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Barriers and Facilitators to the Implementation of eHealth Services: Systematic Literature Analysis

BACKGROUND: The field of eHealth has a history of more than 20 years. During that time, many different eHealth services were developed. However, factors influencing the adoption of such services were seldom the main focus of analyses. For this reason, organizations adopting and implementing eHealth...

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Detalles Bibliográficos
Autores principales: Schreiweis, Björn, Pobiruchin, Monika, Strotbaum, Veronika, Suleder, Julian, Wiesner, Martin, Bergh, Björn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6898891/
https://www.ncbi.nlm.nih.gov/pubmed/31755869
http://dx.doi.org/10.2196/14197
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author Schreiweis, Björn
Pobiruchin, Monika
Strotbaum, Veronika
Suleder, Julian
Wiesner, Martin
Bergh, Björn
author_facet Schreiweis, Björn
Pobiruchin, Monika
Strotbaum, Veronika
Suleder, Julian
Wiesner, Martin
Bergh, Björn
author_sort Schreiweis, Björn
collection PubMed
description BACKGROUND: The field of eHealth has a history of more than 20 years. During that time, many different eHealth services were developed. However, factors influencing the adoption of such services were seldom the main focus of analyses. For this reason, organizations adopting and implementing eHealth services seem not to be fully aware of the barriers and facilitators influencing the integration of eHealth services into routine care. OBJECTIVE: The objective of this work is to provide (1) a comprehensive list of relevant barriers to be considered and (2) a list of facilitators or success factors to help in planning and implementing successful eHealth services. METHODS: For this study, a twofold approach was applied. First, we gathered experts’ current opinions on facilitators and barriers in implementing eHealth services via expert discussions at two health informatics conferences held in Europe. Second, we conducted a systematic literature analysis concerning the barriers and facilitators for the implementation of eHealth services. Finally, we merged the results of the expert discussions with those of the systematic literature analysis. RESULTS: Both expert discussions (23 and 10 experts, respectively) identified 15 barriers and 31 facilitators, whereas 76 barriers and 268 facilitators were found in 38 of the initial 56 articles published from 12 different countries. For the analyzed publications, the count of distinct barriers reported ranged from 0 to 40 (mean 10.24, SD 8.87, median 8). Likewise, between 0 and 48 facilitators were mentioned in the literature (mean 9.18, SD 9.33, median 6). The combination of both sources resulted in 77 barriers and 292 facilitators for the adoption and implementation of eHealth services. CONCLUSIONS: This work contributes a comprehensive list of barriers and facilitators for the implementation and adoption of eHealth services. Addressing barriers early, and leveraging facilitators during the implementation, can help create eHealth services that better meet the needs of users and provide higher benefits for patients and caregivers.
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spelling pubmed-68988912019-12-23 Barriers and Facilitators to the Implementation of eHealth Services: Systematic Literature Analysis Schreiweis, Björn Pobiruchin, Monika Strotbaum, Veronika Suleder, Julian Wiesner, Martin Bergh, Björn J Med Internet Res Original Paper BACKGROUND: The field of eHealth has a history of more than 20 years. During that time, many different eHealth services were developed. However, factors influencing the adoption of such services were seldom the main focus of analyses. For this reason, organizations adopting and implementing eHealth services seem not to be fully aware of the barriers and facilitators influencing the integration of eHealth services into routine care. OBJECTIVE: The objective of this work is to provide (1) a comprehensive list of relevant barriers to be considered and (2) a list of facilitators or success factors to help in planning and implementing successful eHealth services. METHODS: For this study, a twofold approach was applied. First, we gathered experts’ current opinions on facilitators and barriers in implementing eHealth services via expert discussions at two health informatics conferences held in Europe. Second, we conducted a systematic literature analysis concerning the barriers and facilitators for the implementation of eHealth services. Finally, we merged the results of the expert discussions with those of the systematic literature analysis. RESULTS: Both expert discussions (23 and 10 experts, respectively) identified 15 barriers and 31 facilitators, whereas 76 barriers and 268 facilitators were found in 38 of the initial 56 articles published from 12 different countries. For the analyzed publications, the count of distinct barriers reported ranged from 0 to 40 (mean 10.24, SD 8.87, median 8). Likewise, between 0 and 48 facilitators were mentioned in the literature (mean 9.18, SD 9.33, median 6). The combination of both sources resulted in 77 barriers and 292 facilitators for the adoption and implementation of eHealth services. CONCLUSIONS: This work contributes a comprehensive list of barriers and facilitators for the implementation and adoption of eHealth services. Addressing barriers early, and leveraging facilitators during the implementation, can help create eHealth services that better meet the needs of users and provide higher benefits for patients and caregivers. JMIR Publications 2019-11-22 /pmc/articles/PMC6898891/ /pubmed/31755869 http://dx.doi.org/10.2196/14197 Text en ©Björn Schreiweis, Monika Pobiruchin, Veronika Strotbaum, Julian Suleder, Martin Wiesner, Björn Bergh. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 22.11.2019. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), 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 Original Paper
Schreiweis, Björn
Pobiruchin, Monika
Strotbaum, Veronika
Suleder, Julian
Wiesner, Martin
Bergh, Björn
Barriers and Facilitators to the Implementation of eHealth Services: Systematic Literature Analysis
title Barriers and Facilitators to the Implementation of eHealth Services: Systematic Literature Analysis
title_full Barriers and Facilitators to the Implementation of eHealth Services: Systematic Literature Analysis
title_fullStr Barriers and Facilitators to the Implementation of eHealth Services: Systematic Literature Analysis
title_full_unstemmed Barriers and Facilitators to the Implementation of eHealth Services: Systematic Literature Analysis
title_short Barriers and Facilitators to the Implementation of eHealth Services: Systematic Literature Analysis
title_sort barriers and facilitators to the implementation of ehealth services: systematic literature analysis
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6898891/
https://www.ncbi.nlm.nih.gov/pubmed/31755869
http://dx.doi.org/10.2196/14197
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