Audit of a sexual health website email link for general practitioners

Biggs, K; Lowe, Polly; Walsh, Jim; Lagios, Katerina

doi:10.1258/ijsa.2009.009192

Cited by 7 publications

(4 citation statements)

References 4 publications

(5 reference statements)

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“…This is caused by a difference between the prospects, which are often made by management personnel, and the reality of healthcare personnel. In the literature, the technical perspective during the design phase is identified as a significant contributor to the gap between prospect and reality [ 94 , 251 ]. Declerck and Aime [ 251 ] used the term technocentrism to classify the importance of technology in the design phase, where other actors, such as healthcare professionals, appear as secondary concerns.…”

Section: Discussionmentioning

confidence: 99%

Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature

Granja¹,

Janssen²,

Johansen³

2018

J Med Internet Res

464

383

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BackgroundeHealth has an enormous potential to improve healthcare cost, effectiveness, and quality of care. However, there seems to be a gap between the foreseen benefits of research and clinical reality.ObjectiveOur objective was to systematically review the factors influencing the outcome of eHealth interventions in terms of success and failure.MethodsWe searched the PubMed database for original peer-reviewed studies on implemented eHealth tools that reported on the factors for the success or failure, or both, of the intervention. We conducted the systematic review by following the patient, intervention, comparison, and outcome framework, with 2 of the authors independently reviewing the abstract and full text of the articles. We collected data using standardized forms that reflected the categorization model used in the qualitative analysis of the outcomes reported in the included articles.ResultsAmong the 903 identified articles, a total of 221 studies complied with the inclusion criteria. The studies were heterogeneous by country, type of eHealth intervention, method of implementation, and reporting perspectives. The article frequency analysis did not show a significant discrepancy between the number of reports on failure (392/844, 46.5%) and on success (452/844, 53.6%). The qualitative analysis identified 27 categories that represented the factors for success or failure of eHealth interventions. A quantitative analysis of the results revealed the category quality of healthcare (n=55) as the most mentioned as contributing to the success of eHealth interventions, and the category costs (n=42) as the most mentioned as contributing to failure. For the category with the highest unique article frequency, workflow (n=51), we conducted a full-text review. The analysis of the 23 articles that met the inclusion criteria identified 6 barriers related to workflow: workload (n=12), role definition (n=7), undermining of face-to-face communication (n=6), workflow disruption (n=6), alignment with clinical processes (n=2), and staff turnover (n=1).ConclusionsThe reviewed literature suggested that, to increase the likelihood of success of eHealth interventions, future research must ensure a positive impact in the quality of care, with particular attention given to improved diagnosis, clinical management, and patient-centered care. There is a critical need to perform in-depth studies of the workflow(s) that the intervention will support and to perceive the clinical processes involved.

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Section: Discussionmentioning

confidence: 99%

Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature

Granja¹,

Janssen²,

Johansen³

2018

J Med Internet Res

464

383

View full text Add to dashboard Cite

show abstract

“…Of this sample of the studies considered, eleven were retrospective, three prospective, and eleven were unspecified (Tables 1 and 2). All articles included different clinical diseases and medical disciplines: dermatology [23][24][25][26], sexual health [27], psychiatry [28], neurology [29,30], geriatrics [31], ophthalmology [32][33][34][35], physiology [36], orthopaedics [37][38][39], respiratory failure [40], paediatric diabetic [41], injury/illness [42], mixed [43,44], radiology [45], and atrial fibrillation [46], N.S. [47].…”

