Exploring the challenges of implementing e-health: a protocol for an update of a systematic review of reviews
Open accessAbstract
Introduction: There is great potential for e-health to deliver cost-effective, quality healthcare and spending on e-health systems by governments and healthcare systems is increasing worldwide. However, the literature often describes problematic and unsuccessful attempts to implement these new technologies into routine clinical practice. To understand and address the challenges of implementing e-health, a systematic review was conducted in 2009, which identified several conceptual barriers and facilitators to implementation. As technology is rapidly changing and new e-health solutions are constantly evolving to meet the needs of current practice, an update of this review is deemed necessary to understand current challenges to the implementation of e-health. This research aims to identify, summarise and synthesise currently available evidence, by undertaking a systematic review of reviews to explore the barriers and facilitators to implementing e-health across a range of healthcare settings. Methods and analysis: This is a protocol for an update of a systematic review of reviews. We will search MEDLINE, EMBASE, CINAHL, PSYCINFO and The Cochrane Library for studies published between 2009 and 2014. We will check reference lists of included studies for further studies. Two authors will independently screen the titles and abstracts identified from the search; any discrepancies will be resolved by discussion and consensus. Full-text papers will be obtained and relevant reviews will be selected against inclusion criteria. Eligible reviews have to be based on the implementation of e-health technologies. Data from eligible reviews will be extracted using a data abstraction form. A thematic analysis of barriers and facilitators to e-health implementation will be conducted. Ethics and dissemination: Ethical approval is not required. The permission of the original authors to update the review was sought and granted. Trial registration number: PROSPERO CRD42015017661.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The protocol for this systematic review has been published and registered with PROSPERO (CRD42015017661).
“The protocol for this systematic review has been published [9] and registered with the Prospective Register of Systematic Reviews (registration number CRD42015017661).”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [9]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Mair, F. S., May, C., O’Donnell, C., Finch, T., Sullivan, F., & Murray, E. (2012) · Bulletin of the World Health Organization · doi:10.2471/blt.11.099424 · Cited by 553 · cited 4× · see citing works
“In updating the Mair et al 14 systematic review, the methods described by those authors will be replicated, including the criteria for including and excluding studies, and the search strategy.”
BackgroundMethodInfluentialSelf-citationImproving Patient Care: The Implementation of Change in Clinical Practice
Grol, R. P. T. M., Wensing, M., Eccles, M., Davis, D., & Wensign, M. (2005) · Cited by 553 · see citing works
Xiao, N., Sharman, R., Rao, H., & Upadhyaya, S. (2012) · Decision Support Systems · doi:10.1016/j.dss.2012.10.047 · Cited by 350 · see citing works
E-health in low- and middle-income countries: findings from the Center for Health Market Innovations
Lewis, T., Synowiec, C., Lagomarsino, G., & Schweitzer, J. (2012) · Bulletin of the World Health Organization · doi:10.2471/blt.11.099820 · Cited by 319 · see citing works
Ben-Assuli, O. (2015) · Health Policy · doi:10.1016/j.healthpol.2014.11.014 · Cited by 175 · see citing works
A cross-national analysis of eHealth in the European Union: Some policy and research directions
Currie, W. L., & Seddon, J. J. M. (2014) · Information & Management · doi:10.1016/j.im.2014.04.004 · Cited by 104 · see citing works
Waterson, P. E. (2013) · Applied Ergonomics · doi:10.1016/j.apergo.2013.07.004 · Cited by 96 · see citing works
Sugarhood, P., Wherton, J. P., Procter, R., Hinder, S., & Greenhalgh, T. (2013) · Disability and Rehabilitation Assistive Technology · doi:10.3109/17483107.2013.823573 · Cited by 78 · see citing works
Maintaining Reviews: Updates, Amendments and Feedback
Higgins, J. P., Green, S., & Scholten, R. J. (2008) · Cochrane Handbook for Systematic Reviews of Interventions · doi:10.1002/9780470712184.ch3 · Cited by 54 · see citing works
Improving the credibility of electronic health technologies
van Gemert-Pinjen, J., Wynchank, S., Covvey, H. D., & Ossebaard, H. C. (2012) · Bulletin of the World Health Organization · doi:10.2471/blt.11.099804 · Cited by 50 · see citing works
Sahu, M., Grover, A., & Joshi, A. (2014) · Int. J. Electron. Heal. · doi:10.1504/ijeh.2014.064327 · Cited by 46 · see citing works
Lau, R., Stevenson, F., Ong, B. N., Dziedzic, K., Eldridge, S., Everitt, H., Kennedy, A., Kontopantelis, E., Little, P., Qureshi, N., et al. (2014) · BMJ Open · doi:10.1136/bmjopen-2014-005548 · Cited by 26 · see citing works
Self-citationUnited in Diversity: Legal Challenges on the Road Towards Interoperable eHealth Solutions in Europe
Stroetmann, K. A., Artmann, J., Dumortier, J., et al. (2012) · European Journal for Biomedical Informatics · doi:10.24105/ejbi.2012.08.2.2 · Cited by 18 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Evaluating barriers to adopting telemedicine worldwide: A systematic review
Scott Kruse, C., Karem, P., Shifflett, K., Vegi, L., Ravi, K., & Brooks, M. (2018) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x16674087 · Cited by 1,735 · see citing works
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
Self-citationCancer Survivors’ Experience With Telehealth: A Systematic Review and Thematic Synthesis.
Cox, A., Lucas, G., Marcu, A., Piano, M., Grosvenor, W., Mold, F., Maguire, R., & Ream, E. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.6575 · Cited by 330 · see citing works
- Authors
- Ross, J., Stevenson, F., Lau, R., & Murray, E.
- Affiliations
- University College London (GB)
- Corresponding author
- Ross, Jamie
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2015-04
- Volume
- 5
- Issue
- 4
- Pages
- e006773
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC4401858
- OpenAlex
- W1979571687
- Cited by
- 64
- References
- 13
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 8 · 2021: 8 · 2020: 5 · 2019: 8 · 2018: 8 · 2017: 6 · 2016: 8
- FWCI
- 0.80
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- National Institute for Health and Care Research (RP-PG-0609-10135)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- e-health, implementation barriers, implementation facilitators, health information technology, clinical adoption, barriers and facilitators
- MeSH terms
- Systematic Reviews as Topic, Humans, Review Literature as Topic, Telemedicine, Electronic Health Records
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
