Elizabeth Murray1, Carl May, Frances Mair. 1. E-Health Unit, Research Department of Primary Care and Population Health, University College London, Upper Floor 3, Royal Free Hospital, Rowland Hill Street, London NW3 2PF, UK. elizabeth.murray@ucl.ac.uk
Abstract
BACKGROUND: The use of Information and Communication Technology (ICT) or e-Health is seen as essential for a modern, cost-effective health service. However, there are well documented problems with implementation of e-Health initiatives, despite the existence of a great deal of research into how best to implement e-Health (an example of the gap between research and practice). This paper reports on the development and formative evaluation of an e-Health Implementation Toolkit (e-HIT) which aims to summarise and synthesise new and existing research on implementation of e-Health initiatives, and present it to senior managers in a user-friendly format. RESULTS: The content of the e-HIT was derived by combining data from a systematic review of reviews of barriers and facilitators to implementation of e-Health initiatives with qualitative data derived from interviews of "implementers", that is people who had been charged with implementing an e-Health initiative. These data were summarised, synthesised and combined with the constructs from the Normalisation Process Model. The software for the toolkit was developed by a commercial company (RocketScience). Formative evaluation was undertaken by obtaining user feedback. There are three components to the toolkit--a section on background and instructions for use aimed at novice users; the toolkit itself; and the report generated by completing the toolkit. It is available to download from http://www.ucl.ac.uk/pcph/research/ehealth/documents/e-HIT.xls. CONCLUSIONS: The e-HIT shows potential as a tool for enhancing future e-Health implementations. Further work is needed to make it fully web-enabled, and to determine its predictive potential for future implementations.
BACKGROUND: The use of Information and Communication Technology (ICT) or e-Health is seen as essential for a modern, cost-effective health service. However, there are well documented problems with implementation of e-Health initiatives, despite the existence of a great deal of research into how best to implement e-Health (an example of the gap between research and practice). This paper reports on the development and formative evaluation of an e-Health Implementation Toolkit (e-HIT) which aims to summarise and synthesise new and existing research on implementation of e-Health initiatives, and present it to senior managers in a user-friendly format. RESULTS: The content of the e-HIT was derived by combining data from a systematic review of reviews of barriers and facilitators to implementation of e-Health initiatives with qualitative data derived from interviews of "implementers", that is people who had been charged with implementing an e-Health initiative. These data were summarised, synthesised and combined with the constructs from the Normalisation Process Model. The software for the toolkit was developed by a commercial company (RocketScience). Formative evaluation was undertaken by obtaining user feedback. There are three components to the toolkit--a section on background and instructions for use aimed at novice users; the toolkit itself; and the report generated by completing the toolkit. It is available to download from http://www.ucl.ac.uk/pcph/research/ehealth/documents/e-HIT.xls. CONCLUSIONS: The e-HIT shows potential as a tool for enhancing future e-Health implementations. Further work is needed to make it fully web-enabled, and to determine its predictive potential for future implementations.
Authors: David S Thompson; Kathy O'Leary; Eva Jensen; Shannon Scott-Findlay; Linda O'Brien-Pallas; Carole A Estabrooks Journal: J Clin Nurs Date: 2008-02 Impact factor: 3.036
Authors: Mark Petticrew; Margaret Whitehead; Sally J Macintyre; Hilary Graham; Matt Egan Journal: J Epidemiol Community Health Date: 2004-10 Impact factor: 3.710
Authors: Marie-Pierre Gagnon; France Légaré; Michel Labrecque; Pierre Frémont; Pierre Pluye; Johanne Gagnon; Josip Car; Claudia Pagliari; Marie Desmartis; Lucile Turcot; Karine Gravel Journal: Cochrane Database Syst Rev Date: 2009-01-21
Authors: Tracy L Finch; Frances S Mair; Catherine O'Donnell; Elizabeth Murray; Carl R May Journal: BMC Med Res Methodol Date: 2012-05-17 Impact factor: 4.615
Authors: Anne MacFarlane; Pauline Clerkin; Elizabeth Murray; David J Heaney; Mary Wakeling; Ulla-Maija Pesola; Eva Lindh Waterworth; Frank Larsen; Minna Makiniemi; Ilkka Winblad Journal: Implement Sci Date: 2011-11-19 Impact factor: 7.327
Authors: Carl R May; Tracy Finch; Luciana Ballini; Anne MacFarlane; Frances Mair; Elizabeth Murray; Shaun Treweek; Tim Rapley Journal: BMC Health Serv Res Date: 2011-09-30 Impact factor: 2.655
Authors: Tracy L Finch; Tim Rapley; Melissa Girling; Frances S Mair; Elizabeth Murray; Shaun Treweek; Elaine McColl; Ian Nicholas Steen; Carl R May Journal: Implement Sci Date: 2013-04-11 Impact factor: 7.327
Authors: Beverley French; Elaine Day; Caroline Watkins; Alison McLoughlin; Jane Fitzgerald; Michael Leathley; Paul Davies; Hedley Emsley; Gary Ford; Damian Jenkinson; Carl May; Mark O'Donnell; Christopher Price; Christopher Sutton; Catherine Lightbody Journal: BMC Med Inform Decis Mak Date: 2013-11-14 Impact factor: 2.796