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Related Experiment Videos

The influence of context and process when implementing e-health.

David Boddy¹, Gerry King, Julia S Clark

¹Department of Management, University of Glasgow, Glasgow, Scotland, UK. d.boddy@lbss.gla.ac.uk.

BMC Medical Informatics and Decision Making

|February 3, 2009

Summary

Successful e-health implementation relies on generic information system management practices. Understanding these factors and adapting them to the evolving healthcare context is key for effective e-health system integration.

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Area of Science:

Health Informatics
Information Systems Management
Organizational Change

Background:

Information system implementation is high-risk, with many failing to integrate into daily workflows.
Generic management practices are known to improve system acceptance and integration.
E-health projects face similar challenges, necessitating tailored implementation strategies.

Purpose of the Study:

To assess the presence of generic management practices in e-health projects.
To develop a theoretical model for e-health implementation.
To support the successful deployment of e-health systems.

Main Methods:

Qualitative semi-structured interviews with Scottish health managers and professionals.
Interview guide developed from prior information systems research and piloted.
Analysis of 18 experienced e-health project respondents' data using NVivo software.

Main Results:

Key contextual factors identified: strategy clarity, supportive culture, impact on workflows, and staff perception.
Effective implementation practices include balancing planning with adaptability, managing participation, and leveraging power.
E-health implementation is influenced by strategy, structure, culture, processes, and people.

Conclusions:

Contextual factors influencing general information systems also impact e-health projects.
E-health implementation involves managing evolving strategies, structures, cultures, processes, and people.
Drawing on broader information systems experience can enhance e-health project delivery.