The Use of Electronic Health Information Systems in Home Care: Facilitators and Barriers
Abstract
Electronic health information systems (EHIS) containing standardized assessment data (e.g., RAI-Home Care, Outcome and Assessment Information Set [OASIS]) hold considerable promise, but their potential has yet to be fully realized. Literature was searched for strategies on implementing and using EHIS, including barriers and facilitators of their use in home care. Results of this review will be discussed in terms of their implications for the future development and use of EHIS in home care, and for future research.
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The availability, or lack thereof, of time to learn new e-health systems, implement them, and train staff to use them was reported by several studies as a resource factor important for implementation.
“The availability, or lack thereof, of time to learn new e-health systems, implement them [25, 37, 53] and train staff to use them [49] was reported by several studies as a resource factor important for implementation.”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [53]
A lack of knowledge and a limited understanding of benefits afforded by the systems acted as a barrier to implementation.
“A lack of knowledge and a limited understanding of benefits afforded by the systems acted as a barrier to implementation [49, 52, 53].”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [53]
A lack of leadership involvement can be a barrier to implementation.
“and a lack of involvement can be a barrier to implementation [18, 53].”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [53]
A lack of evaluation and evidence may act as a barrier to implementation.
“whereas a lack of evaluation and evidence may act as a barrier to implementation [53].”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [53]
Cites
The Public Release of Performance Data
Marshall, M., Shekelle, P., Leatherman, S. T., & Brook, R. H. (2000) · JAMA · doi:10.1001/jama.283.14.1866 · Cited by 846 · see citing works
Evaluation of health information systems—problems and challenges
Ammenwerth, E., Gräber, S., Herrmann, G., Bürkle, T., & König, J. (2003) · International Journal of Medical Informatics · doi:10.1016/s1386-5056(03)00131-x · Cited by 414 · see citing works
What is important to continuity in home care?
Woodward, C. A., Abelson, J., Tedford, S., & Hutchison, B. G. (2003) · Social Science & Medicine · doi:10.1016/s0277-9536(03)00161-8 · Cited by 156 · see citing works
Pressure ulcers: implementation of evidence‐based nursing practice
Clarke, H. F., Bradley, C., Whytock, S., Handfield, S., van der Wal, R., & Gundry, S. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2004.03333.x · Cited by 94 · see citing works
Recognising relationships: reflections on evidence‐based practice
Kitson, A. A. (2002) · Nursing Inquiry · doi:10.1046/j.1440-1800.2002.00151.x · Cited by 78 · see citing works
A Multiagent System Enhancing Home-Care Health Services for Chronic Disease Management
Koutkias, V. G., Chouvarda, I., & Maglaveras, N. (2005) · IEEE Transactions on Information Technology in Biomedicine · doi:10.1109/titb.2005.847511 · Cited by 78 · see citing works
Admitted with a hip fracture: patient perceptions of rehabilitation
Olsson, L., Nyström, A., Karlsson, J., et al. (2007) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2006.01635.x · Cited by 71 · see citing works
Flottorp, S., & Oxman, A. D. (2003) · BMC Health Services Research · doi:10.1186/1472-6963-3-3 · Cited by 62 · see citing works
Towards a virtual health record for mobile home care of elderly citizens
Koch, S., Maria, H., Scandurra, I., et al. (2004) · Studies in health technology and informatics · doi:10.3233/978-1-60750-949-3-960 · Cited by 33 · see citing works
Beyond Knowledge Transfer: A Model of Knowledge Integration in a Clinical Setting
Gauthier, N., Ellis, K., Bol, N., & Stolee, P. (2005) · Healthcare Management Forum · doi:10.1016/s0840-4704(10)60067-1 · Cited by 21 · see citing works
Self-citationAn Informatics Infrastructure for Patient Safety and Evidence-Based Practice in Home Healthcare
Bakken, S. R., & Hripcsak, G. M. (2004) · Journal for Healthcare Quality · doi:10.1111/j.1945-1474.2004.tb00492.x · Cited by 19 · see citing works
Point of Care Technology: A Sociotechnical Approach to Home Health Implementation
Struk, C. M., & Stricklin, M. L. V. (2003) · Methods of Information in Medicine · doi:10.1055/s-0038-1634350 · Cited by 16 · see citing works
Egan, M. Y., Wells, J., Byrne, K. M., et al. (2009) · Health & Social Care in the Community · doi:10.1111/j.1365-2524.2008.00835.x · Cited by 16 · see citing works
Outcome-Based Quality Improvement in Home Health Care
Shaughnessy, P. W., Crisler, K. S., & Schlenker, R. E. (1998) · Quality Management in Health Care · doi:10.1097/00019514-199807010-00007 · Cited by 15 · see citing works
Ensuring the Quality of OASIS Data: One Agency???s Plan
PENTZ, C., & Wilson, A. A. (2001) · Home Healthcare Now · doi:10.1097/00004045-200101000-00013 · Cited by 10 · see citing works
Stroke Care in Long-Term Care Facilities in Southwestern Ontario
Stolee, P., Hillier, L. M., Webster, F., et al. (2006) · Topics in Stroke Rehabilitation · doi:10.1310/tsr1304-97 · Cited by 10 · see citing works
Self-citationRise of accelerated baccalaureate programs.
