same or a different organization), spatial (working in the same or different physical space) and temporal (where communication with co-workers is either synchronous or asynchronous) (Kimble et al., 2000); as we shall see, these three basic divisions apply equally to telemedicine and teledentistry.

In its short history, various definitions have been put forward and various terms have been coined for telemedicine (Tulu, Chatterjee, & Laxminarayan, 2005). Perhaps the simplest is that proposed by Celler, Lovell, and Basilakis (2003, p. 242), telemedicine is “a system of healthcare delivery in which physicians examine patients through the use of telecommunications technology.”

There have been a number of reviews of telemedicine (Roine, Ohinmaa, & Hailey, 2001; Hailey, Ohinmaa, & Roine, 2004) which put forward a wide range of potential benefits; nevertheless, despite the scope of the topic, certain themes appear consistently:

  • Making specialist skills available in remote locations or to groups such as the elderly and disabled (Kimble et al., 2000; Asthana & Halliday, 2004; Noel, Vogel, Erdos, Cornwall, & Levin, 2004; Tulu et al., 2005).

  • Improved adherence to standards and notions of best practice, particularly in the case of chronic conditions (Celler et al., 2003; Noel et al., 2004; Kimble, 2014).

  • Reducing the cost of healthcare (Tulu et al., 2005; Bashshur, Shannon, Krupinski, & Grigsby, 2011; Kimble, 2014).

Although a number of activities can be placed under the heading of telemedicine, most involve some form of teleconsultation. Referring to Figure 1, a teleconsultation takes place when a physician in one location gives a consultation to a patient at some remote location (i.e. physician and patient are located in different spaces). The patient may, or may not, be supported by some other healthcare professional (i.e. a teleconsultation may involve a number of different organizations). The goal of the teleconsultation is for the patient and / or the healthcare professional to provide the physician with the information they need to make a diagnosis. Thus, finally, the communication between patient and physician, and the delivery of the diagnosis, may be either synchronous (e.g. via a live video link) or asynchronous (e.g. data is stored and accessed later).

Figure 1.

A classification scheme for teleworking

Kimble et al., 2000.

Telemedicine is now well established in countries such as the United States and Australia (Celler et al., 2003) and there is growing interest in the topic in developing countries where problems of transport and access to healthcare facilities make telemedicine an attractive alternative to more traditional forms of healthcare provision (Chen, Cheng, & Mehta, 2013). Although various forms of telemedicine such as teleradiology, telepathology, teledermatology, and teleophthalmology are well established, teledentistry, the focus of this chapter, is relatively new.

Key Terms in this Chapter

Teledentistry: A combination of telecommunications technology and dentistry involving the exchange of data and images for the purposes of dental consultation and treatment planning ( Jampani et al., 2011 ).

Tele-Monitoring: A doctor monitors and interprets medical parameters of a physically remote patient. The recording and transmission of data can be automated, performed by the patients themselves or by a health care professional (sante.gouv, 2014).

Tele-Assistance: A doctor assists other health professionals at a distance in the performance of some medical act (sante.gouv, 2014).

Business model: A unified conceptual description of the activities of value creation (the creation of a product that meets customers’ needs), value capture (the marketing, support and sale of the product) and value architecture (the chain of activities that link customers and suppliers of a product) (Kimble & Bourdon, 2013 AU35: The in-text citation "Authors, 2013" is not in the reference list. Please correct the citation, add the reference to the list, or delete the citation. ).

Tele-Expertise: A doctor seeking the opinion of one or more colleagues, at a distance, based on medical data related to the care of a patient (sante.gouv, 2014).

Tele-Consultation: A doctor, based in one location, gives a consultation to a patient, who may or may not be supported by some other healthcare professional, at some other location. The patient and / or the healthcare professional provide the doctor with the data they need to make a diagnosis at a distance (sante.gouv, 2014).

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