• Lieneke Fm Ariens, Florine Ml Schussler-Raymakers, Cynthia Frima, Annebeth Flinterman, Eefje Hamminga, Bernd Wm Arents, Carla Afm Bruijnzeel-Koomen, Marjolein S de Bruin-Weller, and Harmieke van Os-Medendorp.
• Department of Dermatology and Allergology, University Medical Center Utrecht, Utrecht, Netherlands.
• J. Med. Internet Res. 2017 Sep 5; 19 (9): e300.

BackgroundThe number of eHealth interventions in the management of chronic diseases such as atopic dermatitis (AD) is growing. Despite promising results, the implementation and use of these interventions is limited.ObjectivesThis study aimed to assess opinions of the most important stakeholders influencing the implementation and use of eHealth services in daily dermatology practice.MethodsThe perspectives of health care professionals and patients towards the implementation and use of eHealth services in daily practice were assessed by using a mixed method design. A cross-sectional survey based on the eHealth implementation toolkit (eHit) was conducted to explore factors influencing the adoption of eHealth interventions offering the possibility of e-consultations, Web-based monitoring, and Web-based self-management training among dermatologists and dermatology nurses. The perspectives of patients with atopic dermatitis (AD) regarding the use of eHealth services were discussed in an online focus group.ResultsHealth care professionals (n=99) and patients (n=9) acknowledged the value of eHealth services and were willing to use these digital tools in daily dermatology practice. Key identified barriers (statements with <50% of the participants scoring totally agree or agree) in the implementation and adoption of eHealth interventions included concerns about the availability (12/99, 12%) and allocation (14/99, 14%) of resources, financial aspects (26/99, 26%), reliability, security, and confidentially of the intervention itself (29/99, 29%), and the lack of education and training (6/99, 6%).ConclusionsHealth care professionals and patients acknowledge the benefits arising from the implementation and use of eHealth services in daily dermatology practice. However, some important barriers were identified that might be useful in addressing the implementation strategy in order to enhance the implementation success of eHealth interventions in dermatology.©Lieneke FM Ariens, Florine ML Schussler-Raymakers, Cynthia Frima, Annebeth Flinterman, Eefje Hamminga, Bernd WM Arents, Carla AFM Bruijnzeel-Koomen, Marjolein S de Bruin-Weller, Harmieke van Os-Medendorp. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 05.09.2017.

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