Implementing and Scaling up Telemedicine Initiatives: Beyond User-Centeredness

As long as telemedicine is not implemented and scaled up successfully, its promises of increased access to care and decreased costs cannot be kept. Extant literature already identified factors to be addressed when implementing a telemedicine solution but lacks clear guidance on how to support successful telemedicine implementation and scaling up. The aim of this paper is to identify and combine evidence on barriers and success factors from different countries. Structuring the results in different layers helps describing the context of telemedicine initiatives within the FraTelIni framework. Aspects for improvement and responsible stakeholders are named, resulting in general recommendations to be followed. Such, a conclusive picture on that topic can be drawn which actively addresses stakeholders and their tasks on different levels to support successful telemedicine initiatives.