Health Care Provider Adoption of eHealth: Systematic Literature Review

作者：Junhua Li, Amir Talaei‐Khoei, Holly Seale, PRADEEP KUMAR RAY, Chandini Raina MacIntyre · 发表于：Interactive Journal of Medical Research · 年份：2013 · DOI：10.2196/ijmr.2468 · 被引用次数：271 · 研究领域：Mobile Health and mHealth Applications、Telemedicine and Telehealth Implementation、Electronic Health Records Systems

BACKGROUND: eHealth is an application of information and communication technologies across the whole range of functions that affect health. The benefits of eHealth (eg, improvement of health care operational efficiency and quality of patient care) have previously been documented in the literature. Health care providers (eg, medical doctors) are the key driving force in pushing eHealth initiatives. Without their acceptance and actual use, those eHealth benefits would be unlikely to be reaped. OBJECTIVE: To identify and synthesize influential factors to health care providers' acceptance of various eHealth systems. METHODS: This systematic literature review was conducted in four steps. The first two steps facilitated the location and identification of relevant articles. The third step extracted key information from those articles including the studies' characteristics and results. In the last step, identified factors were analyzed and grouped in accordance with the Unified Theory of Acceptance and Use of Technology (UTAUT). RESULTS: This study included 93 papers that have studied health care providers' acceptance of eHealth. From these papers, 40 factors were identified and grouped into 7 clusters: (1) health care provider characteristics, (2) medical practice characteristics, (3) voluntariness of use, (4) performance expectancy, (5) effort expectancy, (6) social influence, and (7) facilitating or inhibiting conditions. CONCLUSIONS: The grouping results demonstrated that the UTA...