First Advisor

Tugrul U. Daim

Term of Graduation

Summer 2020

Date of Publication


Document Type


Degree Name

Doctor of Philosophy (Ph.D.) in Technology Management


Engineering and Technology Management




Telecommunication in medicine, Older people -- Medical care, Medical consultation



Physical Description

1 online resource (xiv, 220 pages)


Telemedicine offers great promise in addressing some of the healthcare challenges such as the increase of healthcare expenditure, a growing population, and a projected physician shortage; telemedicine is increasingly being included in the discussion of medicine's future. Telemedicine offers the capabilities to deliver healthcare across distances at reduced costs while maintaining or even increasing the quality of treatment and services.

The objective of this research is to develop a model to evaluate alternative solutions to increase the adoption of RPM for the senior population. Also, the research provides a systematic approach for a comprehensive assessment of teleconsultation adoption, develop a decision model to assess the effectiveness of telemedicine policy targeted to increase teleconsultation adoption, evaluate and prioritize current teleconsultation adoption barriers and measure their relative contribution to this adoption, and evaluate and prioritize the alternative solutions and measure their relative contribution to this adoption. Criteria used in this assessment depend on four perspectives that are perceived by decision makers as important for the adoption process. These perspectives are: financial, technical, logistical, and cultural. The research implemented the hierarchical decision model (HDM) to construct a generalized adoption assessment framework. The HDM is used in order to measure the teleconsultation adoption barriers limiting its advantages and to identify the best alternatives to help its diffusion.

Experts' qualitative judgments were collected and quantified using the pair-wise comparison method. The final rankings and effectiveness of alternative solutions with respect to the mission were identified. The results of this research identified financial barriers as the most influential perspective and that standard processes for reimbursement and multi-state license for telemedicine are the two most effective criteria to accomplish that. The research also applied sensitivity analysis and scenario analysis to identify the effect of perspectives on priority changes on determining the most effective alternative for this perspective. The results showed that standard processes for reimbursement and multi-state license for telemedicine were found to be the two most effective alternatives among the alternative solutions. The research model and outcome can serve as a roadmap in the adoption of teleconsultation or any type of telemedicine. Based on the overall research findings, decision makers can apply specific alternative instruments to support adoption efforts for any given scenario and perspectives emphasis.


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