Lessons Learned From a Living Lab on the Broad Adoption of eHealth in Primary Health Care
| Autor: | Ilse Catharina Sophia Swinkels, Martine Wilhelmina Johanna Huygens, Tim M Schoenmakers, Wendy Oude Nijeweme-D'Hollosy, Lex van Velsen, Joan Vermeulen, Marian Schoone-Harmsen, Yvonne JFM Jansen, Onno CP van Schayck, Roland Friele, Luc de Witte |
|---|---|
| Přispěvatelé: | Klinische Psychologie (Psychologie, FMG), Huisarts & Ziekenhuis, Tranzo, Scientific center for care and wellbeing, RS: CAPHRI - R2 - Creating Value-Based Health Care, RS: CAPHRI - R5 - Optimising Patient Care, Health Services Research, Promovendi PHPC, Family Medicine, RS: CAPHRI - R1 - Ageing and Long-Term Care |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Telemedicine
Entrepreneurship 020205 medical informatics INNOVATION education Health Informatics 02 engineering and technology Telehealth entrepreneurship health personnel PATIENT 03 medical and health sciences Viewpoint 0302 clinical medicine Living lab Life Health care 0202 electrical engineering electronic engineering information engineering eHealth Humans TECHNOLOGY 030212 general & internal medicine implementation policy makers Workplace health care economics and organizations patient involvement Government business.industry Work and Employment Public relations Focus group primary health care TELEHEALTH telemedicine ELSS - Earth Life and Social Sciences SP - Sustainable Productivity and Employability WHC - Work Health and Care Laboratories business USERS Delivery of Health Care Healthy Living |
| Zdroj: | Journal of Medical Internet Research Journal of Medical Internet Research, 3, 20, e83 Journal of Medical Internet Research, 20(3):e83. Journal of medical Internet Research Journal of Medical Internet Research (JMIR), 20(3):e83. JMIR PUBLICATIONS, INC Journal of Medical Internet Research, 20(3):e83. JMIR Publications Inc. |
| ISSN: | 1439-4456 1438-8871 |
| Popis: | Background:Electronic health (eHealth) solutions are considered to relieve current and future pressure on the sustainability of primary health care systems. However, evidence of the effectiveness of eHealth in daily practice is missing. Furthermore, eHealth solutions are often not implemented structurally after a pilot phase, even if successful during this phase. Although many studies on barriers and facilitators were published in recent years, eHealth implementation still progresses only slowly. To further unravel the slow implementation process in primary health care and accelerate the implementation of eHealth, a 3-year Living Lab project was set up. In the Living Lab, called eLabEL, patients, health care professionals, small- and medium-sized enterprises (SMEs), and research institutes collaborated to select and integrate fully mature eHealth technologies for implementation in primary health care. Seven primary health care centers, 10 SMEs, and 4 research institutes participated.Objective:This viewpoint paper aims to show the process of adoption of eHealth in primary care from the perspective of different stakeholders in a qualitative way. We provide a real-world view on how such a process occurs, including successes and failures related to the different perspectives.Methods:Reflective and process-based notes from all meetings of the project partners, interview data, and data of focus groups were analyzed systematically using four theoretical models to study the adoption of eHealth in primary care.Results:The results showed that large-scale implementation of eHealth depends on the efforts of and interaction and collaboration among 4 groups of stakeholders: patients, health care professionals, SMEs, and those responsible for health care policy (health care insurers and policy makers). These stakeholders are all acting within their own contexts and with their own values and expectations. We experienced that patients reported expected benefits regarding the use of eHealth for self-management purposes, and health care professionals stressed the potential benefits of eHealth and were interested in using eHealth to distinguish themselves from other care organizations. In addition, eHealth entrepreneurs valued the collaboration among SMEs as they were not big enough to enter the health care market on their own and valued the collaboration with research institutes. Furthermore, health care insurers and policy makers shared the ambition and need for the development and implementation of an integrated eHealth infrastructure.Conclusions:For optimal and sustainable use of eHealth, patients should be actively involved, primary health care professionals need to be reinforced in their management, entrepreneurs should work closely with health care professionals and patients, and the government needs to focus on new health care models stimulating innovations. Only when all these parties act together, starting in local communities with a small range of eHealth tools, the potential of eHealth will be enforced. |
| Databáze: | OpenAIRE |
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