Clinical Videoconferencing as eHealth: A Critical-Realist Review and Qualitative Meta-Synthesis.

Services were enacted as dynamic, differentiated concerning content and considerations of quality and adaptive along temporal lines. They were made to work from an ongoing demand for fresh resources, making them interdependent. The 4 D's-Dynamic, Differentiated, Demanding, and (inter) Dependent-serve as pragmatic add-ons to the "10 E's of eHealth." Questions concerning outcome of specified balances between standardization and customization in clinical settings should be addressed in future research along with the emerging dual character of outcome: services being considered both "good" and "bad."