Successful implementation of ehealth interventions in healthcare: Development of an ehealth implementation guideline

Health Serv Manage Res. 2021 Nov;34(4):269-278. doi: 10.1177/0951484821994421. Epub 2021 Feb 16.


Introduction: eHealth interventions have the potential to improve the quality of healthcare and reduce costs. However, to implement eHealth interventions successfully instruments are needed to facilitate this process. This study aims to develop an eHealth implementation guideline for implementation of eHealth interventions in daily practice.

Methods: In June and July 2019 a literature research was conducted and, subsequently, a two-round Delphi study including 13 international eHealth experts in the field of healthcare, ICT & technology, and research was performed. Within the Delphi study, experts scored specific determinants using an online survey. Based on mean scores and interquartile ranges (IQRs) in the online survey, consensus between the experts was assessed.

Results: A total of five domains (i.e., Technology, Acceptance, Financing, Organizational, and Legislation & Policy) with 24 corresponding determinants were assessed by the experts. After the second Delphi round, consensus was achieved on the five domains and 23 determinants (mean scores ≥ 8; IQR ≤ 2). Only for the determinant 'Evidence-Based Medicine' was no consensus reached (mean score < 8; IQR = 2). Based on the 23 determinants, the eHealth implementation guideline is developed for eHealth implementations in healthcare in order to increase their effectiveness.

Conclusion: The eHealth implementation guideline developed in this study may help healthcare providers/researchers assess the determinants of successful eHealth intervention prior to the implementation of the eHealth program.

Keywords: Consensus; Delphi study; eHealth; eHealth implementation guideline; implementation.

MeSH terms

  • Consensus
  • Delivery of Health Care*
  • Health Facilities
  • Health Personnel
  • Humans
  • Telemedicine*