Evidence map›Paper›PMID 27782832›Full record

SynthesisImplementation science : IS2016

Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update).

Jamie Ross, Fiona Stevenson, Rosa Lau, Elizabeth Murray

2 registry-linked trialsOpen access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Implementation science : IS, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 510 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
510citing papers in PubMed, 9 pooled it
87.0field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT04150120 nacompletednot on this mapstarted 2019, after this paper: background citation

eHealth as an Aid for Facilitating and Supporting Self-management in Families With Long-term Childhood Illness - Development, Evaluation and Implementation in Clinical Practice

TypeinterventionalSponsorLund UniversityRan2019 to 2025Enrolled720ConditionsPreterm Birth, Pediatric Cancer, Hirschsprung Disease, Congenital MalformationArmse-health device with application, Mobile phone text messaging, early detection of cerebral palsy using a mobile phone application, Self-care for children with intravenous treatment at home
NCT07032584 narecruitingnot on this mapstarted 2025, after this paper: background citation

Impact of Multimodal Telerehabilitation on Reducing Disparities in Rural Survivors of Metastatic Prostate Cancer

TypeinterventionalSponsorUniversity of UtahRan2025 to 2029Enrolled74ConditionsProstate Cancer, Metastatic Prostate Cancer, Androgen Deprivation TherapyArmsTelerehabilitation Intervention
3 · Its place in the literature

Who cites it

510 citing papers in PubMed, 9 syntheses or guidelines pooled it, 1,131 citations in OpenAlex.

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  9. Telemedicine Implementation for Safety Net Populations: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
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450 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Jamie Rosse-Health Unit, Research Department of Primary Care and Population Health, University College London, Upper 3rd Floor, Royal Free Campus, Rowland Hill Street, London, NW3 2PF, UK. Jamie.Ross@ucl.ac.uk.ORCID 0000-0001-8720-5911
Fiona Stevensone-Health Unit, Research Department of Primary Care and Population Health, University College London, Upper 3rd Floor, Royal Free Campus, Rowland Hill Street, London, NW3 2PF, UK.
Rosa Laue-Health Unit, Research Department of Primary Care and Population Health, University College London, Upper 3rd Floor, Royal Free Campus, Rowland Hill Street, London, NW3 2PF, UK.
Elizabeth Murraye-Health Unit, Research Department of Primary Care and Population Health, University College London, Upper 3rd Floor, Royal Free Campus, Rowland Hill Street, London, NW3 2PF, UK.
The Royal Free Hospital · GB

Funding

Department of Health RP-PG-0609-10135
6 · The paper itself

Abstract

backgroundThere is a significant potential for e-health to deliver cost-effective, quality health care, and spending on e-health systems by governments and healthcare systems is increasing worldwide. However, there remains a tension between the use of e-health in this way and implementation. Furthermore, the large body of reviews in the e-health implementation field, often based on one particular technology, setting or health condition make it difficult to access a comprehensive and comprehensible summary of available evidence to help plan and undertake implementation. This review provides an update and re-analysis of a systematic review of the e-health implementation literature culminating in a set of accessible and usable recommendations for anyone involved or interested in the implementation of e-health.

methodsMEDLINE, EMBASE, CINAHL, PsycINFO and The Cochrane Library were searched for studies published between 2009 and 2014. Studies were included if they were systematic reviews of the implementation of e-health. Data from included studies were synthesised using the principles of meta-ethnography, and categorisation of the data was informed by the Consolidated Framework for Implementation Research (CFIR).

resultsForty-four reviews mainly from North America and Europe were included. A range of e-health technologies including electronic medical records and clinical decision support systems were represented. Healthcare settings included primary care, secondary care and home care. Factors important for implementation were identified at the levels of the following: the individual e-health technology, the outer setting, the inner setting and the individual health professionals as well as the process of implementation.

conclusionThis systematic review of reviews provides a synthesis of the literature that both acknowledges the multi-level complexity of e-health implementation and provides an accessible and useful guide for those planning implementation. New interpretations of a large amount of data across e-health systems and healthcare settings have been generated and synthesised into a set of useable recommendations for practice. This review provides a further empirical test of the CFIR and identifies areas where additional research is necessary.

trial registrationPROSPERO, CRD42015017661.

Indexed as

Translational Research, BiomedicalAptitudeBiomedical TechnologyClinical Decision-MakingCosts and Cost AnalysisDiffusion of InnovationElectronic Health RecordsHealth Knowledge, Attitudes, PracticeHealth PersonnelHealth PlanningHealth PolicyHumansReview Literature as TopicSystems AnalysisTelemedicinee-HealthImplementationSynthesisSystematic reviewUpdate

Identifiers

PMID27782832
PMCPMC5080780
OpenAlexW2537576125

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.