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Evaluation of a web-based portal for chronic diseases: A summative evaluation for application of the CeHRes Roadmap via a case-study and a literature scan

Hertman, Freek (2013) Evaluation of a web-based portal for chronic diseases: A summative evaluation for application of the CeHRes Roadmap via a case-study and a literature scan.

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Abstract:Background: More and more people suffer from chronic diseases such as Diabetes Mellitus (DM) and Chronic Obstructive Pulmonary Disease (COPD). Not only the amount of people suffering from these diseases increases, the costs of the care of these diseases is increasing significantly as well. Trying to help people cope with this problem, eHealth technologies try to explain the gap between care and costs by supporting people. Objective: In this study the urge of participatory development will be demonstrated for the development of an eHealth technology (eHt). This will be done via an empirical case study of a web-based portal pilot for patients suffering from Diabetes Mellitus type 2 combined with a literature study. The web-based portal of MedManager situated in Kitchener, Canada has been used as case-study. The development and implementation activities from the case study will be compared with the activities that should have been performed according to the first two phases of the CeHRes Roadmap. These are Contextual Inquiry and Value Specification. (van Gemert-Pijnen et al., 2011). Methods: Three different research methods have been used in this study. - A stakeholder-analysis via an expert-group - Interviews with stakeholders - A non-systematic literature scan The stakeholder analysis has shown the stakeholders who are important for an eHt such as this case-study. These stakeholders have been categorized according to the theory of Mitchell and Sharp et al (Mitchell, Agle, & Wood, 1997; Sharp, Finkelstein, & Galal, 1999). The interviews were held with employees of MedManager. They were the developers of the eHt. One part of the interviews has been categorized to the principle of Eysenbach’s article regarding the 10 e’s of eHealth (Eysenbach, 2001). The other part of the interviews and the literature study was categorized to the principles of the HOT-FIT framework of Yusof et al (Yusof, Kuljis, Papazafeiropoulou, & Stergioulas, 2008). Results: Stakeholder approach: Different stakeholders have been found important by the expert group with different roles. The stakeholders are: GP/Diabetic nurse, Insurance Company, Government, Diabetes Education Center, Diabetes Association and the Industry. E’s of eHealth: When looking at the e’s of eHealth, empowerment and ethics seem to deem the most importance from the interviewee whereas equity is least important. HOT-FIT framework: The analysis of the HOT-FIT framework showed that the dimensions that effect the users directly seem to be the most important dimensions when comparing the information from the interviews and literature. These dimensions are Information Quality, Service Quality, System Use and User Satisfaction. Most relevant information was found about the use of an eHealth technology and the role of the user. Conclusions: When developing an eHealth application such as MedManager’s portal, it is important to consider many aspects from the beginning. Using a stakeholder approach and thinking about several aspects such as ‘the e’s of eHealth’ and the different dimensions from the ‘HOT-FIT framework’ might improve the quality by guiding the developers. Literature shows that a holistic way of working while developing an eHt would be the best approach. This case-study shows the possible pitfalls of the expert driven way of working. When neglecting dimensions such as organizational environment and net benefits the outcomes can be less positive.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:85 business administration, organizational science
Programme:Health Sciences MSc (66851)
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