Technology, Implementation Process

Technology, Implementation Process, and the Capstone Project Change Proposal

Technology is an important factor in the implementation of heath care projects. It helps to promote efficiency for better patient outcomes (Khandpur et al., 2017). The current capstone project change proposal centers on the initiatives for effective disease prevention and control among marginalized groups. Examples of such groups include racial minorities, the chronically ill, those with mental challenges, the disabled, the elderly, gay, lesbian, bisexual and transgendered (GLBT), the poor, and those who live in very remote areas (O’Donnell et al., 2018; Baah et al., 2019). These people are often disadvantaged due to their backgrounds, health status, socio-economic status, sexual orientation, and social beliefs (O’Donnell et al., 2018). The conditions prevent them from accessing quality healthcare services for improved health outcomes (Nelson, 2014). As a result, they continue being burdened by disease. One of the major technologies that can help to ensure that the proposed change is effectively implemented among the marginalized communities is telemedicine. Telemedicine is a technology used in the healthcare system for the delivery of care to patients in distant places (Khandpur et al., 2017; Ramirez et al., 2021). The technology helps to ensure that healthcare professionals remotely obtain useful information about the health status of the patients. This information is important for making healthcare decisions.

Telemedicine makes use of information and communication technologies (ICTs) to deal with various geographical barriers that hinder the accessibility of quality healthcare services (Lepage et al., 2020; Ramirez et al., 2021). For this reason, this technology is suitable for communities that are unable to access such services. This is where most marginalized groups belong. For instance, racial minorities and those who come from remote regions are underserved by healthcare providers as well as healthcare facilities (Jeffs et al., 2013; Samonte & Vallente, 2018). Telemedicine can enable these people to access care services from a distance (Khandpur et al., 2017). Those who are poor find it difficult to visit clinics and hospitals located far away due to high travel costs. Telemedicine can help to ensure that the health needs of such people are addressed (Ramirez et al., 2021). Some marginalized populations face discrimination in and stigmatization in the healthcare system due to their social beliefs and sexual orientations (Jeffs et al., 2013). A good example is the GLBTs. Using telemedicine to provide healthcare services to such groups can help to ensure that they benefit from quality healthcare services just like others without encountering any form of social prejudice (Ramirez et al., 2021). It is also important to note that individuals who are chronically ill are in need of constant monitoring. Telemedicine can be useful for remote monitoring of the conditions of such patients (Lepage et al., 2020).

Although telemedicine is a good health technology, there is no plan to use it in the current proposed project for change.  This is due to various barriers that are likely to prevent its usage. For instance, telemedicine is often prone to various technical hitches (Khandpur et al., 2017). Such problems are likely to interfere with the delivery of care services to marginalized patients who live in remote areas that lack a reliable internet connection. The use of telemedicine requires people who are tech-savvy (Lepage et al., 2020). Many marginalized populations lack this capacity. They have limited knowledge and skills about the use of technology in the delivery of healthcare services. Telemedicine may also not be useful to those who are marginalized due to their advanced age and chronic conditions (Lepage et al., 2020). This is due to the fact that these people lack the functional capability necessary for them to embrace the technology. It is also important to note that most of the marginalized groups are poor. Therefore, telemedicine can be an expensive venture for them (Ramirez et al., 2021). They may not be able to afford it.


Baah, F. O., Teitelman, A. M., & Riegel, B. (2019). Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health – An integrative review. Nurs Inq., 26 (1): e12268. doi: 10.1111/nin.12268.

Jeffs, L., Beswick, S., & sidani, S. (2013). Defining what evidence is, linking it to patient outcomes, and making it relevant to practice: insight from clinical nurses. Applied Nursing Research: ANR. DOI:10.1016/j.apnr.2013.03.002.

Khandpur, R. S. (2017). Telemedicine: Technology and Applications (mHealth, TeleHealth and eHealth). New Delhi: PHI Learning.

Lepage, C., Garber, G., Corrin, R., Galanakis, C., Leonard, L., & Cooper, C. (2020). Telemedicine successfully engages marginalized rural hepatitis C patients in curative care.  Official Journal of the Association of Medical Microbiology and Infectious Disease Canada, 5 (2): 87-97. DOI: 10.3138/jammi-2019-0025 .

Nelson, A. M. (2014). Best practice in nursing: A concept analysis.  International Journal of Nursing Studies, 51 (11).DOI:10.1016/j.ijnurstu.2014.05.003

O’Donnell, P., Tierney, E., O’Carroll, A., Nurse, D., & MacFarlane, A. (2016). Exploring levers and barriers to accessing primary care for marginalised groups and identifying their priorities for primary care provision: a participatory learning and action research study. Int J Equity Health, 15 (197).

Ramirez, A. V., Ojeaga, M, Espinoza, V., Hensler, B., & Honrubia, V. (2021). Telemedicine in Minority and Socioeconomically Disadvantaged Communities Amidst COVID-19 Pandemic. Otolaryngol Head Neck Surg, 164 (1):91-92. doi: 10.1177/0194599820947667

Samonte, P. R. V., & Vallente, R. U. (2018). Evidence-based practice (EBP). Salem Press Encyclopedia. Retrieved from

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