IT-adoption and the interaction of task, technology and individuals: a fit framework and a case study

Ammenwerth, Elske; Iller, Carola; Mahler, Cornelia

doi:10.1186/1472-6947-6-3

Cited by 328 publications

(327 citation statements)

References 26 publications

(29 reference statements)

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“…26 This framework describes how technology adoption depends on the fit among attributes of the users, attributes of the technology, and attributes of tasks that users need to complete. We used this framework to query participants (individuals) about the challenges (tasks) that arise as a result of having to manage MCCs and to discuss patient-facing applications and tools (technology) that they currently use or that could be developed to support them in meeting these challenges.…”

Section: Focus Group Procedures and Frameworkmentioning

confidence: 99%

How Can eHealth Technology Address Challenges Related to Multimorbidity? Perspectives from Patients with Multiple Chronic Conditions

et al. 2015

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BACKGROUND: Patient eHealth technology offers potential support for disease self-management, but the value of existing applications for patients with multiple chronic conditions (MCCs) is unclear. OBJECTIVES: To understand self-management and health care navigation challenges that patients face due to MCCs and to identify opportunities to support these patients through new and enhanced eHealth technology. DESIGN: After administering a screening survey, we conducted 10 focus groups of 3-8 patients grouped by age, sex, and common chronic conditions. Patients discussed challenges associated with having MCCs and their use of (and desires from) technology to support self-management. Three investigators used standard content analysis methods to code the focus group transcripts. Emergent themes were reviewed with all collaborators, and final themes and representative quotes were validated with a sample of participants. PARTICIPANTS: Fifty-three individuals with≥3 chronic conditions and experience using technology for healthrelated purposes. KEY RESULTS: Focus group participants had an average of five chronic conditions. Participants reported using technology most frequently to search for health information (96 %), communicate with health care providers (92 %), track medical information (83 %), track medications (77 %), and support decision-making about treatment (55 %). Three themes emerged to guide eHealth technology development: (1) Patients with MCCs manage a high volume of information, visits, and self-care tasks; (2) they need to coordinate, synthesize, and reconcile health information from multiple providers and about different conditions; (3) their unique position at the hub of multiple health issues requires self-advocacy and expertise. Focus groups identified desirable eHealth resources and tools that reflect these themes. CONCLUSIONS:Although patients with multiple health issues use eHealth technology to support self-care for specific conditions, they also desire tools that transcend disease boundaries. By addressing the holistic needs of patients with MCCs, eHealth technology can advance health care from a disease-centered to a patientcentered model.

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Section: Focus Group Procedures and Frameworkmentioning

confidence: 99%

How Can eHealth Technology Address Challenges Related to Multimorbidity? Perspectives from Patients with Multiple Chronic Conditions

et al. 2015

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“…Sähköisen asioinnin ja tietojärjes-FinJeHeW 2017;9(2-3) 234 telmien käyttöönottoa on mallinnettu sosioteknisen teorian avulla. [8][9][10] …”

Section: Johdantounclassified

“…Sosiotekninen teoria tarjoaa paradigman, jonka avulla ICT:n vaikutusta terveydenhuollossa voidaan tutkia ja ymmärtää. Sosioteknisen teorian avulla on paljon mallinnettu juuri sähköisen asioinnin ja tietojär-jestelmien käyttöönottoja [8][9][10]. Esimerkiksi Maija Valta (2013) [10] on todennut väitöskirjassaan neljän sosioteknisen teorian pääulottuvuuden (ihminen, organisaatio, työtehtävät ja teknologia) huomioimisen tär-keyden teknologian käyttöönotossa.…”

Section: Hankkeesta Odotettavat Tuloksetunclassified

Puolesta-asiointi terveydenhuollon sähköisissä asiointipalveluissa Case: PUOLA–hanke

Hilama

Hartonen²,

Kinnunen³

2017

FinJeHeW

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TiivistelmäSähköinen asiointi on ajankohtainen asia sosiaali-ja terveydenhuollossa. Digitalisaation keinoin mahdollistetaan entistä asiakaslähtöisemmät palvelut. Tämän artikkelin tarkoituksena on esitellä käynnissä olevaa PUOLA-hanketta sekä sen yhteyttä toimintaan ja menetelmiin kohdistuvaan tutkimukseen, joka on ensisijaisesti tieto-ja viestintä-tekniikan käytön arviointia ja kehittämistä. Hankkeessa kehitetään ja mallinnetaan Omakanta-palvelun ja alueellisen sähköisen asiointipalvelun välistä tiedon siirtymistä ja käyttöä sekä pilotoidaan toiminnallisesti kansallisiin määrityksiin perustuvia rekisteri-ja valtakirjapohjaisia puolesta-asioinnin ratkaisuja. Tämä on hyvä esimerkki hankkeesta, jossa kansalliset määrittelyt tukevat alueellista kehittämistä. Hankkeessa tehtävä kehittämistyö tuo kokemuksia sekä tukea kansallisten palveluiden toteutukseen.Organisaation näkökulmasta kehittämishankkeen onnistuminen edellyttää toimivaa teknologiaa, sitoutunutta johtoa, motivoituneita esimiehiä ja muutosvalmista henkilöstöä.Avainsanat: sähköinen asiointi, sähköinen tunnistaminen, sosiotekninen teoria

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“…It proposes the term 'fit' and states that perceived usefulness and perceived ease of use are not dependent on the system design features, but rather on this 'fit' of the user and system design features. Ammenwerth et al stated that it is not clear whether the ITAM was formally validated [2]. Kazanjian and Green's health technology assessment framework was represented as a conceptual tool for decision making in health technologies [10].…”

Section: Evaluation Framework For Hismentioning

confidence: 99%

“…The findings from a considerable amount of studies reveal the negative effects of IT implementation on health care [1]. It is estimated that nearly 70% of IT implementation projects fail [2], resulting in the loss of huge amounts of money and, more importantly, loss of confidence in these implementations. Despont-Gros et al summarized the major reasons for failure as technical issues, project mismanagement, organizational issues, and explosive growth of information systems (ISs) [3].…”

Section: Introductionmentioning

confidence: 99%

A new approach in the evaluation of hospital information systems

Gürsel¹,

Zayim²,

Gülkesen³

et al. 2014

Turk J Elec Eng & Comp Sci

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IT-adoption and the interaction of task, technology and individuals: a fit framework and a case study

Abstract: Background: Factors of IT adoption have largely been discussed in the literature. However, existing frameworks (such as TAM or TTF) are failing to include one important aspect, the interaction between user and task.

Cited by 328 publications

References 26 publications

How Can eHealth Technology Address Challenges Related to Multimorbidity? Perspectives from Patients with Multiple Chronic Conditions

How Can eHealth Technology Address Challenges Related to Multimorbidity? Perspectives from Patients with Multiple Chronic Conditions

Puolesta-asiointi terveydenhuollon sähköisissä asiointipalveluissa Case: PUOLA–hanke

A new approach in the evaluation of hospital information systems

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