Towards consistent modes of e‐health implementation: structurational analysis of a telecare programme's limited success

Boonstra, Albert; Offenbeek, Marjolein van

doi:10.1111/j.1365-2575.2010.00358.x

Cited by 48 publications

(61 citation statements)

References 39 publications

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“…European policymakers are investing heavily in e-Health developments [20], but e-Health implementation is not always successful. While e-Health implementation within organizational settings is known to have adoption problems [21], few studies have addressed the peculiarities and particularities of e-Health in rural communities. Available studies report non- [22,23] or only partial [24,25] adoption.…”

Section: Introductionmentioning

confidence: 99%

Implementation factors and their effect on e-Health service adoption in rural communities: a systematic literature review

Hage

Roo

Offenbeek

et al. 2013

BMC Health Serv Res

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115

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BackgroundAn ageing population is seen as a threat to the quality of life and health in rural communities, and it is often assumed that e-Health services can address this issue. As successful e-Health implementation in organizations has proven difficult, this systematic literature review considers whether this is so for rural communities. This review identifies the critical implementation factors and, following the change model of Pettigrew and Whipp, classifies them in terms of “context”, “process”, and “content”. Through this lens, we analyze the empirical findings found in the literature to address the question: How do context, process, and content factors of e-Health implementation influence its adoption in rural communities?MethodsWe conducted a systematic literature review. This review included papers that met six inclusion and exclusion criteria and had sufficient methodological quality. Findings were categorized in a classification matrix to identify promoting and restraining implementation factors and to explore whether any interactions between context, process, and content affect adoption.ResultsOf the 5,896 abstracts initially identified, only 51 papers met all our criteria and were included in the review. We distinguished five different perspectives on rural e-Health implementation in these papers. Further, we list the context, process, and content implementation factors found to either promote or restrain rural e-Health adoption. Many implementation factors appear repeatedly, but there are also some contradictory results. Based on a further analysis of the papers’ findings, we argue that interaction effects between context, process, and content elements of change may explain these contradictory results. More specifically, three themes that appear crucial in e-Health implementation in rural communities surfaced: the dual effects of geographical isolation, the targeting of underprivileged groups, and the changes in ownership required for sustainable e-Health adoption.ConclusionsRural e-Health implementation is an emerging, rapidly developing, field. Too often, e-Health adoption fails due to underestimating implementation factors and their interactions. We argue that rural e-Health implementation only leads to sustainable adoption (i.e. it “sticks”) when the implementation carefully considers and aligns the e-Health content (the “clicks”), the pre-existing structures in the context (the “bricks”), and the interventions in the implementation process (the “tricks”).

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Section: Introductionmentioning

confidence: 99%

Implementation factors and their effect on e-Health service adoption in rural communities: a systematic literature review

Hage

Roo

Offenbeek

et al. 2013

BMC Health Serv Res

Self Cite

115

View full text Add to dashboard Cite

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“…For example, clinical management Information Systems (IS) often respond to the managerialist logic of performance and efficiency in health care resource management and clinical practice (Currie & Guah, 2007;Doolin, 2004). The introduction of these systems creates tension with medical professionalism by disrupting established patterns of work (Boonstra & Van Offenbeek, 2010;Nicolini, 2006;Petrakaki, Barber, & Waring, 2012) and challenging the professional autonomy of clinicians (Abraham & Junglas, 2011;Davidson & Chismar, 2007;Doolin, 2004;Exworthy, 2015;Exworthy et al, 2003). To date, very few studies have focused on IT innovations that promote PCC as well as managerialism.…”

Section: Institutional Logics and It Innovation In Health Carementioning

confidence: 99%

Clinical managers' identity at the crossroad of multiple institutional logics in it innovation: The case study of a health care organization in England

Bernardi

Exworthy

2019

Information Systems Journal

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Clinical managers play a crucial role in securing the implementation and sustainability of information technology (IT) innovation in health care. Yet, not all clinical managers are willing and able to support IT innovation, particularly when the institutional logics of an IT innovation challenge their professional practice. We investigate how clinical managers use their hybrid identities to reconcile differences among competing institutional logics that affect IT innovation. Based on three examples of IT innovation (telehealth for obstructive sleep apnoea, telehealth for heart failure, and electrocardiograms) in a health care organization in England, we identify three roles in IT innovation (innovation advocate, innovation broker, and innovation laggard) that clinical managers enacted in response to three degrees of conflict between institutional logics (no conflict, moderate conflict, and high conflict), respectively. We make the following contributions. First, we demonstrate how clinical managers' perception of their hybrid role in relation to their professional identity influences their response to the conflicting institutional demands of IT innovation. We conclude that clinical managers' fragmented identities can compromise their ability to effectively manage IT innovation in health care. Second, our findings raise implications for understanding the role of professionals' hybrid identities in the implementation of digital transformation at the intersection of multiple institutional logics.

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“…Some are about health information from a systems and technology perspective. An example is Boonstra and Van Offenbeek (2010) who demonstrated the complexity of ICT systems to facilitate care delivery to individuals in their homes. Adam and Kreps (2006) employed critical disability theory to analyze accessibility for disabled people as a critical IS issue Finally, Hedström (2007) conducted a grounded theory study of the values of IT in elder care.…”

Section: Literature Review Health Information Literature In Is Researchmentioning

confidence: 99%

Socio-economic influences on health information searching in the USA: the case of diabetes

Morgan

Trauth

2013

Information Technology &Amp; People

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2014),"Why do people stick to Facebook web site? A value theorybased view", Information Technology & People, Vol. 27 Iss 1 pp. 21-37 http://dx.If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -The purpose of this paper is to consider the effect of demographic differences on the motivations and abilities of individuals with diabetes in their search for health information online. Using data gathered from a qualitative study of 30 individuals, the paper examined instances of user-based health motivation and abilities using the lens of demographic differences to identify the influence on health information searching and potential health outcomes. Design/methodology/approach -The paper utilized an interpretive, mixed methodology research design. The paper was composed of a user "experience" that served as a critical incident to the paper, where each participant was prompted to do online searching for health and nutrition information. This was followed by open-ended interviews to gain a deeper understanding of each participants' online searching experience. Findings -The theoretical model used was the Integrated Model of E-Health Use by Dutta-Bergman (2006) which frames the influence of group and individual-level differences on health informationsearch and e-health use and subsequently health outcomes. The paper found that experiences among diabetic patients who have an assumed intrinsic motivation to search have differential searching behaviors due to a number of factors including access to health care provider or resources, searching success, and significant people in the individuals' lives. Assumptions about race and socioeconomic status are challenged because of the geographic location in which people live and work. Research limitations/implications -This research on intersectionality and the health information consumer contributes to a better understanding of health information searching behavior. Implications from this research for practice are that search technology in the domain of health should be made customizable, that a variety of user perspectives should be incorporated in the e-health systems development process, and that a comprehensive view of the user in system development should be utilized. In additio...

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Towards consistent modes of e‐health implementation: structurational analysis of a telecare programme's limited success

Cited by 48 publications

References 39 publications

Implementation factors and their effect on e-Health service adoption in rural communities: a systematic literature review

Implementation factors and their effect on e-Health service adoption in rural communities: a systematic literature review

Clinical managers' identity at the crossroad of multiple institutional logics in it innovation: The case study of a health care organization in England

Socio-economic influences on health information searching in the USA: the case of diabetes

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