University of Twente Student Theses


Rapid implementation of eHealth due to COVID-19 : a retrospective implementation study

Oosterink, B. (2021) Rapid implementation of eHealth due to COVID-19 : a retrospective implementation study.

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Abstract:Background: Due to COVID-19, a large part of usual care could not be provided physically. Several eHealth innovations were implemented in short time in ZGT. With retrospective analysis, insights can be gained on innovating during a pandemic, and recommendations can be done to develop a sustainable strategy for fast and effective eHealth-supported care. Method: Based on a mixed-method study, two narratives were formed on two different technological innovations. The primary data consists of 20 semi-structured interviews with stakeholders together with the analysis of various secondary data. Using the NASSS framework, factors have been uncovered across seven domains. Results: Qualitative data show hindering and facilitating factors across all domains. Furthermore, the components of the strategies have been identified and found to be insufficiently attuned to complexities found. Finally, the implementation process was reconstructed from both primary and secondary data. Conclusion: The current degree of implementation is minimal for both eHealth innovations. Various complexities have complicated implementation. Due to rapid implementation, the value proposition is uncertain. It is unlikely that the accelerated introduction contributed to the continued use of these innovations. Persistent complexities influencing implementation processes are identified, and recommendations are made to support future eHealth implementations.
Item Type:Essay (Master)
ZGT, Almelo, Netherlands
Faculty:TNW: Science and Technology
Subject:44 medicine, 70 social sciences in general, 88 social and public administration
Programme:Health Sciences MSc (66851)
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