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

McCarthy, Stephen; Fitzgerald, Ciara; Sahm, Laura; Bradley, Colin; Walsh, Elaine K.

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

dc.contributor.author	McCarthy, Stephen
dc.contributor.author	Fitzgerald, Ciara
dc.contributor.author	Sahm, Laura
dc.contributor.author	Bradley, Colin
dc.contributor.author	Walsh, Elaine K.
dc.date.accessioned	2020-10-22T10:17:35Z
dc.date.available	2020-10-22T10:17:35Z
dc.date.issued	2020-09-29
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.description.status	Peer reviewed	en
dc.description.version	Accepted Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.citation	McCarthy, S., Fitzgerald, C., Sahm, L., Bradley, C. and Walsh, E.K. (2022) ‘Patient-held health IT adoption across the primary-secondary care interface: a Normalisation Process Theory perspective’, Health Systems, 11(1), pp. 17–29. https://doi.org/10.1080/20476965.2020.1822146	en
dc.identifier.doi	10.1080/20476965.2020.1822146	en
dc.identifier.eissn	2047-6973
dc.identifier.endpage	29
dc.identifier.issn	2047-6965
dc.identifier.journaltitle	Health Systems	en
dc.identifier.startpage	17
dc.identifier.uri	https://hdl.handle.net/10468/10680
dc.identifier.volume	11
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: https://doi.org/10.1080/20476965.2020.1822146	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