Qualitative Method Approach to Stakeholders, Attitudes Towards E-Health Elements

Birutė Pitrėnaitė-Žilėnienė, Birutė Mikulskienė


Many countries encounter different problems that are being experienced during the process of design, implementation and development of innovative information and communication technologies (ICT) in healthcare, known as eHealth solutions. Some of these problems are more challenging and influential than others. One of those is ensuring coherent stakeholders’ involvement in all the stages of eHealth development, matching of stakeholders’ interests and maintaining close cooperation. Therefore, in order to evaluate or prognosticate further development of eHealth, it is expedient to research stakeholders’ involvement, their attitudes towards diverse elements of eHealth and satisfaction with both eHealth development process and results. An increasing number of research evidences demonstrate the necessity to pursuit eHealth actors’ abilities to discuss demands and expectations, and negotiate changes of performance. The present research aims to investigate eHealth stakeholders’ attitudes towards eHealth elements through applying qualitative method approach. The paper identifies eHealth elements, develops the methodology allowing collecting data on eHealth stakeholders’ perceptions of these elements, tests the methodology and discusses generalized results of qualitative research. The methodology is based on semi-structural interviews. The authors of the research completed 41 individual and 3 group interviews with employees (heads of administrations, medical staff and ICT specialists) from different eHealth system institutions (hospitals, primary healthcare organizations, ministry of health, IT companies and other) from 10 Lithuanian cities.
Preliminary results of qualitative research revealed that eHealth stakeholders acknowledge the importance of all eHealth elements. However, the focus of attention was put on the elements related to inter-institutional cooperation among the institutions of eHealth system and on interaction within healthcare institutions installing eHealth solutions. The respondents agreed that participation of employees from all the organizational structures (doctors and nurses, administration, IT specialists) plays a crucial role for the success of system development. However, the research evidences that cooperation that is more active is demonstrated within organizations. Interaction among different institutions concerning eHealth policy design, planning and implementation of eHealth solutions remains fragmented, based on individual communication but not on systemic stakeholders’ participation and matching of interests.
The interviews evidenced several basic challenges on the interviewees’ opinions creating the majority of problems in eHealth development. Among those are the following: balancing eHealth system development top down and bottom up; compatibility of diverse information systems; stakeholders’ involvement and cooperation; budgeting of eHealth system creation, implementation and maintenance.


eHealth; eHealth elements; stakeholders; information technologies

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Blagov, E. and Bogolyubov, P. 2013. Corporate Web 2.0 Systems Adoption in Russian Companies: Testing the UTAUT Validity. Proceedings of the International Conference on Innovation and Entrepreneurship. The Hashemite University, Amman, Jordan, 4-5 March 2013. P. 37-45.

Boonstra, A. and van Offenbeek, M. 2010. Towards consistent models of e-Health implementation: structurational analysis of a telecare programme’s limited success. Information Systems Journal, 20(6): 537–561.

Buschor, E. 2013. Performance Management in the public sector: Past, current and future trends. Tékhne, 11(1): 4–9.

Chaudhry, S.I., Phillips, C.O., Stewart, S.S., Riegel, B., Mattera, J.A., Jerant, A.F., et al. 2007. Telemonitoring for patients with chronic heart failure: a systematic review. J Card Fail, 13(1):56-62.

Dansky, K. H., Thompson, D., Sanner, T. 2006. A framework for evaluating eHealth research. Evaluation and Program Planning, 29(4): 397-404.

Doolin, B. 2004. Power and resistance in the implementation of a medical management information system. Information Systems Journal, 14(4): 343–362.

Flick, U. 2006. An Introduction to Qualitative Research. London: SAGE Publications, 155 p.

Hage, E, Roo, J.P., van Offenbeek, M. AG, and Boonstra, A. 2013. Implementation factors and their effect on eHealth service adoption in rural communities: a systematic literature review. BMC Health Services Research, 13(19): 1-16.

Jasulaitis, A., Plenta, J., Justickis, V., Plentienė, J. Sveikatos apsaugos įstaigos darbuoto jų pasipriešinimo inovacijoms motyvai. Sveikatos politika ir valdymas. Nr. 1(4), 2012 p. 272-295.

Joshi, K. and Rai, A. 2000. Impact of the quality of information products on information system users’ job satisfaction: an empirical investigation. Information Systems Journal, 10(4): 323–345.

King, G., O’Donnell, C., Boddy, D., Smith, F., Heaney, D., and Mair, F.S. 2012. Boundaries and e-health implementation in health and social care. BMC Medical Informatics and Decision Making, 12 (100): 1-11.

Kvale, S. 2008. Doing Interviews. London: SAGE Publications, 160 p.

Le, Q. (ed) and Chiu, C. 2011. How well does E-Health Work? A Question of Evaluation, Health and Well-Being: A Social and Cultural Perspective, New York: NOVA Science Publishers Inc. pp. 279-289.

Nitsch, M., Waldherr, K., Denk, E., Griebler, U., Marent, B., Forster, R. 2013. Participation by different stakeholders in participatory evaluation of health promotion: A literature review. Evaluation and Program Planning, 40: 42-54.

Singleton, P., Pagliari, C., Detmer, D. 2009. Critical Issues for Electronic Health Records, Considerations from an Expert Workshop. The Nuffield Trust: London.

Štaras, K., Mačiulienė, M., Stokaitė, V. 2013. Informacinių ir komunikacinių technologijų įtaka sveikatos priežiūros paslaugų teikimui. Sveikatos politika ir valdymas, 1(5): 148–166.

van Gemert-Pijnen, J.E., Nijland, N., van Limburg, M., Ossebaard, H.C., Kelders, S.M., Eysenbach, G., Seydel, E.R. 2011. A holistic framework to improve the uptake and impact of eHealth technologies. J Med Internet Res, 13(4):e111 [žiūrėta 2013-12-15] < http://www.jmir.org/2011/4/e111/ >.

Venkatesh, V., Morris, M.G., Davis, G. B., and Davis, F.F. 2003. User Acceptance of Information Technology: Toward a Unified View. MIS Quarterly, 27(3): 425–478.

DOI: https://doi.org/10.13165/SPV-14-1-6-07


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