서브메뉴
검색
Technology, Innovation & Healthcare Markets in Low- and Middle-Income Countries: A Study of Telemedicine in India
Technology, Innovation & Healthcare Markets in Low- and Middle-Income Countries: A Study of Telemedicine in India
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103103
- ISBN
- 9798315703389
- DDC
- 614
- 서명/저자
- Technology, Innovation & Healthcare Markets in Low- and Middle-Income Countries: A Study of Telemedicine in India
- 발행사항
- [Sl] : The University of North Carolina at Chapel Hill, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 153 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-11, Section: B.
- 주기사항
- Advisor: Sylvia, Sean.
- 학위논문주기
- Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
- 초록/해제
- 요약While Covid propelled the growth of telemedicine in low- and middle-income countries (LMICs), little is understood about the effectiveness of telemedicine or how it can be leveraged to plug the provider shortage and increase access to care in these settings. This dissertation aims to further the understanding of telemedicine by studying different paradigms of telemedicine in India. In the first study, I explore the motivations and barriers to health practitioner engagement on a volunteer telemedicine network during the Covid pandemic. Through in-depth qualitative interviews conducted with practitioners, I find that providers are highly intrinsically motivated to volunteer to address the healthcare needs of the underserved, and value non-pecuniary rewards towards maintaining regular voluntary engagement online. In the second study, I investigate the impact of a large-scale telemedicine network that operated several models of telemedicine during Covid on Covid health outcomes. When differentiated by timing of adoption, I find that late adopters of the intervention demonstrate effects as large as 23 percentage points on Covid positive case rates. The model that triaged already diagnosed Covid patients through the available health infrastructure demonstrated the biggest impact with an effect of 23 percentage points on the Covid positive rate and of 6 percentage points on the fatality rate. In the third study, I evaluate two interventions - a mandate and a platform update - designed to sustain telemedicine adoption. While the mandate has an immediate impact on the number of teleconsults conducted, this effect does not sustain over time. The platform update, which solvers for ease of use, results in a decrease of 0.6 teleconsults per doctor in the week following the rollout. However, this trend reverses over time, resulting in an increase of 0.03 teleconsults per doctor per week in the following weeks. The findings underscore the potential of telemedicine to address inequities in medical provider availability and access to healthcare in LMICs. However, mechanisms to sustain provider engagement outside of times of crisis are important. Non-pecuniary incentives and solving for ease of use of platforms are potential instruments to sustain provider engagement with telemedicine.
- 일반주제명
- Public health
- 일반주제명
- Public policy
- 일반주제명
- Web studies
- 키워드
- Digital health
- 키워드
- Global health
- 키워드
- India
- 키워드
- Telemedicine
- 기타저자
- The University of North Carolina at Chapel Hill Health Policy and Management
- 기본자료저록
- Dissertations Abstracts International. 86-11B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
008260126s2025 us c eng d■001000017356931
■00520260202103103
■006m o d
■007cr#unu||||||||
■020 ▼a9798315703389
■035 ▼a(MiAaPQ)AAI31934914
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614
■1001 ▼aD'Souza, Karishma.
■24510▼aTechnology, Innovation & Healthcare Markets in Low- and Middle-Income Countries: A Study of Telemedicine in India
■260 ▼a[Sl]▼bThe University of North Carolina at Chapel Hill▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a153 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-11, Section: B.
■500 ▼aAdvisor: Sylvia, Sean.
■5021 ▼aThesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
■520 ▼aWhile Covid propelled the growth of telemedicine in low- and middle-income countries (LMICs), little is understood about the effectiveness of telemedicine or how it can be leveraged to plug the provider shortage and increase access to care in these settings. This dissertation aims to further the understanding of telemedicine by studying different paradigms of telemedicine in India. In the first study, I explore the motivations and barriers to health practitioner engagement on a volunteer telemedicine network during the Covid pandemic. Through in-depth qualitative interviews conducted with practitioners, I find that providers are highly intrinsically motivated to volunteer to address the healthcare needs of the underserved, and value non-pecuniary rewards towards maintaining regular voluntary engagement online. In the second study, I investigate the impact of a large-scale telemedicine network that operated several models of telemedicine during Covid on Covid health outcomes. When differentiated by timing of adoption, I find that late adopters of the intervention demonstrate effects as large as 23 percentage points on Covid positive case rates. The model that triaged already diagnosed Covid patients through the available health infrastructure demonstrated the biggest impact with an effect of 23 percentage points on the Covid positive rate and of 6 percentage points on the fatality rate. In the third study, I evaluate two interventions - a mandate and a platform update - designed to sustain telemedicine adoption. While the mandate has an immediate impact on the number of teleconsults conducted, this effect does not sustain over time. The platform update, which solvers for ease of use, results in a decrease of 0.6 teleconsults per doctor in the week following the rollout. However, this trend reverses over time, resulting in an increase of 0.03 teleconsults per doctor per week in the following weeks. The findings underscore the potential of telemedicine to address inequities in medical provider availability and access to healthcare in LMICs. However, mechanisms to sustain provider engagement outside of times of crisis are important. Non-pecuniary incentives and solving for ease of use of platforms are potential instruments to sustain provider engagement with telemedicine.
■590 ▼aSchool code: 0153.
■650 4▼aPublic health
■650 4▼aPublic policy
■650 4▼aWeb studies
■653 ▼aDigital health
■653 ▼aGlobal health
■653 ▼aHealthcare innovation
■653 ▼aIndia
■653 ▼aTelemedicine
■690 ▼a0573
■690 ▼a0501
■690 ▼a0630
■690 ▼a0646
■71020▼aThe University of North Carolina at Chapel Hill▼bHealth Policy and Management.
■7730 ▼tDissertations Abstracts International▼g86-11B.
■790 ▼a0153
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17356931▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
