The Challenge of Integrating eHealth Into Health Care: Systematic Literature Review of the Donabedian Model of Structure, Process, and Outcome

Background Health care organizations are increasingly working with eHealth. However, the integration of eHealth into regular health is challenging. It requires to change way they work and their structure processes be adapted ensure that supports attainment desired outcomes. Objective The aims this study investigate whether there identifiable indicators in structure, process, outcome categories related successful care, as well which process indicators. Methods A systematic literature review was conducted using Donabedian Structure-Process-Outcome (SPO) framework identify organizations. Data extraction sheets were designed provide an overview characteristics, extracted organized themes subthemes categories. Results Eleven studies included, covering a variety designs, diseases, tools. All identified potentially number found 175, 84, 88, respectively. most-noted mutual interaction inner setting (51 indicators, 16 interactions), receiver (40 11 technology (38 12 interactions)—all within category; actions 15 interactions) efficiency (30 category. In-depth examination four most-reported namely “deployment human resources” (n=11), theme “ease use” (n=16) “technical issue” (n=10), both “health logistics” (n=26), Conclusions Three principles important for care. First, role needs incorporated organizational daily process. Second, must attuned Third, deployment resources aligned end results. Not adhering these points could negatively affect organization, or