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  • 1.
    Hoshi, Kei
    et al.
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Pesola, Ulla-Maija
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Waterworth, Eva Lindh
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Waterworth, John
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Tools, Perspectives and Avatars in Blended Reality Space2009In: Annual Review of Cybertherapy and Telemedicine 2009: Advanced Technologies in the Behavioral, Social and Neurosciences / [ed] Brenda K Wiederhold and Giuseppe Riva, Amsterdam: IOS Press, 2009, p. 91-95Chapter in book (Refereed)
    Abstract [en]

    Blended Reality Space is our term for an interactive mixed-reality environment where the physical and the virtual are intimately combined ill the service of interaction goals and communication environments aimed at health support and rehabilitation. The present study examines the effect on rated presence and self-presence of three key factors in the way blended realities may be implemented for these purposes. Our findings emphasize the importance of tangibility for presence, but suggest that presence and self-presence are unrelated phenomena. These findings will be incorporated into design principles for our planned work to develop free movement-based interactions for motor rehabilitation as well as blended-reality spaces for collaboration between hospitals, care organizations, and the home.

  • 2.
    MacFarlane, Anne
    et al.
    Graduate Entry Medical School, University of Limerick, Limerick, Ireland.
    Clerkin, Pauline
    Discipline of General Practice, National University of Ireland, Galway, Galway, Ireland.
    Murray, Elizabeth
    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.
    Heaney, David J
    Centre for Rural Health, University of Aberdeen, Inverness, UK.
    Wakeling, Mary
    Centre for Rural Health, University of Aberdeen, Inverness, UK.
    Pesola, Ulla-Maija
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Waterworth, Eva L
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Larsen, Frank
    Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway, Tromsø, Norway.
    Mäkiniemi, Minna
    Oulu University Hospital, Northern Ostrobothnia Hospital District, Oulu, Finland.
    Winblad, Ilkka
    Oulu University, Oulu, Finland.
    The e-health implementation toolkit: qualitative evaluation across four European countries2011In: Implementation Science, ISSN 1748-5908, E-ISSN 1748-5908, Vol. 06, no 122Article in journal (Refereed)
    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.

  • 3.
    Pesola, Ulla-Maija
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Crossing Boundaries: Transferring eHealth services across the Northern Periphery2013Doctoral thesis, monograph (Other academic)
    Abstract [en]

    Health care organisations in Finland, Norway, Scotland and Sweden face similar challenges when it comes to providing health services in the sparsely populated rural areas. Vast distances, centralized health services, harsh climate and limited access to public transport can make accessing health services difficult. In order to provide health services for the population of the Northern Periphery it is necessary to develop health care service models which can address the problems of isolation, remoteness and centralized health services. One way of overcoming these issues is to develop eHealth services that focus on increasing access to health services in the rural areas.

    As health care organisations’ resources are often limited, the possibilities to develop, test and implement eHealth services can be restricted. Thus, transferring existing eHealth services across organisational and national boundaries can be beneficial, as the services have already been tested in practice. Taking advantage of the knowledge health care organisations in different countries have can support organisations in their drive to develop service provision models that reach out to the population of the Northern Periphery.

    The main objective of this thesis is to understand how local conditions influence the outcomes of eHealth transfer. In order to do so the transnational implementation of five eHealth services was investigated in five case studies. This research gives insight into how differences in organisational structure, ICT infrastructure and the size of the patient base impact health care organisations’ possibility to transfer and utilize existing eHealth services. In addition, this research offers rich insights into how these factors impact the sustainability of eHealth services. The case studies also illustrate how stakeholder collaboration and knowledge exchange impact the process of transferring eHealth services, and how patients’ and professionals’ level of trust in eHealth services can materialize in practice. In addition, this thesis demonstrates why the benefits obtained with a specific eHealth service may, or may not be duplicable in another organisational context. The research discussed in this thesis also contributes to the understanding of how assessing organisational readiness prior to transferring and eHealth services can facilitate the implementation process.

  • 4.
    Pesola, Ulla-Maija
    et al.
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Waterworth, Eva
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Evaluating e-health services for transnational implementation: an experience report2009In: ISHIMR The fourteenth International Symposium for Health Information Management Research: Kalmar, Sweden 14-16 October 2009 / [ed] Bath PA, Petersson G, Steinschaden T, 2009, p. 79-86Conference paper (Refereed)
  • 5.
    Pesola, Ulla-Maija
    et al.
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Waterworth, Eva
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Evaluating e-health services for transnational implementation within the sparsely populated areas of Northern periphery2009In: Telehealth and Assistive Technology, 2009Conference paper (Refereed)
  • 6.
    Roberts, Anne
    et al.
    Centre for Rural Health, University of Aberdeen.
    Reponen, Jarmo
    Finn telemedicum and Raahe Hospital, University of Oulu.
    Pesola, Ulla-Maija
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Lindh Waterworth, Eva
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Larsen, Frank
    Norwegian Centre for Integrated Care and Telemedicine, University Hospital of Norht Norway.
    Mäkiniemi, Minna
    Northern Ostrobothnia Hospital District, Oulu University.
    Heaney, David James
    Centre for Rural Health, University of Aberdeen, Inverness.
    Wakeling, Mary
    Centre for Rural Health , University of Aberdeen, Inverness.
    McFarlane, Anne
    Department of General Practice, National University of Ireland.
    Winblad, Ilkka
    Finn Telemedicum and Raahe Hospital, University of Oulu.
    Christensen, Bente
    Norwegian Center for Integrated Care and Telemedicine, University hospital of North Norway.
    Transnational comparison: A retrospective study on e-health in sparsely populated areas of the Northern periphery2010In: Telemedicine journal and e-health, ISSN 1530-5627, E-ISSN 1556-3669, Vol. 16, no 10, p. 1053-1059Article in journal (Refereed)
    Abstract [en]

    Healthcare delivery in the northern periphery of Europe is challenged by dispersed populations, geographical complexities (including mountainous terrain and inhabited islands), ageing populations, and rising patient expectations. It is challenged further by variations in transport networks and information communication technology infrastructure. This article provides an overview of e-health development across the northern periphery areas of four northern European countries (Finland, Sweden, Norway, and Scotland) by summarizing the outcomes of a mixed methods e-health mapping exercise and subsequently identifying service needs and gaps. A total of 148 applications, with a range of applied e-health solutions, were identified and the findings have promoted the sharing and transfer of e-health innovation across the four countries. The supporting telecommunications infrastructure and development of innovative telemedicine appear slower in sparsely populated areas of Scotland in comparison to its northern peripheral counterparts. All four countries have, however, demonstrated a clear commitment to the development of e-health within their remote and rural regions.

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