title: eHealth and quality in health care: implementation time.
abstract: The use of information and communication technologies in health and health care could improve healthcare quality in many ways. Today's evidence base demonstrates the (cost-)effectiveness of online education, self-management support and tele-monitoring in several domains of health and care. While new results gradually provide more evidence for eHealth's impact on quality issues, now is the time to come to grips with implementation issues. Documented drawbacks such as low acceptance, low adoption or low adherence need our attention today to make the most of eHealth' potential. Improvement science is beginning to deliver the tools to address these persistent behavioural and cultural issues. The ceHRes Roadmap, for instance, is a plural and pragmatic approach that includes users' needs. It is now imperative to improve our implementation strategies in order to scale up eHealth technologies. This will accelerate the much needed transformation of our healthcare systems and sustain access, affordability and quality for all in the near future.
authors.affiliation: National Health Care Institute - Health Care Quality Institute, Eekholt 4, PO Box 320, 1110 AH, 1112 XH Diemen, The Netherlands Department of Psychology, Health & Technology, Centre for eHealth and Wellbeing Research, University of Twente, Drienerlolaan 5, PO Box 217, 7500AE, 7522 NB Enschede, The Netherlands.
authors.forename: Hans C
authors.initials: HC
authors.lastname: Ossebaard
authors.affiliation: Department of Psychology, Health & Technology, Centre for eHealth and Wellbeing Research, University of Twente, Drienerlolaan 5, PO Box 217, 7500AE, 7522 NB Enschede, The Netherlands.
authors.forename: Lisette
authors.initials: L
authors.lastname: Van Gemert-Pijnen
mesh_terms: D006801:Humans; D020407:Internet; D010353:Patient Education as Topic / Q000379:methods; D011787:Quality of Health Care / Q000458:organization & administration* / Q000592:standards; D058998:Remote Sensing Technology; D012648:Self Care; D017216:Telemedicine / Q000458:organization & administration* / Q000592:standards
keywords: healthcare reform; medical informatics applications; quality improvement; quality of health care; telemedicine