E-Health Implementation Challenges in Iranian Medical Centers: A Qualitative Study in Iran

Sharifi, Mohammad; Ayat, Masart; Jahanbakhsh, Maryam; Tavakoli, Nahid; Mokhtari, Haibiollah; Ismail, Wan Khairuzzaman Wan

doi:10.1089/tmj.2012.0071

Cited by 37 publications

(35 citation statements)

References 30 publications

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“…There is a need for active involvement and collaboration from all those involved; therefore, requiring the need for common understanding between all those concerned as well as combined participation and familiarity with associated processes [5]. For eHealth to progress, key factors relating to the end-user such as their attitudes [6], [7], [8] and their education [9], [10], [11], [12] prior to implementing an eHealth service should be considered. However, additional factors such as the level of training provided to an end-user [7], [9], [13] after an eHealth service has been implemented should also be considered.…”

Section: Challengesmentioning

confidence: 99%

“…C2: Technology and Interoperability -Challenges surrounding integration/interoperability [19], [20], [21], [22], [23], [24] and standardisation of technologies/lack of data standards [9], [25], [26] were two barriers that appeared often in the analysed set of literature. Interoperability should allow for the unified integration of varied technologies to enable secure and fast access to health data and to patient information situated in different locations.…”

Section: Challengesmentioning

confidence: 99%

“…Much of the costs are associated with the development of eHealth services/technologies throughout the System Development Life Cycle (SDLC) such as the costs associated with deployment and training [9] as well as the costs for ongoing maintenance of the service/technology in question. A lack of sustained and sufficient funding from stakeholders such as governing bodies e.g.…”

Section: Challengesmentioning

confidence: 99%

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A systematic review of reviews to identify key research opportunities within the field of eHealth implementation

2018

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This paper is a systematic review of the relevant literature surrounding the implementation and utilisation of eHealth in order to identify key challenges and opportunities to future eHealth applications. NHS Evidence, PubMed, IEEE Explorer, Cochrane Library and JMIR Publications were all searched for reviews published between the dates 1 January 2010 and 30 June 2017. 47 papers met the final inclusion criterion. The published literature focused on a wide array of challenges, categorised into five areas, facing the implementation and utilisation of eHealth and from this, four areas of opportunity to advance eHealth were identified. The five challenge areas are (C1) Stakeholders and System Users, (C2) Technology and Interoperability, (C3) Cost-Effectiveness and Start-up Costs, (C4) Legal Clarity and Legal Framework and (C5) Local Context and Regional Differences. The four opportunity areas are (O1) Participation and Contribution, (O2) Foundation and Sustainability, (O3) Improvement and Productivity and (O4) Identification and Application. The literature analysed in this systematic review identifies design and implementation priorities that can guide the development and utilisation of future eHealth initiatives.

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Section: Challengesmentioning

confidence: 99%

Section: Challengesmentioning

confidence: 99%

Section: Challengesmentioning

confidence: 99%

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A systematic review of reviews to identify key research opportunities within the field of eHealth implementation

2018

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“…Yet, HIS implementation is associated with some challenges including the lack of a comprehensive standard, [10,11] high cost of HIS implementation, [10,12] training costs etc. [13][14][15] However, different models and frameworks have been proposed to identify the facilities and defects of HISs in the hospitals but they are mainly pure research-base and not empirical studies. Therefore, Healthcare Information and Management Systems Society (HIMSS) which was formerly known as the society of hospital management systems and particularly focused on worldwide strategic establishment of the idea of optimal utilization of IT and HISs in the hospitals, has recently proposed an HIS maturity assessment model for hospitals.…”

Section: Introductionmentioning

confidence: 99%

“…[19] This model as a matured model designed for HISs assessment in the hospitals is now used all over the world. [15] This eight stages model lets the hospital authorities to analyze their HIS capabilities and compare their progress with other hospitals and countries. [20] As a result, a suitable method for benchmarking the hospitals [21] has been prepared and applied in over 5,500 hospitals in the world until now.…”

Section: Introductionmentioning

confidence: 99%

The maturity assessment of hospital information systems based on Electronic Medical Record Adoption Model – A comparison between private and governmental hospitals

Ayat

Sharifi²,

Jahanbakhsh

2017

JHA

Self Cite

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Today, Information Technology (IT) is considered as one of the major national development principles in each country which is applied in different fields. One of the most important fields in which IT is applied is health care and hospitals are similarly considered as most substantial organizations that use IT vastly. Although, different benchmarks and frameworks were developed to assess different aspects of Hospital Information Systems (HIS), still there was no reference model to benchmark HIS in the world until very recently. Eventually, Electronic Medical Record Adoption Model (EMRAM) which is globally a well-known model to benchmark the rate of HIS utilization in the hospitals, were emerged. Nevertheless, this model has not been introduced in majority of developing and even some developed countries in the world yet. In this study, EMRAM is applied to benchmark both governmental and private hospitals in Iran. This research is based on an applied descriptive method to assess five governmental and three private hospitals in Isfahan in 2015. This province is one of the most important provinces of Iran. The results reveal that HIS is not at the center of concern in these hospitals and are in the first and second maturity stages in accordance with EMRAM. Therefore, these types of hospitals are far away from desirable conditions and stages. Yet, the immaturity of HISs in private hospitals is more observable. This situation including the pressure of different beneficiaries such as insurance companies, has forced hospital managers to develop and enhance their HISs, especially in governmental hospitals.

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Predicting consumer intention to use electronic health service: An empirical structural equation modeling approach

Bondzie-Micah

Qi-gui

Arkorful

et al. 2021

Journal of Public Affairs

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The enormous potential inherent in the use of technological enhancements has subsequently informed the deployment of technologies into mainstream health service and delivery. However, a larger population of health technology consumers, specifically patients, are touted to be significantly constrained in its usage. Against this backdrop, our study employs an integrated model anchored on the technology acceptance model and the theory of planned behavior to investigate patients' electronic health use. Our study elicited data from 360 respondents, of which 311 were deemed feasible for the study. Structural equation modeling analysis of data revealed perceived usefulness and perceived ease of use has a relevant positive effect on attitude. Furthermore, the authors found; attitude, internet dependency, perceived behavioral control and the subjective norm also have a relevant positive impact on intention to use electronic health service. Premised on the findings, recommendations about enhancing consumer electronic health use and areas for further studies are successively delineated.

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E-Health Implementation Challenges in Iranian Medical Centers: A Qualitative Study in Iran

Abstract: The implementation of e-health in Iran, particularly Isfahan, is subject to similar challenges as in other countries throughout the world. Hence, e-health implementers need to adhere to the proposed solutions in order to overcome the mentioned challenges in such complex projects.

Cited by 37 publications

References 30 publications

A systematic review of reviews to identify key research opportunities within the field of eHealth implementation

A systematic review of reviews to identify key research opportunities within the field of eHealth implementation

The maturity assessment of hospital information systems based on Electronic Medical Record Adoption Model – A comparison between private and governmental hospitals

Predicting consumer intention to use electronic health service: An empirical structural equation modeling approach

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