Imperial College London
Alternate

Dr Nikolas Mastellos

Faculty of Medicine, School of Public Health

Honorary Lecturer
 
 
 
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Contact

 

n.mastellos Website

 
 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Watkinson:2021:10.1186/s12913-021-06771-z,
author = {Watkinson, F and Dharmayat, K and Mastellos, N},
doi = {10.1186/s12913-021-06771-z},
journal = {BMC Health Services Research},
pages = {1--13},
title = {A mixed-method service evaluation of health information exchange in England: technology acceptance and barriers and facilitators to adoption},
url = {http://dx.doi.org/10.1186/s12913-021-06771-z},
volume = {21},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background The need for information exchange and integrated care has stimulated the development of interoperability solutions that bring together patient data across the health and care system to enable effective information sharing. Health Information Exchange (HIE) solutions have been shown to be effective in supporting patient care, however, user adoption often varies among users and care settings. This service evaluation aimed to measure user acceptance of HIE and explore barriers and facilitators to its wider uptake. Methods A mixed-method study design was used. A questionnaire was developed using the Unified Theory of Acceptance and Use of Technology and administered to HIE users to assess technology acceptance. Pearson Chi² tests were used to examine differences in acceptance between user groups and care settings. Web-based, semi-structured interviews were conducted drawing on the Normalisation Process Theory to explore barriers and facilitators to adoption. Interview data were analysed thematically using the Framework Approach. Results A total of 105 HIE users completed the survey and another 12 participated in the interviews. Significant differences were found in HIE acceptance between users groups and care settings, with high adopters demonstrating higher acceptance and social care users showing lower acceptance. Participants identified several drivers to adoption, including increased information accessibility, better care coordination, informed decision-making, improved patient care, reduced duplication of procedures, and time and cost savings. However, they also highlighted a number of barriers, such as lack of awareness about the solution and its value, suboptimal communication strategies, inadequate training and lack of resources for knowledge dissemination, absence of champions to support the implementation, lack of end-user involvement in the implementation and evaluation of HIE, unclear accountability and responsibility for the overall success
AU  - Watkinson,F
AU  - Dharmayat,K
AU  - Mastellos,N
DO  - 10.1186/s12913-021-06771-z
EP  - 13
PY  - 2021///
SN  - 1472-6963
SP  - 1
TI  - A mixed-method service evaluation of health information exchange in England: technology acceptance and barriers and facilitators to adoption
T2  - BMC Health Services Research
UR  - http://dx.doi.org/10.1186/s12913-021-06771-z
UR  - https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-021-06771-z
UR  - http://hdl.handle.net/10044/1/90913
VL  - 21
ER  -
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