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Development and formative evaluation of the e-Health Implementation Toolkit (e-HIT).

Elizabeth Murray1, Carl May, Frances Mair

  • 1E-Health Unit, Research Department of Primary Care and Population Health, University College London, Upper Floor 3, Royal Free Hospital, Rowland Hill Street, London NW3 2PF, UK. elizabeth.murray@ucl.ac.uk

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Summary

This study developed an e-Health Implementation Toolkit (e-HIT) to bridge the research-practice gap for senior managers. The e-HIT synthesizes research on e-health implementation barriers and facilitators for practical application.

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Area of Science:

  • Health Informatics
  • Implementation Science
  • Healthcare Management

Background:

  • Information and Communication Technology (ICT), or e-Health, is crucial for modern healthcare but faces implementation challenges.
  • A significant gap exists between e-Health research findings and practical implementation strategies.
  • This paper addresses the need for user-friendly tools to support e-Health implementation.

Purpose of the Study:

  • To develop and evaluate an e-Health Implementation Toolkit (e-HIT).
  • To synthesize existing research on e-Health implementation barriers and facilitators.
  • To present synthesized research in a format accessible to senior managers.

Main Methods:

  • A systematic review of reviews identified barriers and facilitators to e-Health implementation.
  • Qualitative data from interviews with e-Health implementers were collected.
  • Data were synthesized and integrated with constructs from the Normalisation Process Model.

Main Results:

  • The e-Health Implementation Toolkit (e-HIT) was developed, integrating research findings and implementation theory.
  • The toolkit comprises background information, usage instructions, and a report generation feature.
  • Formative evaluation involved collecting user feedback for refinement.

Conclusions:

  • The e-HIT demonstrates potential for improving future e-Health implementations.
  • Further development is required to make the toolkit fully web-enabled.
  • Future work will assess the toolkit's predictive capabilities for implementation success.