ArticleBMJ open2022
Stakeholders barriers and facilitators for the implementation of a personalised digital care pathway: a qualitative study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Participation in the digital transformation of healthcare: a review of qualitative studies.International journal of health care quality assurance · 2024Pooled it
- Lessons Learned from Implementing a Centrally Organized, Cross-Sectoral, Patient-Centered Treatment Coordination System for Hazardous Substance Use and Substance Use Disorders: The Randomized Controlled ASSIST Study.European addiction research · 2026Trial
- Impact of context on nurse-led implementation of evidence-based pain management practices in the Sumamos Excelencia project: a qualitative study.BMC nursing · 2026Article
- Anticipated barriers and facilitators of implementing a digital behavioral treatment for chronic pain: a qualitative interview study.BMC health services research · 2026Article
- Facilitators of and barriers to the clinical implementation of evidence-based nursing guidelines based on the Consolidated Framework for Implementation Research: A multisite survey.International journal of nursing sciences · 2026Article
- Development of a Cocreated Perioperative Joint Replacement Digital Care Pathway to Improve Surgical Outcomes Following Joint Replacement: Protocol for a Mixed Methods Study.JMIR research protocols · 2025Article
- Acceptance, use and challenges of digital prevention for arterial hypertension - a qualitative study among patients with high blood pressure in Germany.BMC health services research · 2025Article
- Exploring barriers and facilitators for implementation of novel image-guided minimally invasive procedures: nationwide experiences on navigation bronchoscopy.BMJ open respiratory research · 2025Article
- Stakeholders' perspectives on a digital myopia screening program in children: a qualitative analysis.Frontiers in ophthalmology · 2025Article
- Digital Care Pathway for Patients With Sleep Apnea in Specialized Care: Mixed Methods Study.JMIR human factors · 2024Article
- Integrating patient-centred and tumour-centred cancer care: the EU-MyPath implementation project offers an innovative digital solution with care pathways.Palliative care and social practice · 2024Review
- Building digital patient pathways for the management and treatment of multiple sclerosis.Frontiers in immunology · 2024Review
- Organisational readiness for digitalisation in health care: Findings from qualitative research in four EU countries/region.Digital healthArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveA prerequisite for patient-centredness in healthcare organisations is offering patients access to adequate health information, which fits their needs. A personalised digital care pathway (PDCP) is a tool that facilitates the provision of tailored and timely information. Despite its potential, barriers influence the implementation of digital tools in healthcare organisations. Therefore, we investigated the perceived barriers and facilitators for implementation of the PDCP among stakeholders.
designA qualitative study was conducted to acquire insight into perceptions of the stakeholders involved in the implementation of a digital care pathway in three diverse patient groups.
settingThis study is part of the PDCP research project in a large academic hospital in the Netherlands.
participantsPurposive sampling was used to recruit internal stakeholders (eg, healthcare professionals, employees of the supporting departments) and external stakeholders (eg, employees of the external PDCP supplier). In addition, existing semistructured interviews with patients involved in pilot implementation (n=24) were used to verify the findings.
resultsWe conducted 25 semistructured interviews using the Consolidated Framework for Implementation Research. Content analyses yielded four themes: (1) stakeholders' perceptions of the PDCP (eg, perceived usefulness); (2) characteristics of the individuals involved and the implementation process (eg, individuals express resistance to change); (3) organisational readiness (eg, lack of resources); and (4) collaboration within the organisation (eg, mutual communication, multidisciplinary codesign). The main barriers mentioned by patients were duration of first activation and necessity for up-to-date content. In addition, the most facilitating factor for patients was user-friendliness.
conclusionOur findings emphasise the importance of gaining insights into the various perspectives of stakeholder groups, including patients, regarding the implementation of the PDCP. The perceived barriers and facilitators can be used to improve the PDCP implementation plan and tailor the development and improvement of other digital patient communication tools.
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