Table 2 Description of implementation strategies and processes
From: A realist review of factors critical for the implementation of eHealth in chronic disease management
Implementation Strategy/Process | Description [63] |
|---|---|
Engage users | Involving, preparing, and intervening with patients and the market to involve them and increase demand for clinical innovation |
Use evaluative and iterative strategies | Planning and conducting the implementation process, including activities such as planning, assessing for readiness, identifying barriers and facilitators, evaluating performance and progress, and providing audit and feedback |
Change infrastructure | Changing external structures such as legislation models, as well as internal conditions such as facilities and equipment |
Adapt and tailor to the context | Tailoring the innovation to meet local needs and tailoring the implementation strategies toward the identified barriers and facilitators |
Develop stakeholder interrelationships | Involving relevant internal and external stakeholders to support and move the implementation process forward |
Use financial strategies | Changing the patient billing systems, fee structures, reimbursement policies, research funding, and clinician incentives |
Support clinicians | Supporting clinical staff performance |
Provide interactive assistance | Supporting implementation issues |
Train and educate stakeholders | Providing written and oral training |