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Published on: February 19, 2021
eHealth and quality in health care: implementation time
Hans C Ossebaard1, Lisette Van Gemert-Pijnen2
1National Health Care Institute - Health Care Quality Institute, Eekholt 4, PO Box 320, 1110 AH, 1112 XH Diemen, The Netherlands Department of Psychology, Health & Technology, Centre for eHealth and Wellbeing Research, University of Twente, Drienerlolaan 5, PO Box 217, 7500AE, 7522 NB Enschede, The Netherlands.
Information and communication technologies in health (eHealth) can enhance healthcare quality and effectiveness. Addressing implementation challenges like low adoption is crucial for scaling eHealth and transforming healthcare systems.
Area of Science:
- Health Informatics
- Digital Health
- Healthcare Technology
Background:
- Information and communication technologies (ICT) offer significant potential to improve healthcare quality.
- Evidence supports the cost-effectiveness of online education, self-management support, and tele-monitoring.
- Growing evidence highlights eHealth's impact on quality, necessitating focus on implementation.
Purpose of the Study:
- To emphasize the need to address implementation challenges hindering eHealth adoption.
- To highlight the role of improvement science in overcoming behavioral and cultural barriers.
- To advocate for enhanced implementation strategies to scale eHealth technologies.
Main Methods:
- Review of current evidence on eHealth effectiveness.
- Identification of common drawbacks: low acceptance, adoption, and adherence.
- Application of improvement science principles and tools, such as the ceHRes Roadmap.
Main Results:
- eHealth tools like online education and tele-monitoring are proven effective.
- Behavioral and cultural issues impede widespread eHealth adoption and adherence.
- Improvement science offers pragmatic approaches to address these barriers.
Conclusions:
- Overcoming implementation barriers is essential to fully realize eHealth's potential.
- Strategic implementation is key to scaling eHealth solutions.
- Successful scaling of eHealth will accelerate healthcare transformation, ensuring access, affordability, and quality.
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