Telemedicine for home care: Health professions in the new localization of the space of disease

Author/s Angela Genova
Publishing Year 2022 Issue 2022/1 Language Italian
Pages 16 P. 141-156 File size 270 KB
DOI 10.3280/WE2022-001011
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

In Italy, the pandemic has contributed to accelerate the use of "telemedicine". Focusing on the analysis of the Guidelines for Telemedicine in Home Care (2022), this work highlights how the proposed model of care sanctions a space of action of the doctor away from the patient not only in space, but also sometimes in time. Telemedicine keeps nurses at the side of the patient and outlines spaces potentially of great innovation also for the figure of the healthcare worker (Operatore Socio Sanitario-OSS), even if it isn’t mentioned in the Guideliness. Telemedicine, with its innovations in the places and times of care practices, outlines a new localization of the space of the disease with specific characteristics and substantial implications for the health professions. In addition, all these professions have a new identity and new relationships between them.

Keywords: pandemic; care; doctor; patient; semi-profession; social-health operators.

  1. Abbott A. (1988). The system of professions. Chicago: University of Chicago Press.
  2. Abbott A. (2010). Varieties of ignorance. The American Sociologist, 41: 174-189.
  3. Presidenza del Consiglio dei Ministri (2020). Accordo Stato Regioni del 17 dicembre 2020 (Rep. Atti n. 215/CSR), sul documento recante «Indicazioni nazionali per l’erogazione di prestazioni in telemedicina». -- Disponibile al sito:
  4. Ministero della Salute (2014). Accordo Stato-Regioni del 20 febbraio 2014 (Rep. Atti n.16/CSR) sul documento recante «Telemedicina, linee d’indirizzo nazionali».
  5. Badalato G.M., Kaag M., Lee R., Vora A. and Burnett A. (2020). The Workgroup AUA Telemedicine. Role of telemedicine in urology: contemporary practice patterns and future directions. Urology Practice, 7: 122-6.
  6. Bagot K.L., Cadilhac D.A., Vu M., Moss K. and Bladin C.F. (2015). Telemedicine in the acute health setting: A disruptive innovation for specialists (an example from stroke). Journal of Telemedicine and Telecare, 21(8): 443 448. DOI: 10.1177/1357.633X15610722
  7. Bashshur R., Doarn C.R., Frenk J.M., Kvedar J.C. and Woolliscroft J.O. (2020). Telemedicine and the COVID-19 pandemic, lessons for the future. Telemedicine and e-Health, 26(5).
  8. Berger T. (2017). The therapeutic alliance in internet interventions: a narrative review and suggestions for future research. Psychothery Research, 27: 511-524.
  9. Black A.D., Car J., Pagliari C., Anandan C., Cresswell K., Bokun T. and Sheikh A. (2011). The impact of eHealth on the quality and safety of health care: A systematic overview. PLoS medicine, 8(1), e1000387.
  10. Brante T. (2013). The professional landscape: The historical development of professions in Sweden. Professions and professionalism, 3(2): 119-142.
  11. Broom A. (2005). Medical specialists accounts of the impact of the Internet on the doctor/patient relationship. Health, 9(3): 319-338. DOI: 10.1177/1363459305052903
  12. Eccleston C., Blyth F.M., Dear B.F., Fisher E.A., Keefe F.J., Lynch M.E., and de C Williams, A.C. (2020). Managing patients with chronic pain during the COVID-19 outbreak: considerations for the rapid introduction of remotely supported (eHealth) pain management services. Pain, 161(5): 889-893.
  13. Etzioni A., Ed. (1969). The semi-professions and their organization: Teachers, nurses, social workers. New York: The Free Press.
  14. Foucault M. (1998). La nascita della clinica. Einaudi.
  15. Freidson E. (2001). Professionalism: The third logic. Cambridge: Polity Press.
  16. Gabe J., Cardano M. and Genova A., Eds. (2021). Health and illness in the neoliberal era in Europe. Bingley: Emerald. DOI: 10.1108/9781839091193
  17. Geenhalgh T., Wherton J., Shaw S. and Morrison C. (2020). Video consultations for covid-19: an opportunity in a crisis? British Medical Journal, 368: m998.
  18. Genova A. and Tousjin W. (2022). Social-Health Operators as Mediators. E-Health System Professions & Professionalism, 12(1): e3814.
  19. Hallqvist J. (2019). Digital health and the embodying of professionalism: Avatars as health professionals in Sweden. Professions and Professionalism, 9(2): e2847.
  20. Kawachi I. (2010). Social capital and health. In: Bird C., Conrad P., Freemont A. and Timmermans S., Handbook of medical sociology. Nashville: Vanderbilt University Press.
