Skip to main content

Table 2 Domains of implementation of information communication technology in health care settings

From: Using information communication technology in models of integrated community-based primary health care: learning from the iCOACH case studies

Domain

Definition and origin

Examples of factors/determinants

Characteristics of individuals

Individual-level knowledge, beliefs, self-efficacy, and cognitive process that influence understanding, trust, and adoption of technology

NPT (emphasis on social processes and cognition), FITT, CFIR, DOI, and RE-AIM

Knowledge, beliefs, attitudes, and norms

Self-efficacy

eHealth literacy/training

Personal traits (motivation, values)

Participation/engagement

Task/work coherence

Adherence

Organizational environment

Characteristics of the organization such as organizational-level culture and availability of resources that influence ICT adoption.

DOI, CFIR, FITT, NPT

Technical support

Organizational size

Organizational culture and climate

Readiness for change

Routinization of use

Organization of tasks and activities and complexity of task

External environment

Macro-level features surrounding organizations and networks including political, economic, and social contexts.

DOI, CFIR

Regulations and policies around ICT use

Funding

Organizational interdependence

Location (urban vs. rural setting)

Patient and population health needs

Characteristics of technology

Attributes of the technology which will (or will not) fit with the needs of users and the attributes of the organization and environment.

FITT, DOI, RE-AIM, CFIR, NPT (characteristics of intervention more broadly)

Usability (effectiveness, efficiency, learnability, satisfaction)

Functionality (including adaptability of features)

Cost

Integration

Available technical infrastructure

Availability

  1. NPT Normalization Process Theory; FITT Fit between Individual, Task and Technology; CFIR Consolidated Framework for Implementation Research; DOI Diffusion of Innovation; RE-AIM Reach, Effectiveness, Adoption, Implementation, and Maintenance