Stakeholder driven indicators for eHealth performance management

Vedlūga, Tomas; Mikulskienė, Birutė

doi:10.1016/j.evalprogplan.2017.03.001

Cited by 14 publications

(13 citation statements)

References 15 publications

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“…Vedlūga and Mikulskienė [ 39 ] compiled a corpus of indicators to monitor the implementation of the national eHealth information system and proposed 5 key dimensions of stakeholder-driven performance elements for eHealth evaluation: human resources, financial resources, management resources, legal aspects, satisfaction with technological solutions, and design. These performance elements match with the results of our study, such as the issues caused by misunderstandings between clients and IT service providers, shortage of funding, and never discussed before legal issues.…”

Section: Discussionmentioning

confidence: 99%

Successes of and Lessons From the First Joint eHealth Program of the Dutch University Hospitals: Evaluation Study

Rauwerdink¹,

Kasteleyn²,

Chavannes³

et al. 2021

J Med Internet Res

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Background A total of 8 Dutch university hospitals are at the forefront of contributing meaningfully to a future-proof health care system. To stimulate nationwide collaboration and knowledge-sharing on the topic of evidence-based eHealth, the Dutch university hospitals joined forces from 2016 to 2019 with the first Citrien Fund (CF) program eHealth; 29 eHealth projects with various subjects and themes were selected, supported, and evaluated. To determine the accomplishment of the 10 deliverables for the CF program eHealth and to contribute to the theory and practice of formative evaluation of eHealth in general, a comprehensive evaluation was deemed essential. Objective The first aim of this study is to evaluate whether the 10 deliverables of the CF program eHealth were accomplished. The second aim is to evaluate the progress of the 29 eHealth projects to determine the barriers to and facilitators of the development of the CF program eHealth projects. Methods To achieve the first aim of this study, an evaluation study was carried out using an adapted version of the Commonwealth Scientific and Industrial Research Organization framework. A mixed methods study, consisting of a 2-part questionnaire and semistructured interviews, was conducted to analyze the second aim of the study. Results The 10 deliverables of the CF program eHealth were successfully achieved. The program yielded 22 tangible eHealth solutions, and significant knowledge on the development and use of eHealth solutions. We have learned that the patient is enthusiastic about accessing and downloading their own medical data but the physicians are more cautious. It was not always possible to implement the Dutch set of standards for interoperability, owing to a lack of information technology (IT) capacities. In addition, more attention needed to be paid to patients with low eHealth skills, and education in such cases is important. The eHealth projects’ progress aspects such as planning, IT services, and legal played an important role in the success of the 29 projects. The in-depth interviews illustrated that a novel eHealth solution should fulfill a need, that partners already having the knowledge and means to accelerate development should be involved, that clear communication with IT developers and other stakeholders is crucial, and that having a dedicated project leader with sufficient time is of utmost importance for the success of a project. Conclusions The 8 Dutch university hospitals were able to collaborate successfully and stimulate through a bottom-up approach, nationwide eHealth development and knowledge-sharing. In total, 22 tangible eHealth solutions were developed, and significant eHealth knowledge about their development and use was shared. The eHealth projects’ progress aspects such as planning, IT services, and legal played an important role in the successful progress of the projects and should therefore be closely monitored when developing novel eHealth solutions. International Registered Report Identifier (IRRID) RR2-10.1016/j.ceh.2020.12.002

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Section: Discussionmentioning

confidence: 99%

Successes of and Lessons From the First Joint eHealth Program of the Dutch University Hospitals: Evaluation Study

Rauwerdink¹,

Kasteleyn²,

Chavannes³

et al. 2021

J Med Internet Res

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“…Publication dates ranged from 2012 to 2018. Of the four included publications, two were articles on original research studies of a specific DHI, 15,16 and two were overviews of methods for developing DHIs (not specific to a single DHI). 17,18 The primary geographic region of the DHI or publication (dependent on whether the article was related to a specific DHI or an overview of DHI methodology) was Europe which accounted for three articles, [16][17][18] and Colombia 15 for one article.…”

Section: Characteristics Of Included Referencesmentioning

confidence: 99%

Development of the key performance indicators for digital health interventions: A scoping review

