title: Development of a program for tele-rehabilitation of COPD patients across sectors: co-innovation in a network.
abstract: BACKGROUND
  The aim of the Telekat project is to prevent re-admissions of patients with chronic obstructive pulmonary disease (COPD) by developing a preventive program of tele-rehabilitation across sectors for COPD patients. The development of the program is based on a co-innovation process between COPD patients, relatives, healthcare professionals and representatives from private firms and universities. This paper discusses the obstacles that arise in the co-innovation process of developing an integrated technique for tele-rehabilitation of COPD patients.
  
  
  BACKGROUND
  Network and innovation theory.
  
  
  METHODS
  The case study was applied. A triangulation of data collection techniques was used: documents, observations (123 hours), qualitative interviews (n=32) and action research.
  
  
  RESULTS
  Obstacles were identified in the network context; these obstacles included the mindset of the healthcare professionals, inter-professionals relations, views of technology as a tool and competing visions for the goals of tele-rehabilitation.
  
  
  CONCLUSIONS
  We have identified obstacles that emerge in the co-innovation process when developing a programme for tele-rehabilitation of COPD patients in an inter-organizational context. Action research has been carried out and can have helped to facilitate the co-innovation process.
authors.affiliation: Department of Health Science and Technology, Aalborg University, Fredrik BajersVej 7 D1, DK-9220 Aalborg, Denmark.
authors.forename: Birthe
authors.initials: B
authors.lastname: Dinesen
authors.forename: Janne
authors.initials: J
authors.lastname: Seeman
authors.forename: Jeppe
authors.initials: J
authors.lastname: Gustafsson