Patient-held health IT adoption across the primary-secondary care interface: a Normalisation Process Theory perspective

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Show simple item record McCarthy, Stephen Fitzgerald, Ciara Sahm, Laura Bradley, Colin Walsh, Elaine K. 2020-10-22T10:17:35Z 2020-10-22T10:17:35Z 2020-09-29
dc.identifier.citation McCarthy, S., Fitzgerald, C., Sahm, L., Bradley, C. and Walsh, E. K. (2020) 'Patient-held health IT adoption across the primary-secondary care interface: a Normalisation Process Theory perspective', Health Systems. doi: 10.1080/20476965.2020.1822146 en
dc.identifier.issn 2047-6965
dc.identifier.doi 10.1080/20476965.2020.1822146 en
dc.description.abstract Patient-held Health Information Technologies (HIT) can reduce medical error by improving communication between patients and the healthcare team. Despite the proposed benefits, the roll-out of patient-held HIT solutions remains nascent, leaving considerable gaps in our understanding of the adoption challenges inherent. This paper adopts Normalisation Process Theory to study the factors which support or impede the adoption and “normalisation” of patient-held HIT, particularly across the primary-secondary care interface. The authors conducted an in-depth case study of HIT adoption across four GP practices, and the wards of a 350 bed hospital. 35 semi-structured interviews were completed. Findings point towards both user-specific and network-specific factors as significant challenges to normalisation across primary-secondary care. This includes factors related to interactional workability, skill set workability, relational integration, and contextual integration. We also discuss challenges specific to patient-held HIT adoption e.g., understanding the patient/clinician experience, supporting informal clinician networks, and spanning across IT boundaries. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Taylor & Francis Group en
dc.rights © 2020, Operational Research Society. Published by Taylor & Francis Group. This is an Accepted Manuscript of an item published by Taylor & Francis in Health Systems on 29 September 2020, available online: en
dc.subject Health information systems en
dc.subject Electronic personal record en
dc.subject Electronic medical record en
dc.subject Implementation en
dc.subject Diffusion en
dc.subject Health information exchange en
dc.subject Normalisation Process Theory en
dc.title Patient-held health IT adoption across the primary-secondary care interface: a Normalisation Process Theory perspective en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Stephen McCarthy, Cork University Business School, University College Cork, Cork, Ireland. T: +353-21-490-3000 E: en
dc.internal.availability Full text available en Access to this article is restricted until 12 months after publication by request of the publisher. en 2021-09-29
dc.description.version Accepted Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Health Systems en
dc.internal.IRISemailaddress en
dc.internal.bibliocheck In press. Check vol / issue / page range. Amend citation and copyright statement as necessary. en
dc.identifier.eissn 2047-6973

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