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Constructive eHealth evaluation: lessons from evaluation of EHR development in 4 Danish hospitals
Anna Marie Balling Høstgaard1, Pernille Bertelsen2, Christian Nøhr2
1Department of Health Science and Technology, Aalborg University, Niels Jernesvej 14, 9220, Aalborg Øst, Aalborg, Denmark. annamarie@hst.aau.dk.
BMC Medical Informatics and Decision Making
|April 22, 2017
Summary
The Constructive eHealth evaluation method (CeHEM) successfully integrated end-users into electronic health record development. Early clinician involvement and feedback improved ownership and attitudes towards eHealth technologies.
Area of Science:
- Health Informatics
- Human-Computer Interaction
- Healthcare Management
Background:
- Healthcare sector transitioning to eHealth technologies presents challenges.
- Traditional summative evaluation methods are insufficient for eHealth development.
- The Constructive eHealth evaluation method (CeHEM) facilitates end-user involvement throughout eHealth development.
Purpose of the Study:
- To present the fully developed CeHEM.
- To share experiences of using CeHEM in electronic health record (EHR) implementation.
- To demonstrate CeHEM application across all five phases of a full lifecycle framework.
Main Methods:
- Case study evaluation of EHR development in the North Denmark Region (2004-2010).
- Involved clinicians, IT professionals, administrators, and vendors across 4 hospitals.
- Data collection via questionnaires, observations, interviews, and document analysis.
Main Results:
- Identified critical needs: early clinician involvement, optimal clinician representation, and workload reduction.
- Lack of these factors led to poor decision ownership and negative attitudes.
- Implementing recommendations improved physician involvement, ownership, and positive attitudes toward clinical benefits.
Conclusions:
- CeHEM is effective for formative evaluation of EHR development.
- The method highlights key management considerations for eHealth projects.
- CeHEM supports successful eHealth development by emphasizing end-user involvement.
Keywords:
Constructive eHealth evaluationEnd-userEnd-user participationEvaluation methodFormative evaluationHealth information technologyOrganizational factorsParticipationUser involvementeHealth developmentMore Related Videos
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