eHealth integration and interoperability issues: Towards a solution through enterprise architecture
Open accessAbstract
Investments in healthcare information and communication technology (ICT) and health information systems (HIS) continue to increase. This is creating immense pressure on healthcare ICT and HIS to deliver and show significance in such investments in technology. It is discovered in this study that integration and interoperability contribute largely to this failure in ICT and HIS investment in healthcare, thus resulting in the need towards healthcare architecture for eHealth. This study proposes an eHealth architectural model that accommodates requirement based on healthcare need, system, implementer, and hardware requirements. The model is adaptable and examines the developer's and user's views that systems hold high hopes for their potential to change traditional organizational design, intelligence, and decision-making.
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Compared with interventions delivered via face-to-face formats, the design and development of eHealth interventions appears to include more user input.
“Compared with interventions delivered via face-to-face formats, the design and development of eHealth interventions appears to include more user input (Adenuga, Kekwaletswe, & Coleman, 2015;Shackel, 1990).”
From eHealth interventions for family carers of people with long term illness: A promising approach? (2018) · cites this paper as Adenuga, Kekwaletswe, & Coleman, 2015
Use of participative research methods involving key stakeholders and end users at the core of the intervention development process has gained popularity.
“Although the agile method has been commonplace in the software development field since the 1970s, more recently, the use of participative research methods, which involve key stakeholders and end users at the core of the intervention development process, rather than brokering out the build work with a commission brief, have gained popularity [39-44].”
From A multicomponent eHealth intervention for family Carers for people affected by psychosis: a coproduced design and build study (2019) · cites this paper as [39]
In most eHealth interventions, end users take on responsibility in initiating contact and engaging with the intervention, working through the content, and undertaking self-reported outcome measures online.
“In most eHealth interventions, including those that provide guided support from a professional or health care provider, the end users take on responsibility in initiating contact and engaging with the intervention, working through the content, and undertaking self-reported outcome measures online [19,39].”
From A multicomponent eHealth intervention for family Carers for people affected by psychosis: a coproduced design and build study (2019) · cites this paper as [39]
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Developing a National eHealth Enterprise Architecture in Botswana: a digital health case study
Masizana-Katongo, A., Mwangi, M., Kisanga, R., Ndlovu, K., Mosesane, B., Moghadassi, M., Weissglas, F., Matengu, S., & Chebani, T. (2026) · Oxford Open Digital Health · doi:10.1093/oodh/oqag008
- Authors
- Adenuga, O. A., Kekwaletswe, R. M., & Coleman, A.
- Affiliations
- University of the Witwatersrand (ZA)
- University of South Africa (ZA)
- Corresponding author
- Adenuga, Olugbenga A
- Venue
- Health Information Science and Systems
- Published
- 2015-05-13
- Volume
- 3
- Issue
- 1
- Pages
- 1-1
- ISSN
- 2047-2501 (ISSN-L)
- PMC
- PMC4499196
- OpenAlex
- W1489438844
- Cited by
- 67
- References
- 31
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 6 · 2022: 5 · 2021: 14 · 2020: 10 · 2019: 8 · 2018: 11 · 2017: 7
- FWCI
- 11.56
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Health Information Science and Systems (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Unisa Institutional Repository (University of South Africa) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › Health Information Management › Innovation in Digital Healthcare Systems
- Social Sciences › Business, Management and Accounting › Management Information Systems › Information Technology Governance and Strategy
- Keywords
- e-health, interoperability, enterprise architecture, health information systems, health information technology, organizational design, decision-making
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