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A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies

BACKGROUND: Many eHealth technologies are not successful in realizing sustainable innovations in health care practices. One of the reasons for this is that the current development of eHealth technology often disregards the interdependencies between technology, human characteristics, and the socioeco...

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Autores principales: van Gemert-Pijnen, Julia EWC, Nijland, Nicol, van Limburg, Maarten, Ossebaard, Hans C, Kelders, Saskia M, Eysenbach, Gunther, Seydel, Erwin R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Gunther Eysenbach 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278097/
https://www.ncbi.nlm.nih.gov/pubmed/22155738
http://dx.doi.org/10.2196/jmir.1672
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author van Gemert-Pijnen, Julia EWC
Nijland, Nicol
van Limburg, Maarten
Ossebaard, Hans C
Kelders, Saskia M
Eysenbach, Gunther
Seydel, Erwin R
author_facet van Gemert-Pijnen, Julia EWC
Nijland, Nicol
van Limburg, Maarten
Ossebaard, Hans C
Kelders, Saskia M
Eysenbach, Gunther
Seydel, Erwin R
author_sort van Gemert-Pijnen, Julia EWC
collection PubMed
description BACKGROUND: Many eHealth technologies are not successful in realizing sustainable innovations in health care practices. One of the reasons for this is that the current development of eHealth technology often disregards the interdependencies between technology, human characteristics, and the socioeconomic environment, resulting in technology that has a low impact in health care practices. To overcome the hurdles with eHealth design and implementation, a new, holistic approach to the development of eHealth technologies is needed, one that takes into account the complexity of health care and the rituals and habits of patients and other stakeholders. OBJECTIVE: The aim of this viewpoint paper is to improve the uptake and impact of eHealth technologies by advocating a holistic approach toward their development and eventual integration in the health sector. METHODS: To identify the potential and limitations of current eHealth frameworks (1999–2009), we carried out a literature search in the following electronic databases: PubMed, ScienceDirect, Web of Knowledge, PiCarta, and Google Scholar. Of the 60 papers that were identified, 44 were selected for full review. We excluded those papers that did not describe hands-on guidelines or quality criteria for the design, implementation, and evaluation of eHealth technologies (28 papers). From the results retrieved, we identified 16 eHealth frameworks that matched the inclusion criteria. The outcomes were used to posit strategies and principles for a holistic approach toward the development of eHealth technologies; these principles underpin our holistic eHealth framework. RESULTS: A total of 16 frameworks qualified for a final analysis, based on their theoretical backgrounds and visions on eHealth, and the strategies and conditions for the research and development of eHealth technologies. Despite their potential, the relationship between the visions on eHealth, proposed strategies, and research methods is obscure, perhaps due to a rather conceptual approach that focuses on the rationale behind the frameworks rather than on practical guidelines. In addition, the Web 2.0 technologies that call for a more stakeholder-driven approach are beyond the scope of current frameworks. To overcome these limitations, we composed a holistic framework based on a participatory development approach, persuasive design techniques, and business modeling. CONCLUSIONS: To demonstrate the impact of eHealth technologies more effectively, a fresh way of thinking is required about how technology can be used to innovate health care. It also requires new concepts and instruments to develop and implement technologies in practice. The proposed framework serves as an evidence-based roadmap.
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spelling pubmed-32780972012-02-13 A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies van Gemert-Pijnen, Julia EWC Nijland, Nicol van Limburg, Maarten Ossebaard, Hans C Kelders, Saskia M Eysenbach, Gunther Seydel, Erwin R J Med Internet Res Viewpoint BACKGROUND: Many eHealth technologies are not successful in realizing sustainable innovations in health care practices. One of the reasons for this is that the current development of eHealth technology often disregards the interdependencies between technology, human characteristics, and the socioeconomic environment, resulting in technology that has a low impact in health care practices. To overcome the hurdles with eHealth design and implementation, a new, holistic approach to the development of eHealth technologies is needed, one that takes into account the complexity of health care and the rituals and habits of patients and other stakeholders. OBJECTIVE: The aim of this viewpoint paper is to improve the uptake and impact of eHealth technologies by advocating a holistic approach toward their development and eventual integration in the health sector. METHODS: To identify the potential and limitations of current eHealth frameworks (1999–2009), we carried out a literature search in the following electronic databases: PubMed, ScienceDirect, Web of Knowledge, PiCarta, and Google Scholar. Of the 60 papers that were identified, 44 were selected for full review. We excluded those papers that did not describe hands-on guidelines or quality criteria for the design, implementation, and evaluation of eHealth technologies (28 papers). From the results retrieved, we identified 16 eHealth frameworks that matched the inclusion criteria. The outcomes were used to posit strategies and principles for a holistic approach toward the development of eHealth technologies; these principles underpin our holistic eHealth framework. RESULTS: A total of 16 frameworks qualified for a final analysis, based on their theoretical backgrounds and visions on eHealth, and the strategies and conditions for the research and development of eHealth technologies. Despite their potential, the relationship between the visions on eHealth, proposed strategies, and research methods is obscure, perhaps due to a rather conceptual approach that focuses on the rationale behind the frameworks rather than on practical guidelines. In addition, the Web 2.0 technologies that call for a more stakeholder-driven approach are beyond the scope of current frameworks. To overcome these limitations, we composed a holistic framework based on a participatory development approach, persuasive design techniques, and business modeling. CONCLUSIONS: To demonstrate the impact of eHealth technologies more effectively, a fresh way of thinking is required about how technology can be used to innovate health care. It also requires new concepts and instruments to develop and implement technologies in practice. The proposed framework serves as an evidence-based roadmap. Gunther Eysenbach 2011-12-13 /pmc/articles/PMC3278097/ /pubmed/22155738 http://dx.doi.org/10.2196/jmir.1672 Text en ©Julia EWC van Gemert-Pijnen, Nicol Nijland, Maarten van Limburg, Hans C Ossebaard, Saskia M Kelders, Gunther Eysenbach, Erwin R Seydel. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 13.12.2011. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Viewpoint
van Gemert-Pijnen, Julia EWC
Nijland, Nicol
van Limburg, Maarten
Ossebaard, Hans C
Kelders, Saskia M
Eysenbach, Gunther
Seydel, Erwin R
A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies
title A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies
title_full A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies
title_fullStr A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies
title_full_unstemmed A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies
title_short A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies
title_sort holistic framework to improve the uptake and impact of ehealth technologies
topic Viewpoint
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278097/
https://www.ncbi.nlm.nih.gov/pubmed/22155738
http://dx.doi.org/10.2196/jmir.1672
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