title: Scope of policy issues in eHealth: results from a structured literature review.
abstract: BACKGROUND
  eHealth is widely used as a tool for improving health care delivery and information. However, distinct policies and strategies are required for its proper implementation and integration at national and international levels.
  
  
  OBJECTIVE
  To determine the scope of policy issues faced by individuals, institutions, or governments in implementing eHealth programs.
  
  
  METHODS
  We conducted a structured review of both peer-reviewed and gray literature from 1998-2008. A Medline search for peer-reviewed articles found 40 papers focusing on different aspects of eHealth policy. In addition, a Google search found 20 national- and international-level policy papers and documents. We reviewed these articles to extract policy issues and solutions described at different levels of care.
  
  
  RESULTS
  The literature search found 99 policy issues related to eHealth. We grouped these issues under the following themes: (1) networked care, (2) interjurisdictional practice, (3) diffusion of eHealth/digital divide, (4) eHealth integration with existing systems, (5) response to new initiatives, (6) goal-setting for eHealth policy, (7) evaluation and research, (8) investment, and (9) ethics in eHealth.
  
  
  CONCLUSIONS
  We provide a list of policy issues that should be understood and addressed by policy makers at global, jurisdictional, and institutional levels, to facilitate smooth and reliable planning of eHealth programs.
authors.affiliation: AKDN eHealth Resource Centre, The Aga Khan University, Nairobi, Kenya. shariq.khoja@aku.edu
authors.forename: Shariq
authors.initials: S
authors.lastname: Khoja
authors.forename: Hammad
authors.initials: H
authors.lastname: Durrani
authors.forename: Parvez
authors.initials: P
authors.lastname: Nayani
authors.forename: Ammad
authors.initials: A
authors.lastname: Fahim
mesh_terms: D006291:Health Policy; D017216:Telemedicine