  21. Krausz M., Westenberg J.N., Vigo D., Spence R.T., and Ramsey D. (2020). Emergency response to COVID-19 in Canada: platform development and implementation for eHealth in crisis management. JMIR public health and surveillance, 6(2): e18995.
  22. Ministero della Salute (2022). Linee guida organizzative contenenti il modello digitale per l’attuazione dell’assistenza domiciliare (Milestone EU M6C1-4).
  23. Mohr D.C., Riper H. and Schueller S.M. (2018). A solution-focused research approach to achieve an implementable revolution in digital mental health. Journal of American Association Psychiatry, 75: 113-114.
  24. Moo L.R., Gately M.E., Jafri Z. and Shirk S.D. (2020). Home-based video telemedicine for dementia management. CliniacalGerontoly, 43: 193-203.
  25. Moretti C., Spina E. and Ciaschini U. (2012). Formazione e operatività nel sociale: l’assistente sociale, l’educatore e l’operatore socio-sanitario. [Social training and operations: the social worker, the educator and the socio-health worker]. Rivista di Scienza dell’Amministrazione, 3: 53-72. DOI: 10.3280/SA2012-003004
  26. Nickelsen N.C.M. (2019). The infrastructure of telecare: Implications for nursing tasks and the nurse‐doctor relationship. Sociology of health & illness, 41(1): 67-80. DOI: 10.1111/1467-9566.12781
  27. O’Brien K.M., Hodder R.K., Wiggers J., Williams A., Campbell E., Wolfenden L., Yoong S.L., Tzelepis F., Kamper S.J. and Williams C.M. (2018). Effectiveness of telephone-based interventions for managing osteoarthritis and spinal pain: a systematic review and meta-analysis. PeerJ, 6: e5846.
  28. Oh H., Rizo C., Enkin M. and Jadad A. (2005). What is eHealth? A systematic review of published definitions. World Hospitals and Health Services, 41(1): 32-40.
  29. Selvaggi S. e Sica V. (2010) Telemedicina. Springer‐Verlag Italia.
  30. Sena B. (2017). Professionalization without autonomy: The Italian case of building the nursing profession. Professions and Professionalism, 7(3): e1900.
  31. Shim J.K. (2010) Cultural health capital: A theoretical approach to understanding health care interactions and the dynamics of unequal treatment. J Health Soc Behav., 51(1): 1-15. DOI: 10.1177/002214650936118
  32. Sørensen K., Van den Broucke S., Fullam J., Doyle G., Pelikan J., Slonska Z., Helmut B. & Consortium Health Literacy Project European (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12(80). DOI: 10.1186/1471-2458-12-80
  33. Sust P.P., Solans O., Fajardo J.C., Peralta M.M., Rodenas P., Gabaldà J., ... et al. (2020). Turning the crisis into an opportunity: digital health strategies deployed during the COVID-19 outbreak. Journal of Medical Internet Research Public Health and Surveillance, 6(2): e19106. DOI: 10.2196/19106
  34. Tebeje T.H. and Klein J. (2020). Applications of e-Health to Support Person-Centered Health Care at the Time of COVID-19 Pandemic. Telemedicine and e-Health, 27(2): 150-158.
  35. Timmermans S. and Berg M. (2003). The practice of medical technology. Sociology of Health & Illness, 25(3): 97-114. DOI: 10.1111/1467-9566.00342
  36. Tousijn W. (2002). Medical dominance in Italy: A partial decline. Social Science &Medicine, 55(5): 733-741. DOI: 10.1016/S0277-9536(01)00199-X
  37. Vicarelli G. and Bronzini M. (2018). La sanità digitale: dimensioni di analisi e prospettive di ricerca. Social Policies, 2: 147-162.
  38. Viitanen J., Hyppönen H., Lääveri T., Vänskä J., Reponen J. and Winblad I. (2011). National questionnaire study on clinical ICT systems proofs: Physicians suffer from poor usability. International journal of medical informatics, 80(10): 708-725.
  39. Wade V.A., Eliott J.A. and Hiller J.E. (2014). Clinician acceptance is the key factor for sustainable telehealth services. Qualitative Health Research, 24: 682-694.
  40. Wilensky H. (1964). The professionalization of everyone?. American Journal of Sociology, 70(3): 137-58. DOI: 10.1086/223790
  41. Wind T.R., Rijkeboer M., Andersson G. and Riper H. (2020). The COVID-19 pandemic: The ‘black swan’for mental health care and a turning point for e-health. Internet interventions, 20.
  42. Zachrison K.S., Boggs K.M., Hayden E.M., Espinola J.A. and Camargo C.A. Jr. (2020). Understanding barriers to telemedicine implementation in rural emergency departments. Annals of Emergy Medicine, 75: 392-9.

  • Le ICT nei contesti di fragilità e ageing: la sfida relazionale Fausto Pagnotta, in WELFARE E ERGONOMIA 1/2023 pp.199
    DOI: 10.3280/WE2023-001017

Angela Genova, La telemedicina per l’assistenza domiciliare: le professioni sanitarie nella nuova spazializzazione della malattia in "WELFARE E ERGONOMIA" 1/2022, pp 141-156, DOI: 10.3280/WE2022-001011