Evidence map›Paper›PMID 30901003›Full record

ArticleJournal of medical Internet research2019

The Role of Frontline Leaders in Building Health Professional Support for a New Patient Portal: Survey Study.

Sari Kujala, Iiris Hörhammer, Tarja Heponiemi, Kim Josefsson

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Sari KujalaDepartment of Computer Science, Aalto University, Espoo, Finland.ORCID 0000-0001-5586-3725
Iiris HörhammerDepartment of Industrial Engineering and Management, Aalto University, Espoo, Finland.ORCID 0000-0001-9024-4153
Tarja HeponiemiNational Institute for Health and Welfare, Helsinki, Finland.ORCID 0000-0001-8540-049X
Kim JosefssonNational Institute for Health and Welfare, Helsinki, Finland.ORCID 0000-0003-4933-3415

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective leadership and change management are thought to contribute to the successful implementation of health information technology innovations. However, limited attention has been paid to the role of frontline leaders in building health professional support for new technical innovations.

objectiveFirst, we examined whether frontline leaders' positive expectations of a patient portal and perceptions of its implementation were associated with their support for the portal. Second, we explored whether leaders' positive perceptions influenced the same unit's health professional support for the portal.

methodsData were collected through an online survey of 2067 health professionals and 401 frontline leaders working in 44 units from 14 health organizations in Finland. The participating organizations run a joint self-care and digital value services project developing a new patient portal for self-management. The survey was conducted before the piloting and implementation of the patient portal.

resultsThe frontline leaders' perception of vision clarity had the strongest association with their own support for the portal (ß=.40, P<.001). Results also showed an association between leaders' view of organizational readiness and their support (ß=.15, P=.04). The leaders' positive perceptions of the quality of informing about the patient portal was associated with both leaders' own (ß=.16, P=.02) and subordinate health professionals' support for the portal (ß=.08, P<.001). Furthermore, professional participation in the planning of the portal was positively associated with their support (ß=.57, P<.001).

conclusionsFindings suggest that assuring good informing, communicating a clear vision to frontline leaders, and acknowledging organizational readiness for change can increase health professional support for electronic health (eHealth) services in the pre-implementation phase. Results highlight the role of frontline leaders in engaging professionals in the planning and implementation of eHealth services and in building health professionals' positive attitudes toward the implementation of eHealth services.

Indexed as

LeadershipFemaleHealth PersonnelHumansMaleMiddle AgedPatient PortalsSurveys and Questionnairesexpectationsimplementationleadershiporganizational readinesspatient portal

Identifiers

PMID30901003
PMCPMC6450477

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Registered trials

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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.