e-Health readiness assessment factors and measuring tools: a systematic review

Yusif, Salifu and Hafeez-Baig, Abdul and Soar, Jeffrey (2017) e-Health readiness assessment factors and measuring tools: a systematic review. International Journal of Medical Informatics, 107. pp. 56-64. ISSN 1386-5056


Background: The evolving, adoption and high failure nature of health information technology (HIT)/IS/T systems
requires effective readiness assessment to avert increasing failures while increasing system benefits.
However, literature on HIT readiness assessment is myriad and fragmented. This review bares the contours of the
available literature concluding in a set of manageable and usable recommendations for policymakers, researchers,
individuals and organizations intending to assess readiness for any HIT implementation.

Objectives: Identify studies, analyze readiness factors and offer recommendations.

Method: Published articles 1995–2016 were searched using Medline/PubMed, Cinahl, Web of Science, PsychInfo, ProQuest. Studies were included if they were assessing IS/T/mHealth readiness in the context of HIT. Articles not written in English were excluded. Themes that emerged in the process of the data synthesis were thematically analysed and interpreted.

Results: Analyzed themes were found across 63 articles. In accordance with their prevalence of use, they included
but not limited to 'Technological readiness', 30 (46%); 'Core/Need/Motivational readiness', 23 (37%);
'Acceptance and use readiness', 19 (29%); 'Organizational readiness', 20 (21%); 'IT skills/Training/Learning
readiness' (18%), 'Engagement readiness', 16 (24%) and 'Societal readiness' (14%). Despite their prevalence in
use, 'Technological readiness', 'Motivational readiness' and 'Engagement readiness' all had myriad and unreliable
measuring tools. Core readiness had relatively reliable measuring tools, which repeatedly been used in
various readiness assessment studies.

Conclusion: Thus, there is the need for reliable measuring tools for even the most commonly used readiness
assessment factors/constructs: Core readiness, Engagement and buy-ins readiness, Technological readiness and IT
Skills readiness as this could serve as an immediate step in conducting effective/reliable e-Health readiness assessment, which could lead to reduced HIT implementation failures.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to Published version, in accordance with the copyright policy of the publisher.
Faculty / Department / School: Current - Faculty of Business, Education, Law and Arts - School of Management and Enterprise
Date Deposited: 28 Feb 2018 05:08
Last Modified: 28 Feb 2018 06:07
Uncontrolled Keywords: HIT/e-Health, mHealth, readiness, assessment tools, EHR/EMR, telehealth/telemedicine
Fields of Research : 08 Information and Computing Sciences > 0806 Information Systems > 080610 Information Systems Organisation
Identification Number or DOI: 10.1016/j.ijmedinf.2017.08.006
URI: http://eprints.usq.edu.au/id/eprint/33797

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