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The e-health implementation toolkit: qualitative evaluation across four European countries
Graduate Entry Medical School, University of Limerick, Limerick, Ireland.
Discipline of General Practice, National University of Ireland, Galway, Galway, Ireland.
e-Health Unit, Department of Primary Care & Population Health, University College London, Upper Floor 3, Royal Free Hospital, Rowland Hill Street, London NW3 2PF, UK.
Centre for Rural Health, University of Aberdeen, Inverness, UK.
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2011 (English)In: Implementation Science, ISSN 1748-5908, Vol. 06, no 122Article in journal (Refereed) Published
Abstract [en]

Background: Implementation researchers have attempted to overcome the research-practice gap in e-health by developing tools that summarize and synthesize research evidence of factors that impede or facilitate implementation of innovation in healthcare settings. The e-Health Implementation Toolkit (e-HIT) is an example of such a tool that was designed within the context of the United Kingdom National Health Service to promote implementation of e-health services. Its utility in international settings is unknown.

Methods: We conducted a qualitative evaluation of the e-HIT in use across four countries--Finland, Norway, Scotland, and Sweden. Data were generated using a combination of interview approaches (n = 22) to document e-HIT users' experiences of the tool to guide decision making about the selection of e-health pilot services and to monitor their progress over time.

Results: e-HIT users evaluated the tool positively in terms of its scope to organize and enhance their critical thinking about their implementation work and, importantly, to facilitate discussion between those involved in that work. It was easy to use in either its paper- or web-based format, and its visual elements were positively received. There were some minor criticisms of the e-HIT with some suggestions for content changes and comments about its design as a generic tool (rather than specific to sites and e-health services). However, overall, e-HIT users considered it to be a highly workable tool that they found useful, which they would use again, and which they would recommend to other e-health implementers.

Conclusion: The use of the e-HIT is feasible and acceptable in a range of international contexts by a range of professionals for a range of different e-health systems.

Place, publisher, year, edition, pages
BioMed Central, 2011. Vol. 06, no 122
National Category
Information Systems
URN: urn:nbn:se:umu:diva-51074DOI: 10.1186/1748-5908-6-122OAI: diva2:474935
Available from: 2012-01-10 Created: 2012-01-10 Last updated: 2012-03-23Bibliographically approved

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