Telehealth is part of connected health (cHealth), technology-enabled integrated care delivery that allows for

remote communication, diagnosis, treatment, and monitoring. Offers the ability for patients to have more
frequent, convenient, and low-cost touchpoints with their physicians. and may enable closer monitoring, earlier
diagnosis and intervention, and better adherence, ultimately resulting in lower cost of care (Deloitte, 2016).

Adoption issue on Halodoc:

Internet coverage

Privacy issue: trust: government regulation, medical license, experience

Professional concern (virtually asses the patient): training

Adoption issue:

Scaling up issue with telehealth:

1.Evidence based

2.professional attitude and concerns (response to the new technology, clinical, fee)

3.organisation and behaviour change

4.potential cost saving

5.acceptability to users and family members

6.Training of health care professional

Internet connection? Internet user in Indonesia 2018 79.7 million

Internet coverage

Mobile data in Indonesia is very affordable, costing just 50 percent4 of what consumers in some
ASEAN neighboring countries pay

Indonesian healthcare:from WHO Framework

Service delivery: mainly in hospital which unaccessable based on location (gap between urban and rural),
physical/geographical access difficult

Health workforce: doctor scarcity (availability and distribution)

With a population of 260 million spread across more than 17,000 islands, it has
only 4 physicians for every 10,000 people, behind the 8 in India, and 28 in the
United Kingdom, according to the WHO (2017).
Financing: National Health Insurance since 2014, increase coverage and access from financial but still facing
problem on physical access

Leadership/governance: Regulation, coordination

Halodoc was built in 2016, but the government regulation of e-health I Indonesia was made in 2017 while
telemedicine regulation was announced in 2019.

Access and Coverage

Improved health and responsiveness:

The aim of Halodoc?

In a world with too few doctors and hundreds of millions of people without
proper access to clinics, how can people get the diagnosis and drugs they need
quickly and cheaply? Once they have a consultation, patients will receive doctor’s
note about the condition and the advice or medicine recommendation. Halodoc
also offers home blood and urine tests by a visiting medical attendant, with the
result sent via the app. Patients can use the website if needed to book face-to-
face appointments with a doctor at a hospital. Few places could get more benefit
from a new mobile-based health care system than Indonesia.

there are four main reasons they choose to consult a doctor online, namely saving
time and money, being pressured due to Sunday / holidays or midnight, wanting to
seek a second opinion, and some just trying out an online consultation platform.

through the app from one of more than 1,000 pharmacies and get it speedily
delivered by motorcycle or scooter.
Problem

Design and planning:

Challenge 2, Convincing people that the solution chosen is the right one
Come prepared with clear facts and figures, have convincing measures of
impact,
and be able to demonstrate the advantages of your solution. Involve respected
senior figures.

Sustainability:

Challenge 9, Securing sustainability

Sustainability can be vulnerable when efforts are seen as ‘projects’ or when they
rely on particular individuals. From an early stage, projects need to identify
future funding sources, or identify ways to use resources more efficiently in
order to sustain improvements. Successful outcomes should be written into
standards, guidelines and procedures to ensure they are embedded in routine
activities.
Challenge 10, Considering the side effects of change
It’s not uncommon to successfully target one issue but also cause new
problems elsewhere. This can cause people to lose faith. Be vigilant about
detecting unwanted consequences and be willing to learn and adapt.

Online Survey on 146 Halodoc user

perceived usefulness: perceived usefulness can be defined as a

person's level of trust that using a system will solve their problem

has a positive influence on users’ attitude and behavioral

intention in using Halodoc app.

perceived behavioral control: describes a person's assessment of his ability to use

technology

has a positive influence on the user's behavioral intention in using

Halodoc application

trust: a person's level of

confidence that using m-health applications is safe and there
is privacy threat, credibility and reputation

is also found as antecedent of users'

behavioral intention in using Halodoc app

Furthermore, perceived behavioral

control, trust, and attitude have a positive influence on users’
behavioral intention. Lastly, self-health awareness and
system quality influence users’ behavioral intention through
attitude

Implementation framework

CFIR

Quality measurement:

Increase user outside Java Islands

Video:

Large scale change

▪ Preference falsification
▪ Diverse thresholds
▪ Interdependence
▪ Group polarization
Halodoc is a digital health service
platform built in 2016 that allows users to
be able to communicate directly to
licensed doctors in Indonesia, anytime
and anywhere through applications on
mobile phones and internet sites.

In 2019, more than 22.000 licensed doctor

joined Halodoc. The platform was used by
40 million people with 2 million users
every month, half of which are outside of
Java island (scmp).
Halodoc runs a platform used by 40 million people to
connect with more than 22,000 licensed doctors in
Indonesia