: David H. Gustafson, Patricia Flatley Brennan, Robert P. Hawkins
: David H. Gustafson, Patricia Flatley Brennan, Robert P. Hawkins
: Investing in E-Health What it Takes to Sustain Consumer Health Informatics
: Springer-Verlag
: 9780387495088
: 1
: CHF 89.60
:
: Allgemeines
: English
: 234
: Wasserzeichen
: PC/MAC/eReader/Tablet
: PDF

As the Internet's presence in health care grows more pervasive, an increasing number of health care providers have begun to implement eHealth innovations in their practice. This book explores the development of a model to predict and explain the degree of success it is possible to achieve in implementing e-health systems. This model allows an institution to benchmark its progress towards IHCS implementation and advises administrators where to invest resources to increase the chance of successful implementation. A set of case studies highlights key features of the model, with each case study fully analysed for strengths and weaknesses.

Table of Contents6
Foreword8
List of Contributors10
Patient-Focused Technology and the Health Care Delivery System12
1.1. Where Does Patient-Focused Technology Fit in Health Care Delivery?13
1.2. Achieving Success with Interactive Health Communications Systems15
1.3. Readiness for Implementation Scale16
References17
CHESS: Translating Research into Practice18
2.1. The CHESS System19
2.2. Research and Development Process22
2.3. Dissemination and Implementation of CHESS24
References28
Theory and Literature Review29
3.1. Theories that Guide and Explain Implementation of IHCS 30
3.2. Applying These Theories to IHCS Implementation in Health Care Organizations36
References37
Considerations for Successful Implementation of Newly Adopted Technologies39
4.1. Diffusion of Innovation Theory: Characterizing IHCS and Key Participants40
4.2. Organizational Change Theory42
4.3. Implementation Theories45
References48
Implementation Model Development and Testing49
5.1. The IHCS Implementation Context49
5.2. Creating Models of Implementation 50
5.3. Development of a Model to Predict IHCS Implementation Success 51
5.4. Factors of a Model to Predict IHCS Implementation Success61
Summary63
References63
Introduction to Case Studies65
Associated Practice, 1992–199775
7.1. Description of the Environment at the Site75
7.2. Timing of the Implementation in the History of Chess77
7.3. Early Exposure and Decision to Adopt77
7.4. Implementation of Breast Cancer and HIV/ AIDS Modules79
7.5. Termination of CHESS at Associated Practice87
7.6. Analysis89
Conclusion97
Union Hospital, 1993–200199
8.1. Description of the Environment at the Site99
8.2. Timing of the Implementation in the History of CHESS102
8.3. Early Exposure and the Decision to Adopt CHESS 102
8.4. Implementation of the Breast Cancer Module 106
8.5. Analysis of the Breast Cancer Module Implementation110
8.6. Implementation of the Heart Disease Module116
8.7. Analysis of the Heart Disease Module Implementation120
Conclusion123
Strand Hardin Health Care, 1995–2002124
9.1. Description of Environment at the Site124
9.2. Timing of the Implementation in the History of Chess127
9.3. Early Exposure and Decision to Adopt127
9.4. Implementation of the Breast Cancer Module129
9.5. Analysis of the Breast Cancer Module Implementation131
9.6. Implementation of the Heart Disease Module134
9.7. Analysis of the Heart Disease Module Implementation135
9.8. Exposure to Other Chess Modules136
9.9. Implementation Through Community Health137
9.10. Analysis of the Community Health Implementation141
Conclusion143
Grace Hospital, 1996–2000145
10.1. Description of the Environment at the Site145
10.2. Timing in the History of CHESS147
10.3. Early Exposure and the Decision to Adopt CHESS148
10.4. Implementation of the Heart Disease Module 150
10.5. Implementation of Other CHESS Modules153
10.6. Analysis155
10.7. Conclusion162
Simpson Hospital, 1997–2000163
11.1. Description of the Environment at the Site163
11.2. Timing of Implementation in the History of Chess165
11.3. Implementation of Chess 168
11.4. Implementation of Other CHESS Modules 170
11.5. Analysis of the CHESS Implementations172
Conclusion179
Caregiver Resource Center Network, 1999– 2002180
12.1. Description of Environment at the Site180
12.2. Timing of the Implementation in the History of CHESS183
12.3. The Decision to Create DementiaCare183
12.4. The Development of DementiaCare184
12.5. Initial Implementation of DementiaCare186
12.6. Redesign and Re-implementation of DementiaCare189
12.7. Analysis193
Conclusion198
References199
Key Learning and Advice for Implementers200
13.1. A Model for Implementation201
13.2. Vision and Direction for This Chapter203
13.3. Gestalt: Implementation Success Depends on the Whole Set of Factors213
13.4. Special Considerations for Research-based Innovations213
13.5. Using the Readiness for Implementation Scale for IHCS Implementation214
13.6. Improving Implementation Efforts217
Conclusion221
References222
Index227