Exploring Telemedicine in Rural Hospitals in Taiwan: A Study on Key Success Factors Based on the DEMATEL Method

Author(s): Kuo-Fang Hsu, Ping-Lung Huang, Bruce C.Y. Lee, Cheng-Ta Yeh

Since the establishment of Taiwan's National Health Insurance (NHI) program in 1995, urban regions have achieved remarkable healthcare outcomes. However, remote and island areas continue to face obstacles in accessing medical services due to transportation challenges and resource constraints. In response, the Taiwan government-initiated telemedicine advancements in 2019, demonstrating significant benefits, especially during the COVID-19 pandemic. This study analyzes a telemedicine outpatient program at a rural hospital in southern Taiwan using the Decision-Making Trial and Evaluation Laboratory (DEMATEL) method. The aim is to identify critical factors contributing to the program's success. Findings highlight the importance of supplier collaboration and robust technical capabilities, coupled with comprehensive education and training plans. Addressing risks and balancing key factors are vital to achieving sustainable outcomes. This study provides valuable insights for rural healthcare institutions, supporting the optimization of telemedicine and fostering equitable healthcare access and improved public health.