SynthesisBulletin of the World Health Organization2012
Factors that promote or inhibit the implementation of e-health systems: an explanatory systematic review.
Synthesis in Bulletin of the World Health Organization, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 241 papers, 26 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
241 citing papers in PubMed, 26 syntheses or guidelines pooled it.
- Pooled it
- Acceptance of telemedicine among care personnel in inpatient and outpatient elderly care: a systematic review.BMC geriatrics · 2025Pooled it
- The State of the Art of Telemedicine Implementation Architecture: Rapid Umbrella Review of Systematic Reviews.Journal of medical Internet research · 2025Pooled it
- Evaluating the effects of e-health interventions on mental health outcomes in individuals with breast cancer: A systematic review.PloS one · 2025Pooled it
- Supporting translation of research evidence into practice-the use of Normalisation Process Theory to assess and inform implementation within randomised controlled trials: a systematic review.Implementation science : IS · 2023Pooled it
- Impact of hospital accreditation on quality improvement in healthcare: A systematic review.PloS one · 2023Pooled it
- Barriers and facilitators to reducing anticholinergic burden: a qualitative systematic review.International journal of clinical pharmacy · 2021Pooled it
- Pooled it
- Successfully implementing a national electronic health record: a rapid umbrella review.International journal of medical informatics · 2020Pooled it
- A mixed methods systematic review of the effects of patient online self-diagnosing in the 'smart-phone society' on the healthcare professional-patient relationship and medical authority.BMC medical informatics and decision making · 2020Pooled it
- Implementation Strategies to Enhance the Implementation of eHealth Programs for Patients With Chronic Illnesses: Realist Systematic Review.Journal of medical Internet research · 2019Pooled it
- Methods to Evaluate the Effects of Internet-Based Digital Health Interventions for Citizens: Systematic Review of Reviews.Journal of medical Internet research · 2018Pooled it
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- Effectiveness of Internet-based interventions in managing chemotherapy-related symptoms in patients with cancer: a systematic literature review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Pooled it
- Pooled it
- Evaluating barriers to adopting telemedicine worldwide: A systematic review.Journal of telemedicine and telecare · 2018Pooled it
- End User and Implementer Experiences of mHealth Technologies for Noncommunicable Chronic Disease Management in Young Adults: Systematic Review.Journal of medical Internet research · 2017Pooled it
- Exploring the factors affecting the implementation of tobacco and substance use interventions within a secondary school setting: a systematic review.Implementation science : IS · 2017Pooled it
- Pediatric eMental healthcare technologies: a systematic review of implementation foci in research studies, and government and organizational documents.Implementation science : IS · 2017Pooled it
- Intervention planning for a digital intervention for self-management of hypertension: a theory-, evidence- and person-based approach.Implementation science : IS · 2017Pooled it
181 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveTo systematically review the literature on the implementation of e-health to identify: (i) barriers and facilitators to e-health implementation, and (ii) outstanding gaps in research on the subject.
methodsMEDLINE, EMBASE, CINAHL, PSYCINFO and the Cochrane Library were searched for reviews published between 1 January 1995 and 17 March 2009. Studies had to be systematic reviews, narrative reviews, qualitative metasyntheses or meta-ethnographies of e-health implementation. Abstracts and papers were double screened and data were extracted on country of origin; e-health domain; publication date; aims and methods; databases searched; inclusion and exclusion criteria and number of papers included. Data were analysed qualitatively using normalization process theory as an explanatory coding framework.
findingsInclusion criteria were met by 37 papers; 20 had been published between 1995 and 2007 and 17 between 2008 and 2009. Methodological quality was poor: 19 papers did not specify the inclusion and exclusion criteria and 13 did not indicate the precise number of articles screened. The use of normalization process theory as a conceptual framework revealed that relatively little attention was paid to: (i) work directed at making sense of e-health systems, specifying their purposes and benefits, establishing their value to users and planning their implementation; (ii) factors promoting or inhibiting engagement and participation; (iii) effects on roles and responsibilities; (iv) risk management, and (v) ways in which implementation processes might be reconfigured by user-produced knowledge.
conclusionThe published literature focused on organizational issues, neglecting the wider social framework that must be considered when introducing new technologies.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.