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Enabling Guidelines for the Adoption of eHealth Solutions: Scoping Review
Linn Nathalie Støme1, Christian Ringnes Wilhelmsen1, Kari Jorunn Kværner1
1Centre for Connected Care, Oslo University Hospital, Oslo, Norway.
JMIR Formative Research
|April 30, 2021
Summary
Early-stage eHealth technologies show promise for improving patient outcomes. Successful implementation hinges on user involvement, secure data management, and strategic planning from the outset.
Area of Science:
- Digital Health
- Health Informatics
- Healthcare Technology Assessment
Background:
- Public healthcare systems face increasing pressure, exacerbated by the COVID-19 pandemic.
- Universal health coverage is a global priority for improving population health and reducing inequalities.
- Emerging technologies like eHealth are crucial for addressing the needs of aging populations with chronic illnesses.
Purpose of the Study:
- To explore and categorize early-phase eHealth technologies under development or testing.
- To identify enablers and barriers related to usability, scaling, and data management of eHealth implementation.
- To provide applicable guidelines for evaluating eHealth solutions at various implementation stages.
Main Methods:
- A structured literature search was conducted in PubMed, MEDLINE, and Cochrane databases.
- Included studies focused on eHealth technologies in early development or feasibility phases.
- Articles were thematically categorized by illness, technology type, and implementation focus (usability, scaling, data management).
Main Results:
- 27 articles were reviewed, comparing apps/web, sensors, virtual reality, and television-based eHealth.
- Usability studies (16/27) emphasized user involvement and learning curves.
- Scaling studies (6/27) focused on strategic and organizational aspects; data management studies (5/27) addressed data security and processing.
- Key enablers for successful eHealth implementation include secure data processing and user feedback.
Conclusions:
- eHealth interventions can significantly improve lifestyle changes and treatment adherence.
- Early-stage focus on user-friendliness, secure data management, and strategic planning is vital for efficient implementation and scaling.
- Standardization of eHealth assessment methodologies is needed due to intervention and methodological variations.
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