Evidence map›Paper›PMID 28874336›Full record

ArticleJournal of medical Internet research2017

Barriers and Facilitators to eHealth Use in Daily Practice: Perspectives of Patients and Professionals in Dermatology.

Lieneke Fm Ariens, Florine Ml Schussler-Raymakers, Cynthia Frima, Annebeth Flinterman, Eefje Hamminga, Bernd Wm Arents, Carla Afm Bruijnzeel-Koomen, Marjolein S de Bruin-Weller, Harmieke van Os-Medendorp

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  8. Teledermatology in Atopic Dermatitis: A Systematic Review.Journal of cutaneous medicine and surgery
    Pooled it
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lieneke Fm AriensDepartment of Dermatology and Allergology, University Medical Center Utrecht, Utrecht, Netherlands.ORCID 0000-0001-5256-0091
Florine Ml Schussler-RaymakersDepartment of Dermatology and Allergology, University Medical Center Utrecht, Utrecht, Netherlands.ORCID 0000-0003-1293-9042
Cynthia FrimaDepartment of Dermatology and Allergology, University Medical Center Utrecht, Utrecht, Netherlands.ORCID 0000-0002-6639-4378
Annebeth FlintermanDiakonessenhuis, Utrecht, Netherlands.ORCID 0000-0002-8655-0497
Eefje HammingaDiakonessenhuis, Utrecht, Netherlands.ORCID 0000-0002-7317-6328
Bernd Wm ArentsDutch Association for People with Atopic Dermatitis, Nijkerk, Netherlands.ORCID 0000-0001-6884-8014
Carla Afm Bruijnzeel-KoomenDepartment of Dermatology and Allergology, University Medical Center Utrecht, Utrecht, Netherlands.ORCID 0000-0001-7027-1883
Marjolein S de Bruin-WellerDepartment of Dermatology and Allergology, University Medical Center Utrecht, Utrecht, Netherlands.ORCID 0000-0002-1249-6993
Harmieke van Os-MedendorpDepartment of Dermatology and Allergology, University Medical Center Utrecht, Utrecht, Netherlands.ORCID 0000-0003-3300-2101

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of eHealth interventions in the management of chronic diseases such as atopic dermatitis (AD) is growing. Despite promising results, the implementation and use of these interventions is limited.

objectivesThis study aimed to assess opinions of the most important stakeholders influencing the implementation and use of eHealth services in daily dermatology practice.

methodsThe perspectives of health care professionals and patients towards the implementation and use of eHealth services in daily practice were assessed by using a mixed method design. A cross-sectional survey based on the eHealth implementation toolkit (eHit) was conducted to explore factors influencing the adoption of eHealth interventions offering the possibility of e-consultations, Web-based monitoring, and Web-based self-management training among dermatologists and dermatology nurses. The perspectives of patients with atopic dermatitis (AD) regarding the use of eHealth services were discussed in an online focus group.

resultsHealth care professionals (n=99) and patients (n=9) acknowledged the value of eHealth services and were willing to use these digital tools in daily dermatology practice. Key identified barriers (statements with <50% of the participants scoring totally agree or agree) in the implementation and adoption of eHealth interventions included concerns about the availability (12/99, 12%) and allocation (14/99, 14%) of resources, financial aspects (26/99, 26%), reliability, security, and confidentially of the intervention itself (29/99, 29%), and the lack of education and training (6/99, 6%).

conclusionsHealth care professionals and patients acknowledge the benefits arising from the implementation and use of eHealth services in daily dermatology practice. However, some important barriers were identified that might be useful in addressing the implementation strategy in order to enhance the implementation success of eHealth interventions in dermatology.

Indexed as

Cross-Sectional StudiesDermatologyHealth PersonnelHumansMedical InformaticsReproducibility of ResultsTelemedicinebarriersdermatologyeHealthfacilitatorsimplementation

Identifiers

PMID28874336
PMCPMC5605757

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.