Health care professionals’ experiences of how an eHealth application can function as a value-creating resource - a qualitative interview study

Abstract Background The number of patients with one or more chronic conditions is increasing globally. One strategy to achieve more sustainable care for these patients is by implementing use of home-based eHealth applications. Such services support patients to take on a more active role as value-cre...

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Autores principales:	Catharina Carlqvist, Heidi Hagerman, Markus Fellesson, Mirjam Ekstedt, Amanda Hellström
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Chronic conditions Co-production eHealth Health care professionals Inequality Telemonitoring Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/fc6f47f63eea452aac1247df71d89147
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spelling	oai:doaj.org-article:fc6f47f63eea452aac1247df71d891472021-11-07T12:11:42ZHealth care professionals’ experiences of how an eHealth application can function as a value-creating resource - a qualitative interview study10.1186/s12913-021-07232-31472-6963https://doaj.org/article/fc6f47f63eea452aac1247df71d891472021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07232-3https://doaj.org/toc/1472-6963Abstract Background The number of patients with one or more chronic conditions is increasing globally. One strategy to achieve more sustainable care for these patients is by implementing use of home-based eHealth applications. Such services support patients to take on a more active role as value-creating co-producers of their own care, in collaboration with health care professionals. Health care professionals have a key role in the value creation process, but little is known about value formation within eHealth interactions, especially from their perspective. Therefore, this study aimed to provide a deeper understanding of how an eHealth application can function as a value-creating resource from the perspective of health care professionals. Methods Semi-structured interviews were conducted with thirteen health care professionals (nurses, physicians and first-line managers). Qualitative content analysis was used to analyze the interviews. Results The findings indicate that value formation processes are strongly influenced by the organizational preconditions and by the usability and functionality of technology. The experiences of the health care professionals indicated that value was conceptualized in dimensions of meaningfulness, building of relationships, building safety and feelings of trust. Although these dimensions were mainly expressed in a positive way, such as perceived improvement of medical care, accessibility and continuity, they also had a negative side that caused value destruction. This was primarily due to patient difficulties in using the application or making measurements. Subsequent efforts at value recovery resulted in value creation, but were often time-consuming for the professionals. Conclusions This study contributes by extending conceptualizations of value to the role of health care professionals and by highlighting technology as sometimes facilitating and sometimes hampering value formation processes. The findings indicate that the eHealth application was a value-creating resource, facilitating proactive communication and supporting patients’ engagement and control over their self-care. However, for the application to become a more valuable resource in practice and counteract inequity in care, it needs to be further developed to be adapted to the needs and preconditions of patients.Catharina CarlqvistHeidi HagermanMarkus FellessonMirjam EkstedtAmanda HellströmBMCarticleChronic conditionsCo-productioneHealthHealth care professionalsInequalityTelemonitoringPublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Chronic conditions Co-production eHealth Health care professionals Inequality Telemonitoring Public aspects of medicine RA1-1270
spellingShingle	Chronic conditions Co-production eHealth Health care professionals Inequality Telemonitoring Public aspects of medicine RA1-1270 Catharina Carlqvist Heidi Hagerman Markus Fellesson Mirjam Ekstedt Amanda Hellström Health care professionals’ experiences of how an eHealth application can function as a value-creating resource - a qualitative interview study
description	Abstract Background The number of patients with one or more chronic conditions is increasing globally. One strategy to achieve more sustainable care for these patients is by implementing use of home-based eHealth applications. Such services support patients to take on a more active role as value-creating co-producers of their own care, in collaboration with health care professionals. Health care professionals have a key role in the value creation process, but little is known about value formation within eHealth interactions, especially from their perspective. Therefore, this study aimed to provide a deeper understanding of how an eHealth application can function as a value-creating resource from the perspective of health care professionals. Methods Semi-structured interviews were conducted with thirteen health care professionals (nurses, physicians and first-line managers). Qualitative content analysis was used to analyze the interviews. Results The findings indicate that value formation processes are strongly influenced by the organizational preconditions and by the usability and functionality of technology. The experiences of the health care professionals indicated that value was conceptualized in dimensions of meaningfulness, building of relationships, building safety and feelings of trust. Although these dimensions were mainly expressed in a positive way, such as perceived improvement of medical care, accessibility and continuity, they also had a negative side that caused value destruction. This was primarily due to patient difficulties in using the application or making measurements. Subsequent efforts at value recovery resulted in value creation, but were often time-consuming for the professionals. Conclusions This study contributes by extending conceptualizations of value to the role of health care professionals and by highlighting technology as sometimes facilitating and sometimes hampering value formation processes. The findings indicate that the eHealth application was a value-creating resource, facilitating proactive communication and supporting patients’ engagement and control over their self-care. However, for the application to become a more valuable resource in practice and counteract inequity in care, it needs to be further developed to be adapted to the needs and preconditions of patients.
format	article
author	Catharina Carlqvist Heidi Hagerman Markus Fellesson Mirjam Ekstedt Amanda Hellström
author_facet	Catharina Carlqvist Heidi Hagerman Markus Fellesson Mirjam Ekstedt Amanda Hellström
author_sort	Catharina Carlqvist
title	Health care professionals’ experiences of how an eHealth application can function as a value-creating resource - a qualitative interview study
title_short	Health care professionals’ experiences of how an eHealth application can function as a value-creating resource - a qualitative interview study
title_full	Health care professionals’ experiences of how an eHealth application can function as a value-creating resource - a qualitative interview study
title_fullStr	Health care professionals’ experiences of how an eHealth application can function as a value-creating resource - a qualitative interview study
title_full_unstemmed	Health care professionals’ experiences of how an eHealth application can function as a value-creating resource - a qualitative interview study
title_sort	health care professionals’ experiences of how an ehealth application can function as a value-creating resource - a qualitative interview study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/fc6f47f63eea452aac1247df71d89147
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Health care professionals’ experiences of how an eHealth application can function as a value-creating resource - a qualitative interview study

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