Understanding the Implementation and Integration of ehealth Dr. Anne MacFarlane Department of General Practice, NUI, Galway February 27 th 2007

Research Record 1. UK qualitative evaluation of video consultations at primary/secondary care interface ( ) 2. Review of telemedicine in WHB and NWHB ( ) 3. Telehealthcare for Aranmore Island, Co. Donegal: A Consultation and Development Project ( ) 4. UK SDO ehealth research, advisory group member ( ) 5. EU Northern Peripherary Programme Preparatory Research Grant (2007)

eHealth Broad definition of ehealth Broad definition of ehealth –Management systems –Communication systems –Decision support systems –Information resources

Normalisation of ehealth Processes by which technologies within a work setting become ‘normal’ practice Processes by which technologies within a work setting become ‘normal’ practice Interest in assessing ‘readiness’ of healthcare settings Interest in assessing ‘readiness’ of healthcare settings –The degree to which a community is prepared to participate and succeed in telehealth, a cognitive precursor to behavioural resistance to or support for change

Normalisation Process Model Focus on contextual readiness: state of readiness based on the interaction between individual and organisational factors affecting use of the ehealth system [ rather than individuals’ intentions to use the system ] Focus on contextual readiness: state of readiness based on the interaction between individual and organisational factors affecting use of the ehealth system [ rather than individuals’ intentions to use the system ]

Potential Interdisciplinary Research Quantitative instrument to assess ‘readiness’ available from UK SDO research Quantitative instrument to assess ‘readiness’ available from UK SDO research Study to assess and compare the ‘readiness’ of primary care professionals for ehealth Study to assess and compare the ‘readiness’ of primary care professionals for ehealth