Section: Resultsmentioning

confidence: 99%

Auditing the Audits: A Systematic Review on Different Procedures in Telemedicine

Cardile

Corallo

Cappadona

et al. 2023

IJERPH

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Telemedicine is a process of delivering health care using information and communication technologies. Audit and feedback (A&F) constitute a systematic intervention that is aimed at collecting data, which are subsequently compared with reference standards and then returned to health care operators through feedback meetings. The aim of this review is to analyse different audit procedures on and by mean of telemedicine services and to identify a practice that is more effective than the others. Systematic searches were performed in three databases evaluating studies focusing on clinical audits performed on and by means of telemedicine systems. Twenty-five studies were included in the review. Most of them focused on telecounselling services with an audit and a maximum duration of one year. Recipients of the audit were telemedicine systems and service users (general practitioners, referring doctors, and patients). Data resulting from the audit were inherent to the telemedicine service. The overall data collected concerned the number of teleconsultations, service activity, reasons for referral, response times, follow-up, reasons why treatment was not completed, technical issues, and other information specific to each telemedicine service. Only two of the considered studies dealt with organizational aspects, and of these, only one analysed communicative aspects. The complexity and heterogeneity of the treatments and services provided meant that no index of uniformity could be identified. Certainly, some audits were performed in an overlapping manner in the different studies, and these show that although attention is often paid to workers’ opinions, needs, and issues, little interest was shown in communicative/organizational and team dynamics. Given the importance and influence that communication has in teamwork and care settings, an audit protocol that takes into account intra- and extra-team communication processes could be essential to improving the well-being of operators and the quality of the service provided.

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“…We saw how taking a more holistic approach for the implementation helped to alleviate some of the common barriers to eHealth system success. For example, rather than focusing on the technical components of the surge management system, something that is a significant contributor to the gap between prospect and reality [22,23] and which is only a component of the WST static framework, the implementation team also focused on the other elements of the static framework. Furthermore, they addressed resistance to change, which is another barrier to eHealth interventions [24,25], by involving staff in the implementation, through training and creation of a change committee.…”

Section: Principal Findingsmentioning

confidence: 99%

Investigating a Work System Approach to Implement an Emergency Department Surge Management System: Case Study

Jewer¹

2022

J Med Internet Res

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Background Emergency department (ED) crowding is a global health care issue. eHealth systems have the potential to reduce crowding; however, the true benefits are seldom realized because the systems are not integrated into clinicians’ work. We sought a deep understanding of how an eHealth system implementation can be structured to truly integrate the system into the workflow. Objective The specific objectives of this study were to examine whether work system theory (WST) is a good approach to structure the implementation of an eHealth system by incorporating the entire work system, and not just the eHealth system, in the implementation framework; identify the role that specific elements of WST’s static framework and dynamic work system life cycle model play in the implementation; and demonstrate how WST can be applied in the health care setting to guide the implementation of an eHealth system. Methods Through a case study of an ED in a rural hospital, we used a mixed methods approach to examine the implementation of a surge management system through the lens of WST. We conducted 14 hours of observation in the ED; 20 interviews with clinicians, management, and members of the implementation team; and a survey of 23 clinicians; reviewed related documentation; and analyzed ED data to measure wait times. We used template analysis based on WST to structure our analysis of qualitative data and descriptive statistics for quantitative data. Results The surge management system helped to reduce crowding in the ED, staff was satisfied with the implementation, and wait time improvements have been maintained for several years. Although study participants indicated changes to their workflow, 72% (13/18) of survey participants were satisfied with their use of the system, and 82% (14/17) indicated that it was integrated with their workflow. Examining the implementation through the lens of WST enabled us to identify the aspects of the implementation that made it so successful. By applying the WST static framework, we saw how the implementation team incorporated the elements of the ED work system, assessed their alignment, and designed interventions to address areas of misalignment. The dynamic work system life cycle model captured how planned and unplanned changes were managed throughout the iterative implementation cycle—83% (15/18) of participants indicated that there was sufficient management support for the changes and 80% (16/20) indicated the change served an important purpose. Conclusions The broad scope and holistic approach of WST is well suited to guide eHealth system implementations as it focuses efforts on the entire work system and not just the IT artifact. We broaden the focus of WST by applying it to the implementation of an ED surge management system. These findings will guide further studies and implementations of eHealth systems using WST.

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Audit of a sexual health website email link for general practitioners

Cited by 7 publications

References 4 publications

Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature

Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature

Auditing the Audits: A Systematic Review on Different Procedures in Telemedicine

Investigating a Work System Approach to Implement an Emergency Department Surge Management System: Case Study

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