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Table 2 Summary of findings of factors important for the implementation of e-health

From: Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update)

CFIR construct

CFIR component

CFIR sub-component

Sources

e-Health domain

MS

CS

CD

IS

RS

Innovation characteristics

Innovation source

 

[16, 18]

x

    

Evidence strength and quality

 

[17, 18, 20, 22, 25, 53, 57]

x

x

  

x

Relative advantage

 

[17, 25, 31, 34, 38, 43, 49, 51, 57]

 

x

x

x

x

Adaptability

 

[16, 18, 21, 22, 24, 25, 27, 28, 34, 35, 38, 39, 41, 48–50, 52, 53, 58]

x

x

x

x

x

Trialability

 

[41, 51]

x

x

   

Complexity

 

[18, 27, 28, 34, 38, 40, 41, 43, 45, 49, 52, 53, 55]

x

 

x

x

x

Design quality and packaging

 

[18, 36, 43, 58]

x

 

x

 

x

Cost

 

[15–20, 22–25, 27, 28, 30–33, 36–39, 41, 43, 47, 49, 51–54, 57]

x

x

x

x

x

Outer setting

Patient needs and resources

 

[31, 33, 38, 41, 51]

x

x

x

  

Cosmopolitanism

 

[22, 51]

 

x

   

Peer pressure

 

No data

     

External policy and incentives

 

[16–20, 24, 28, 30, 31, 33, 36, 37, 39, 48, 49, 51]

x

x

x

 

x

Inner setting

Structural characteristics

 

[18, 27, 37, 44, 49, 52, 57, 58]

x

x

  

x

Networks and communications

 

[21, 22, 33, 37, 39, 49, 50, 58]

x

x

  

x

Culture

 

[22, 23, 34, 36, 46, 49, 54]

x

x

x

 

x

Implementation climate

       
 

Tension for change

No data

     

Compatibility

[15–18, 20, 21, 23, 25, 27, 28, 31, 33, 36, 37, 40, 41, 43, 46–50, 52, 55–59, 61]

x

x

x

 

x

Relative priority

No data

     

Organisational incentives and rewards

[17, 18, 37, 43]

x

x

x

 

x

Goals and feedback

[29, 37, 48, 50, 54, 58]

x

 

x

 

x

Learning climate

No data

     

Readiness for implementation

[27, 31–33, 44, 54, 58]

x

x

  

x

Leadership engagement

[18, 24, 25, 37, 43, 50, 53, 54, 56, 58]

x

 

x

 

x

Available resources

[17, 18, 25, 28, 31, 34, 37, 39, 41, 45, 49–51, 53]

x

x

x

 

x

Access to knowledge and information

[15, 16, 18, 20, 21, 23, 25, 28, 31, 37, 39, 41, 43, 45, 49–58]

x

x

x

 

x

Characteristics of individuals

Knowledge and beliefs about the intervention

 

[16, 18, 20–25, 27, 28, 30–34, 37–39, 41, 43–47, 49, 51–54, 56, 57]

x

x

x

x

x

Self-efficacy

 

[27]

x

    

Individual stage of change

 

[31–33, 44]

 

x

   

Individual identification with organisation

 

[54, 57]

x

   

x

Other personal attributes

 

[16, 18, 23, 25, 28, 34, 36, 37, 41, 43, 46, 52, 56, 57]

x

 

x

 

x

Process

Planning

 

[16, 18, 24, 27, 31–33, 39–41, 43, 44, 49–51]

x

x

x

 

x

Engaging

 

[21, 31, 37, 50, 54]

x

x

  

x

 

Opinion leaders

[21, 25, 34, 37, 41, 58]

x

 

x

 

x

 

Formally appointed internal implementation leaders

[18, 27, 32, 39, 44]

x

x

   
 

Champions

[18, 20, 25, 29, 31, 32, 36, 37, 39, 51, 54, 58]

x

x

  

x

 

External change agents

No data

     
 

Key stakeholders (Healthcare professional)

[16, 20, 28, 29, 34, 41, 44, 49–51, 53–56, 58]

x

x

x

 

x

 

Innovation participants (patients)

[20]

 

x

   

Executing

 

No data

     

Reflecting and evaluating

 

[16, 24, 29, 31, 34, 41, 43, 48, 50, 51, 53]

x

x

x

 

x

  1. MS management systems, CS communication systems, CD clinical decision support systems, IS information systems, R range systems from different e-health domains