Strengthening Community Health Systems Through Novel eHealth Initiatives? Commencing a Realist Study of the Virtual Health Rooms in Rural Northern Sweden
Background: Unlike the large body of research that has examined the ‘success’ or ‘failure’ of eHealth in terms of patientand provider perceptions or cost- and clinical effectiveness, the current study teases out ways through which a noveleHealth initiative in rural northern Sweden might resu...
Published in: | International Journal of Health Policy and Management |
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Format: | Article in Journal/Newspaper |
Language: | English |
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Umeå universitet, Institutionen för epidemiologi och global hälsa
2022
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179738 https://doi.org/10.34172/ijhpm.2021.08 |
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ftumeauniv:oai:DiVA.org:umu-179738 2024-09-15T18:26:03+00:00 Strengthening Community Health Systems Through Novel eHealth Initiatives? Commencing a Realist Study of the Virtual Health Rooms in Rural Northern Sweden Jonsson, Frida Carson, Dean B. Goicolea, Isabel Hurtig, Anna-Karin 2022 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179738 https://doi.org/10.34172/ijhpm.2021.08 eng eng UmeÃ¥ universitet, Institutionen för epidemiologi och global hälsa UmeÃ¥ universitet, Arktiskt centrum vid UmeÃ¥ universitet (Arcum) School of Business and Law, CQUniversity, Rockhampton, QLD, Australia International Journal of Health Policy and Management, 2022, 11:1, s. 39-48 orcid:0000-0002-5902-3798 orcid:0000-0001-8143-123x orcid:0000-0002-8114-4705 orcid:0000-0001-7087-1467 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179738 doi:10.34172/ijhpm.2021.08 PMID 33619935 ISI:000719956900001 Scopus 2-s2.0-85121661658 info:eu-repo/semantics/openAccess Northern Sweden eHealth Realist Evaluation Community Health System Person-Centred Care Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvÃ¥rdsorganisation hälsopolitik och hälsoekonomi Article in journal info:eu-repo/semantics/article text 2022 ftumeauniv https://doi.org/10.34172/ijhpm.2021.08 2024-07-09T23:37:52Z Background: Unlike the large body of research that has examined the ‘success’ or ‘failure’ of eHealth in terms of patientand provider perceptions or cost- and clinical effectiveness, the current study teases out ways through which a noveleHealth initiative in rural northern Sweden might result in more distal or systemic beneficial outcomes. More specifically,this paper aims to explore how and under what circumstances the so-called virtual health rooms (VHRs) are expectedto improve access to person-centred care and strengthen community health systems, especially for elderly residents ofrural areas. Methods: The first phase of the realist evaluation methodology was conducted, involving qualitative interviews with 8key stakeholders working with eHealth, business development, digitalisation, and process management. Using thematicanalysis and following an abductive-retroductive analytical process, an intervention-context-actor-mechanism-outcome(ICAMO) configuration was developed and elicited into an initial programme theory. Results: The findings indicate that a novel eHealth initiative, which provides reliable technologies in a customizedfacility that connects communities and providers, might improve access to person-centred care and strengthencommunity health systems for rural populations. This is theorized to occur if mechanisms acting at individual (suchas knowledge, skills and trust) and collective (like a common vision and shared responsibilities) levels are triggered incontexts characterised by supportive societal transitions, sufficient organisational readiness and the harnessing of ruralcohesiveness and creativity. Conclusion: The elicited initial programme theory describes and explains how a novel eHealth initiative in ruralnorthern Sweden is presumed to operate and under what circumstances. Further testing, refinements and continuedgradual building of theory following the realist evaluation methodology is now needed to ascertain if the ‘VHRs’ work asintended, for whom, in what conditions and ... Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) International Journal of Health Policy and Management |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Northern Sweden eHealth Realist Evaluation Community Health System Person-Centred Care Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi |
spellingShingle |
