Changes in Physicians’ Practice Using a Cardiologic Tele-expertise network in Mongolia: An Ethnographic Study on Implementation of Technology in Medical Practice
The Luxembourg Government has supported the Mongolian Government in cardiologic care since 2001 through a telemedicine project. The fundamental strategy was to create a centre disseminating knowledge and providing assistance to physicians through a tele-expertise network. To better understand what factors contributed to the successful implementation of the project. This ethnographic study aims to understand how the project has changed doctors’ practice to identify elements that facilitate acceptance of telemedicine. A qualitative approach based on the central role played by physicians was used. The purpose of this research is to contribute to the development of telemedicine in capitalising on the experience of the Mongolian telemedicine project. We gathered physicians’ insights through participant observation and in-depth interviews of nineteen physicians of the project, added to focus group interviews including nine physicians from the most remote provinces. Our findings show that the technical and social aspects of the project reinforce each other in fostering doctors’ greater autonomy, creating a sense of belonging to a community and promoting ownership of the project, crucial elements for acceptance. The project offers technological support through a tele-expertise network and a dedicated website that help improving professional capacities and participate in increasing physicians’ self-confidence and autonomy. Meanwhile, the technological structure is supported by strong collaboration between physicians, their participation to the project development and involvement toward new professional activities. It results in structuring a community of cardiologists with a great sense of belonging and ownership that created a social environment for the technology to work.
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Copyright (c) 2016 Sonia Molho, Dagva Mungunchimeg, Agnes Meershoek, Didier Patte, Namsrainaidan Bayasgala
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