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Barriers and challenges of using health information technology in home care: A systematic review

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  • Zahra Galavi
  • Mahdieh Montazeri
  • Leila Ahmadian

Abstract

Objective Despite the benefits of applying Information technology (IT) in‐home care some challenges may affect the quality of the services. To deal with these challenges, it is required to identify them before providing such services. Therefore, the aim of this study is to systematically determine the challenges and barriers of using health IT in‐home care. Moreover, the possible solutions reported in the included studies were examined. Materials and Methods We performed a systematic search of the PubMed, Web of Science, and Embase databases for studies published between January 2010 and January 2020. For quality assessment of the included articles the Critical Appraisal Skills Programme and the Effective Public Health Practice Project checklists were used. The Supporting the Use of Research Evidence (Supporting the Use of Research Evidence (SURE)) framework was used to categorise the identified barriers and challenges. Results Of 1755 retrieved studies, 47 studies were included. The main barriers and challenges based on the SURE framework were categorised to Facilities (n = 35), Legislation or regulations (n = 19), Knowledge and skills (n = 18), Attitudes regarding programme acceptability, appropriateness and credibility (n = 16), Financial resources (n = 10), Motivation to change (n = 9), and External communication (n = 8). Studies mostly provided solutions regarding challenges related to the usability and functionality of the applied technology. Conclusions The results of this study can help policy‐makers and managers of health care organisations to be informed regarding the existing barriers, and implement safer and more effective home care systems. Awareness regarding barriers and potential challenges can help to provide optimal IT‐based interventions and facilitate providing home services.

Suggested Citation

  • Zahra Galavi & Mahdieh Montazeri & Leila Ahmadian, 2022. "Barriers and challenges of using health information technology in home care: A systematic review," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(5), pages 2542-2568, September.
    • Handle: RePEc:bla:ijhplm:v:37:y:2022:i:5:p:2542-2568
    DOI: 10.1002/hpm.3492
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    1. Michael C. Christensen & Dahlia Remler, 2007. "Information and Communications Technology in Chronic Disease Care: Why is Adoption So Slow and Is Slower Better?," NBER Working Papers 13078, National Bureau of Economic Research, Inc.
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