Ouellet, L. L., & MacIntosh, J. (2007) · PubMed · Cited by 10 · see citing works
Using information technology strategically in home care
BENSON, J. A., Michelman, J. E., & Radjenovic, D. (1996) · Home Healthcare Now · doi:10.1097/00004045-199612000-00017 · Cited by 8 · see citing works
Pheby, D., & Thorne, P. M. (1994) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1994.20020361.x · Cited by 7 · see citing works
Improving systems interoperability with model-driven software development for healthcare.
Walderhaug, S., Mikalsen, M., Hartvigsen, G., et al. (2007) · PubMed · Cited by 6 · see citing works
Reflections From a Point-of-Care Pilot Nurse Group Experience
Thoman, J., Struk, C., Spero, M. O., & Stricklin, M. L. V. (2001) · Home Healthcare Now · doi:10.1097/00004045-200112000-00009 · Cited by 6 · see citing works
Minding the Store: How IT Impacts Outcomes Measurement
Simpson, R. L. (2000) · Nursing Administration Quarterly · doi:10.1097/00006216-200001000-00015 · Cited by 3 · see citing works
An investigation of barriers to computer-based patient record implementation.
Brodnik, M. S., & Watson, B. J. (1994) · PubMed · Cited by 3 · see citing works
A study of home care quality management data-collection systems.
Pratt, J. R., Bw, W., & Reid, W. M. (1994) · PubMed · Cited by 3 · see citing works
Towards creating an informatics infrastructure in home health care.
King, L., & Ahrens, J. (2005) · PubMed · Cited by 2 · see citing works
From Data to Information: Management Tools for Home Health Care Clinical Directors
Tidd, C. W. (1998) · Home Health Care Management & Practice · doi:10.1177/108482239801000205 · Cited by 2 · see citing works
Using Information Technology as a Strategic Tool for the Prospective Payment System
Braunstein, M. L. (2000) · Home Health Care Management & Practice · doi:10.1177/108482230001200608 · Cited by 2 · see citing works
Nurse manager opportunities in the new millennium: community-based disease management.
Hicks, J. E. (2000) · PubMed · Cited by 2 · see citing works
Ubiquitous computing in shared-care environments.
Koch, S. (2006) · PubMed · Cited by 1 · see citing works
Chapter 5. Home Health Care Information Systems
Schoech, D. J., Neff, J., & Roberts, K. C. (1995) · Journal of Gerontological Social Work · doi:10.1300/j083v24n03_06 · Cited by 1 · see citing works
Steinbach, P. J., & ZUBER, R. F. (1997) · Home Healthcare Now · doi:10.1097/00004045-199704000-00009 · Cited by 1 · see citing works
The End User of Home Care Computer Technology...the Clinician
Struk, C. (2002) · Home Healthcare Now · doi:10.1097/00004045-200207000-00015 · Cited by 1 · see citing works
GARNER, M., & Utterback, K. (2002) · Home Healthcare Now · doi:10.1097/00004045-200208000-00010 · Cited by 1 · see citing works
Felts, R., & Trusko, B. E. (1999) · PubMed · Cited by 1 · see citing works
OASIS is here--serious issues arise.
Cj, H. (1999) · PubMed · Cited by 1 · see citing works
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Ross, J., Stevenson, F., Lau, R., & Murray, E. (2016) · Implementation Science · doi:10.1186/s13012-016-0510-7 · Cited by 1,011 · see citing works
Emerging ICT implementation issues in aged care.
Kapadia, V., Ariani, A., Li, J., & Ray, P. K. (2015) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2015.07.002 · Cited by 83 · see citing works
Uribe Guajardo, M. G., Baillie, A., Louie, E., Giannopoulos, V., Wood, K., Riordan, B., Haber, P., & Morley, K. (2022) · Journal of Multimorbidity and Comorbidity · doi:10.1177/26335565221096977 · Cited by 10 · see citing works
- Authors
- Stolee, P., Steeves, B., Glenny, C., & Filsinger, S.
- Affiliations
- University of Waterloo (CA)
- Corresponding author
- Steeves, Brandie
- ORCID
- Stolee, Paul
- Venue
- Home Healthcare Nurse
- Published
- 2010-03
- Volume
- 28
- Issue
- 3
- Pages
- 167-181
- ISSN
- 0884-741X (ISSN-L)
- OpenAlex
- W2062129113
- Cited by
- 31
- References
- 35
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 5 · 2015: 5 · 2014: 3 · 2013: 4 · 2012: 1
- FWCI
- 3.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Home Healthcare Now (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- electronic health information systems, home care, home care nursing, Outcome and Assessment Information Set, implementation strategies, barriers and facilitators, nursing documentation
- MeSH terms
- Attitude to Computers, Community Health Nursing, Computer Literacy, Computer User Training, Forecasting, Health Services Needs and Demand, Home Care Services, Humans, Nursing Research, Outcome Assessment, Health Care, Electronic Health Records
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