Northern Sweden eHealth Realist Evaluation Community Health System Person-Centred Care Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi Jonsson, Frida Carson, Dean B. Goicolea, Isabel Hurtig, Anna-Karin Strengthening Community Health Systems Through Novel eHealth Initiatives? Commencing a Realist Study of the Virtual Health Rooms in Rural Northern Sweden |
topic_facet |
Northern Sweden eHealth Realist Evaluation Community Health System Person-Centred Care Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi |
description |
Background: Unlike the large body of research that has examined the ‘success’ or ‘failure’ of eHealth in terms of patientand provider perceptions or cost- and clinical effectiveness, the current study teases out ways through which a noveleHealth initiative in rural northern Sweden might result in more distal or systemic beneficial outcomes. More specifically,this paper aims to explore how and under what circumstances the so-called virtual health rooms (VHRs) are expectedto improve access to person-centred care and strengthen community health systems, especially for elderly residents ofrural areas. Methods: The first phase of the realist evaluation methodology was conducted, involving qualitative interviews with 8key stakeholders working with eHealth, business development, digitalisation, and process management. Using thematicanalysis and following an abductive-retroductive analytical process, an intervention-context-actor-mechanism-outcome(ICAMO) configuration was developed and elicited into an initial programme theory. Results: The findings indicate that a novel eHealth initiative, which provides reliable technologies in a customizedfacility that connects communities and providers, might improve access to person-centred care and strengthencommunity health systems for rural populations. This is theorized to occur if mechanisms acting at individual (suchas knowledge, skills and trust) and collective (like a common vision and shared responsibilities) levels are triggered incontexts characterised by supportive societal transitions, sufficient organisational readiness and the harnessing of ruralcohesiveness and creativity. Conclusion: The elicited initial programme theory describes and explains how a novel eHealth initiative in ruralnorthern Sweden is presumed to operate and under what circumstances. Further testing, refinements and continuedgradual building of theory following the realist evaluation methodology is now needed to ascertain if the ‘VHRs’ work asintended, for whom, in what conditions and ... |
format |
Article in Journal/Newspaper |
author |
Jonsson, Frida Carson, Dean B. Goicolea, Isabel Hurtig, Anna-Karin |
author_facet |
Jonsson, Frida Carson, Dean B. Goicolea, Isabel Hurtig, Anna-Karin |
author_sort |
Jonsson, Frida |
title |
Strengthening Community Health Systems Through Novel eHealth Initiatives? Commencing a Realist Study of the Virtual Health Rooms in Rural Northern Sweden |
title_short |
Strengthening Community Health Systems Through Novel eHealth Initiatives? Commencing a Realist Study of the Virtual Health Rooms in Rural Northern Sweden |
title_full |
Strengthening Community Health Systems Through Novel eHealth Initiatives? Commencing a Realist Study of the Virtual Health Rooms in Rural Northern Sweden |
title_fullStr |
Strengthening Community Health Systems Through Novel eHealth Initiatives? Commencing a Realist Study of the Virtual Health Rooms in Rural Northern Sweden |
title_full_unstemmed |
Strengthening Community Health Systems Through Novel eHealth Initiatives? Commencing a Realist Study of the Virtual Health Rooms in Rural Northern Sweden |
title_sort |
strengthening community health systems through novel ehealth initiatives? commencing a realist study of the virtual health rooms in rural northern sweden |
publisher |
Umeå universitet, Institutionen för epidemiologi och global hälsa |
publishDate |
2022 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179738 https://doi.org/10.34172/ijhpm.2021.08 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
International Journal of Health Policy and Management, 2022, 11:1, s. 39-48 orcid:0000-0002-5902-3798 orcid:0000-0001-8143-123x orcid:0000-0002-8114-4705 orcid:0000-0001-7087-1467 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179738 doi:10.34172/ijhpm.2021.08 PMID 33619935 ISI:000719956900001 Scopus 2-s2.0-85121661658 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.34172/ijhpm.2021.08 |
container_title |
International Journal of Health Policy and Management |
_version_ |
1810466511230337024 |