The e-Health Implementation Toolkit: qualitative evaluation across four European countries

Anne MacFarlane, Pauline Clerkin, Elizabeth Murray, David Heaney

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

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.
Original languageEnglish
Article number122
Number of pages12
JournalImplementation Science
Volume6
DOIs
Publication statusPublished - 19 Nov 2011

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Health
Health Services
National Health Programs
Scotland
Finland
Norway
Research
Sweden
Decision Making
Research Personnel
Interviews
Delivery of Health Care

Cite this

The e-Health Implementation Toolkit : qualitative evaluation across four European countries. / MacFarlane, Anne; Clerkin, Pauline; Murray, Elizabeth; Heaney, David.

In: Implementation Science, Vol. 6, 122, 19.11.2011.

Research output: Contribution to journalArticle

MacFarlane, Anne ; Clerkin, Pauline ; Murray, Elizabeth ; Heaney, David. / The e-Health Implementation Toolkit : qualitative evaluation across four European countries. In: Implementation Science. 2011 ; Vol. 6.
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