Investing in E-Health - What it Takes to Sustain Consumer Health Informatics

Investing in E-Health - What it Takes to Sustain Consumer Health Informatics

von: David H. Gustafson, Patricia Flatley Brennan, Robert P. Hawkins

Springer-Verlag, 2007

ISBN: 9780387495088 , 234 Seiten

2. Auflage

Format: PDF

Kopierschutz: Wasserzeichen

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Preis: 106,99 EUR

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Investing in E-Health - What it Takes to Sustain Consumer Health Informatics


 

Table of Contents

6

Foreword

8

List of Contributors

10

Patient-Focused Technology and the Health Care Delivery System

12

1.1. Where Does Patient-Focused Technology Fit in Health Care Delivery?

13

1.2. Achieving Success with Interactive Health Communications Systems

15

1.3. Readiness for Implementation Scale

16

References

17

CHESS: Translating Research into Practice

18

2.1. The CHESS System

19

2.2. Research and Development Process

22

2.3. Dissemination and Implementation of CHESS

24

References

28

Theory and Literature Review

29

3.1. Theories that Guide and Explain Implementation of IHCS

30

3.2. Applying These Theories to IHCS Implementation in Health Care Organizations

36

References

37

Considerations for Successful Implementation of Newly Adopted Technologies

39

4.1. Diffusion of Innovation Theory: Characterizing IHCS and Key Participants

40

4.2. Organizational Change Theory

42

4.3. Implementation Theories

45

References

48

Implementation Model Development and Testing

49

5.1. The IHCS Implementation Context

49

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 Success

61

Summary

63

References

63

Introduction to Case Studies

65

Associated Practice, 1992–1997

75

7.1. Description of the Environment at the Site

75

7.2. Timing of the Implementation in the History of Chess

77

7.3. Early Exposure and Decision to Adopt

77

7.4. Implementation of Breast Cancer and HIV/ AIDS Modules

79

7.5. Termination of CHESS at Associated Practice

87

7.6. Analysis

89

Conclusion

97

Union Hospital, 1993–2001

99

8.1. Description of the Environment at the Site

99

8.2. Timing of the Implementation in the History of CHESS

102

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 Implementation

110

8.6. Implementation of the Heart Disease Module

116

8.7. Analysis of the Heart Disease Module Implementation

120

Conclusion

123

Strand Hardin Health Care, 1995–2002

124

9.1. Description of Environment at the Site

124

9.2. Timing of the Implementation in the History of Chess

127

9.3. Early Exposure and Decision to Adopt

127

9.4. Implementation of the Breast Cancer Module

129

9.5. Analysis of the Breast Cancer Module Implementation

131

9.6. Implementation of the Heart Disease Module

134

9.7. Analysis of the Heart Disease Module Implementation

135

9.8. Exposure to Other Chess Modules

136

9.9. Implementation Through Community Health

137

9.10. Analysis of the Community Health Implementation

141

Conclusion

143

Grace Hospital, 1996–2000

145

10.1. Description of the Environment at the Site

145

10.2. Timing in the History of CHESS

147

10.3. Early Exposure and the Decision to Adopt CHESS

148

10.4. Implementation of the Heart Disease Module

150

10.5. Implementation of Other CHESS Modules

153

10.6. Analysis

155

10.7. Conclusion

162

Simpson Hospital, 1997–2000

163

11.1. Description of the Environment at the Site

163

11.2. Timing of Implementation in the History of Chess

165

11.3. Implementation of Chess

168

11.4. Implementation of Other CHESS Modules

170

11.5. Analysis of the CHESS Implementations

172

Conclusion

179

Caregiver Resource Center Network, 1999– 2002

180

12.1. Description of Environment at the Site

180

12.2. Timing of the Implementation in the History of CHESS

183

12.3. The Decision to Create DementiaCare

183

12.4. The Development of DementiaCare

184

12.5. Initial Implementation of DementiaCare

186

12.6. Redesign and Re-implementation of DementiaCare

189

12.7. Analysis

193

Conclusion

198

References

199

Key Learning and Advice for Implementers

200

13.1. A Model for Implementation

201

13.2. Vision and Direction for This Chapter

203

13.3. Gestalt: Implementation Success Depends on the Whole Set of Factors

213

13.4. Special Considerations for Research-based Innovations

213

13.5. Using the Readiness for Implementation Scale for IHCS Implementation

214

13.6. Improving Implementation Efforts

217

Conclusion

221

References

222

Index

227