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BMC Medical Informatics and Decision Making

, 10:61

First Online: 18 October 2010Received: 17 June 2010Accepted: 18 October 2010


BackgroundThe use of Information and Communication Technology ICT or e-Health is seen as essential for a modern, cost-effective health service. However, there are well documented problems with implementation of e-Health initiatives, despite the existence of a great deal of research into how best to implement e-Health an example of the gap between research and practice. This paper reports on the development and formative evaluation of an e-Health Implementation Toolkit e-HIT which aims to summarise and synthesise new and existing research on implementation of e-Health initiatives, and present it to senior managers in a user-friendly format.

ResultsThe content of the e-HIT was derived by combining data from a systematic review of reviews of barriers and facilitators to implementation of e-Health initiatives with qualitative data derived from interviews of -implementers-, that is people who had been charged with implementing an e-Health initiative. These data were summarised, synthesised and combined with the constructs from the Normalisation Process Model. The software for the toolkit was developed by a commercial company RocketScience. Formative evaluation was undertaken by obtaining user feedback.

There are three components to the toolkit - a section on background and instructions for use aimed at novice users; the toolkit itself; and the report generated by completing the toolkit. It is available to download from

ConclusionsThe e-HIT shows potential as a tool for enhancing future e-Health implementations. Further work is needed to make it fully web-enabled, and to determine its predictive potential for future implementations.

Abbreviationse-HITe-Health Implementation Toolkit

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6947-10-61 contains supplementary material, which is available to authorized users.

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Autor: Elizabeth Murray - Carl May - Frances Mair


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