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    The e-Health Implementation Toolkit: Qualitative evaluation across four European countries

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    Authors
    MacFarlane, Anne
    Clerkin, Pauline
    Murray, Elizabeth
    Heaney, David J
    Wakeling, Mary
    Pesola, Ulla-Maija
    Lindh Waterworth, Eva
    Larsen, Frank
    Makiniemi, Minna
    Winblad, Ilkka
    Issue Date
    2011-11-19
    
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    Citation
    Implementation Science. 2011 Nov 19;6(1):122
    URI
    http://hdl.handle.net/10147/211909
    Abstract
    Abstract Background Implementation researchers have attempted to overcome the research-practice gap in e-health by developing tools that summarize and synthesize research evidence of factors that impede or facilitate implementation of innovation in healthcare settings. The e-Health Implementation Toolkit (e-HIT) is an example of such a tool that was designed within the context of the United Kingdom National Health Service to promote implementation of e-health services. Its utility in international settings is unknown. Methods We conducted a qualitative evaluation of the e-HIT in use across four countries--Finland, Norway, Scotland, and Sweden. Data were generated using a combination of interview approaches (n = 22) to document e-HIT users' experiences of the tool to guide decision making about the selection of e-health pilot services and to monitor their progress over time. Results e-HIT users evaluated the tool positively in terms of its scope to organize and enhance their critical thinking about their implementation work and, importantly, to facilitate discussion between those involved in that work. It was easy to use in either its paper- or web-based format, and its visual elements were positively received. There were some minor criticisms of the e-HIT with some suggestions for content changes and comments about its design as a generic tool (rather than specific to sites and e-health services). However, overall, e-HIT users considered it to be a highly workable tool that they found useful, which they would use again, and which they would recommend to other e-health implementers. Conclusion The use of the e-HIT is feasible and acceptable in a range of international contexts by a range of professionals for a range of different e-health systems.
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