BackgroundeHealth is an application of information and communication technologies across the whole range of functions that affect health. The benefits of eHealth (eg, improvement of health care operational efficiency and quality of patient care) have previously been documented in the literature. Health care providers (eg, medical doctors) are the key driving force in pushing eHealth initiatives. Without their acceptance and actual use, those eHealth benefits would be unlikely to be reaped.ObjectiveTo identify and synthesize influential factors to health care providers’ acceptance of various eHealth systems.MethodsThis systematic literature review was conducted in four steps. The first two steps facilitated the location and identification of relevant articles. The third step extracted key information from those articles including the studies’ characteristics and results. In the last step, identified factors were analyzed and grouped in accordance with the Unified Theory of Acceptance and Use of Technology (UTAUT).ResultsThis study included 93 papers that have studied health care providers’ acceptance of eHealth. From these papers, 40 factors were identified and grouped into 7 clusters: (1) health care provider characteristics, (2) medical practice characteristics, (3) voluntariness of use, (4) performance expectancy, (5) effort expectancy, (6) social influence, and (7) facilitating or inhibiting conditions.ConclusionsThe grouping results demonstrated that the UTAUT model is useful for organizing the literature but has its limitations. Due to the complex contextual dynamics of health care settings, our work suggested that there would be potential to extend theories on information technology adoption, which is of great benefit to readers interested in learning more on the topic. Practically, these findings may help health care decision makers proactively introduce interventions to encourage acceptance of eHealth and may also assist health policy makers refine relevant policies to promote the eHealth innovation.
Background
A three-dimensional virtual world (3DVW) is a computer-simulated electronic 3D virtual environment that users can explore, inhabit, communicate, and interact with via avatars, which are graphical representations of the users. Since the early 2000s, 3DVWs have emerged as a technology that has much to offer the health care sector.
Objective
The purpose of this study was to characterize different application areas of various 3DVWs in health and medical context and categorize them into meaningful categories.
Methods
This study employs a systematic literature review on the application areas of 3DVWs in health care. Our search resulted in 62 papers from five top-ranking scientific databases published from 1990 to 2013 that describe the use of 3DVWs for health care specific purposes. We noted a growth in the number of academic studies on the topic since 2006.
Results
We found a wide range of application areas for 3DVWs in health care and classified them into the following six categories: academic education, professional education, treatment, evaluation, lifestyle, and modeling. The education category, including professional and academic education, contains the largest number of papers (n=34), of which 23 are related to the academic education category and 11 to the professional education category. Nine papers are allocated to treatment category, and 8 papers have contents related to evaluation. In 4 of the papers, the authors used 3DVWs for modeling, and 3 papers targeted lifestyle purposes. The results indicate that most of the research to date has focused on education in health care. We also found that most studies were undertaken in just two countries, the United States and the United Kingdom.
Conclusions
3D virtual worlds present several innovative ways to carry out a wide variety of health-related activities. The big picture of application areas of 3DVWs presented in this review could be of value and offer insights to both the health care community and researchers.
In the past three decades, several studies have extracted antecedents to the user adoption of health information systems (HIS). This study proposes a reflective pause on the HIS adoption literature to broaden our understanding of factors contributing to the user adoption of electronic medical record (EMR). This paper provides a comprehensive taxonomy of the factors influencing the user adoption of EMR and classifies these factors into meaningful categories. We searched the selected keywords on several academic databases and found an initial set of 9,684 studies. We excluded papers on the basis of their title, abstract, and full text (89 remaining papers). The effectiveness of adoption theories has been explored based on the empirical results identified in the EMR research. Furthermore, according to the conceptualization of the factors in the literature, a list of 78 factors affecting EMR adoption was identified. These factors were classified to eight categories: individual factors, psychological factors, behavioural factors, environmental factors, organizational factors, financial factors, legal factors, and technical factors. The results have implications for researchers and practitioners, including policymakers, marketers, information technology (IT) professionals, health information management (HIM) practitioners, health practice managers, and EMR system developers.
Objective: The main objective of this study is to identify the technologies that have recently been applied in aged care, the problems that these technologies have sought to address and the adoption approaches that have been taken.Method: This paper has conducted a realist review on studies published in information systems and medical informatics journals in the past five years on adoption of assistive technologies among seniors.Results: We have identified potential technologies that have been utilized to address seniors' daily life difficulties in three areas: independent living, social isolation, dementia and medication taking. We have also extracted the theoretical lenses used for studying the adoption of these technologies and available empirical evidences for the theories.Conclusion: Having put the findings of this review together, we have identified factors impacting adoption of technologies among elderly. These have been classified as factors related to technologies, allocated tasks, individuals and social influences.
As the adoption of eHealth has made it easier to access and aggregate healthcare data, there has been growing application for clinical decisions, health services planning, and public health monitoring with daily collected data in clinical care. Reliable data quality is a precursor of the aforementioned tasks. There is a body of research on data quality in healthcare, however, a clear picture of data completeness in this field is missing. This research aims to identify and classify current research themes related to data completeness in healthcare. In addition, the paper presents problems with data completeness in the reviewed literature and identifies methods that have been adopted to address those problems. This study has reviewed 24 papers (January 2011-April 2016) published in information and computing sciences, biomedical engineering, and medicine and health sciences journals. The paper uncovers three main research themes, including design and development, evaluation, and determinants. In conclusion, this paper improves our understanding of the current state of the art of data completeness in healthcare records and indicates future research directions.
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