Brenner

Weir²,

McCann

et al. 2023

DIGITAL HEALTH

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Background Digital health interventions offer new methods for delivering healthcare, with the potential to innovate healthcare services. Key performance indicators play a role in the evaluation, measurement, and improvement in healthcare quality and service performance. The aim of this scoping review was to identify current knowledge and evidence surrounding the development of key performance indicators for digital health interventions. Methods A literature search was conducted across ten key databases: AMED – The Allied and Complementary Medicine Database, CINAHL – Complete, Health Source: Nursing/Academic Edition, MEDLINE, APA PsycINFO, EMBASE, EBM Reviews – Cochrane Database of Systematic Reviews, EBM Reviews – Database of Abstracts of Reviews of Effects, EBM Reviews – Health Technology Assessment, and IEEE Xplore. Results Five references were eligible for the review. Two were articles on original research studies of a specific digital health intervention, and two were overviews of methods for developing digital health interventions (not specific to a single digital health intervention). All the included reports discussed the involvement of stakeholders in developing key performance indicators for digital health interventions. The step of identifying and defining the key performance indicators was completed using various methodologies, but all centred on a form of stakeholder involvement. Potential options for stakeholder involvement for key performance indicator identification include the use of an elicitation framework, a factorial survey approach, or a Delphi study. Conclusions Few articles were identified, highlighting a significant gap in evidence-based knowledge in this domain. All the included articles discussed the involvement of stakeholders in developing key performance indicators for digital health interventions, which were performed using various methodologies. The articles acknowledged a lack of literature related to key performance indicator development for digital health interventions. To allow comparability between key performance indicator initiatives and facilitate work in the field, further research would be beneficial to develop a common methodology for key performance indicators development for digital health interventions.

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“…Desde un enfoque más cercano a la formulación de políticas, y en línea con recomendaciones de la OMS y la literatura sobre el campo de la eSalud, se observa la oportunidad de explorar las perspectivas de los representantes de las diferentes partes (actores) que deben estar involucrados en la formulación y en la implementación de políticas de las TIC en salud, es decir, representantes de las diferentes organizaciones o instituciones que conforman el sistema de salud en sus diversas funciones, representantes del sector de las TIC, profesionales sanitarios, representantes de personal administrativo y pacientes (Vedlūga y Mikulskienė, 2017;WHO, 2019; WHO e ITU, 2012; Zinszer, Tamblyn, Bates y Buckeridge, 2013).…”

Section: Fortalezas Y Debilidades Del Estudiounclassified

eSalud en servicios de salud públicos en México: estudio de caso

Castañeda

Ortega²

2020

regsoc

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El presente trabajo tiene el objetivo de explorar el desarrollo de las tecnologías de la información y comunicación (componentes de eSalud) en servicios de salud públicos de México, así como indagar sobre los facilitadores y barreras para su implementación. Se realizó un estudio de caso en el Instituto de Servicios de Salud del Estado de Aguascalientes utilizando un abordaje mixto de tipo concurrente y de predominancia cualitativa que incluyó observación no participante, entrevistas semiestructuradas y un cuestionario dirigido al personal médico. A través del estudio, se identifican diversas oportunidades de mejora en cuanto al acceso y desarrollo de las tecnologías de la información y comunicación; también se identifican diversas barreras para su implementación factibles de superarse. En cuanto a las limitaciones del estudio, se reconoce la exploración de perspectivas sólo desde la oferta de servicios. En lo que respecta a la originalidad, destaca la investigación integral de diferentes componentes de eSalud. Se concluye que es necesario fortalecer las políticas de las tecnologías de información y comunicación dirigidas al sector salud con el fin de optimizar su desarrollo e implementación.

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Stakeholder driven indicators for eHealth performance management

Cited by 14 publications

References 15 publications

Successes of and Lessons From the First Joint eHealth Program of the Dutch University Hospitals: Evaluation Study

Successes of and Lessons From the First Joint eHealth Program of the Dutch University Hospitals: Evaluation Study

Development of the key performance indicators for digital health interventions: A scoping review

eSalud en servicios de salud públicos en México: estudio de caso

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