Abstract:This paper is a systematic review of the relevant literature surrounding the implementation and utilisation of eHealth in order to identify key challenges and opportunities to future eHealth applications. NHS Evidence, PubMed, IEEE Explorer, Cochrane Library and JMIR Publications were all searched for reviews published between the dates 1 January 2010 and 30 June 2017. 47 papers met the final inclusion criterion. The published literature focused on a wide array of challenges, categorised into five areas, facin… Show more
“…The speed at which the field of eHealth has expanded is unparalleled [16]. In 2017 alone, 325 000 mobile health apps were available [17], although persistence with their use was often poor [18] and quality was questionable [19,20]. Policymakers are responding to this development and urge healthcare providers to integrate the use of eHealth applications into their daily practice [7–9].…”
KEY MESSAGES eHealth should support the transition towards personalized medicine, self-management and shared decisions in primary care. Several conditions need to be met to ensure that eHealth applications are safe, evidence-based and of high quality. Innovative but valid research methodology-e.g. adaptive (action research) designs-is a prerequisite for ongoing success and sustainability of eHealth.
“…The speed at which the field of eHealth has expanded is unparalleled [16]. In 2017 alone, 325 000 mobile health apps were available [17], although persistence with their use was often poor [18] and quality was questionable [19,20]. Policymakers are responding to this development and urge healthcare providers to integrate the use of eHealth applications into their daily practice [7–9].…”
KEY MESSAGES eHealth should support the transition towards personalized medicine, self-management and shared decisions in primary care. Several conditions need to be met to ensure that eHealth applications are safe, evidence-based and of high quality. Innovative but valid research methodology-e.g. adaptive (action research) designs-is a prerequisite for ongoing success and sustainability of eHealth.
“…Hence, it is recommended to pursue widespread program use by PNs across the Netherlands. However, as program implementation entails challenges [40][41][42], systematic implementation research is required to ensure the development of an evidence-based implementation plan. Such a plan should be supported by the program's target group and other relevant stakeholders to develop a practically feasible implementation approach [43,44].…”
To conduct an economic evaluation of a tailored e-learning program, which successfully improved practice nurses' smoking cessation guideline adherence. Methods: The economic evaluation was embedded in a randomized controlled trial, in which 269 practice nurses recruited 388 smoking patients. Cost-effectiveness was assessed using guideline adherence as effect measure on practice nurse level, and continued smoking abstinence on patient level. Cost-utility was assessed on patient level, using patients' Quality Adjusted Life Years (QALYs) as effect measure. Results: The e-learning program was likely to be cost-effective on practice nurse level, as adherence to an additional guideline step cost s1,586. On patient level, cost-effectiveness was slightly likely after six months (cost per additional quitter: s7,126), but not after twelve months. The cost-utility analysis revealed slight cost-effectiveness (cost per QALY gained: s18,431) on patient level. Conclusion: Providing practice nurses with a tailored e-learning program is cost-effective to improve their smoking cessation counseling. Though, cost-effectiveness on patient level was not found after twelve months, potentially resulting from smoking relapse. Practice implications: Widespread implementation of the e-learning program can improve the quality of smoking cessation care in general practice. Strategies to prevent patients' smoking relapse should be further explored to improve patients' long-term abstinence.
“…We have to develop together without competition. 4. The researchers realized that they often use traditional research methods to gain insight into the needs of potential end-users, like interviews, focus groups, and surveys.…”
Section: Researchers Expressed Their Need For Diverse Methods Of Co-cmentioning
confidence: 99%
“…Co-creation would lead to outcomes that are more likely to be acceptable, valuable, and enduring than traditional research approaches [3]. It has been associated with significant societal impact [2] through better implementation and utilization of products and services [4].…”
Active participation of stakeholders in health research practice is important to generate societal impact of outcomes, as innovations will more likely be implemented and disseminated in clinical practice. To foster a co-creative process, numerous frameworks and tools are available. As they originate from different professions, it is not evident that health researchers are aware of these tools, or able to select and use them in a meaningful way. This article describes the bottom-up development process of a compass and presents the final outcome. This Co-creation Impact Compass combines a well-known business model with tools from design thinking that promote active participation by all relevant stakeholders. It aims to support healthcare researchers to select helpful and valid co-creation tools for the right purpose and at the right moment. Using the Co-creation Impact Compass might increase the researchers' understanding of the value of co-creation, and it provides help to engage stakeholders in all phases of a research project.
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