Kemri-Wellcome Trust Research Programme: Exploring an E-Health strategy for engaging clinical teams in efforts to improve care.

E-health tools including performance dashboards (interfaces showing trends in an organizations key performance indicators) could help clinical teams improve services in hospitals but are rarely researched. More widely, however, benefits from E-Health interventions are often not realised as insufficient attention is given to users needs and interests or to how technological innovations might fit into the work context. I will explore the potential role and acceptability of performance dashboards a s part of clinical service improvement in Kenyan hospitals and consider how these might be designed to meet users needs in routine clinical practice. Specifically I will conduct an exploratory mixed-methods study informed by the Requirements Engineering approach from the health informatics research arena. Phase I will incorporate formative work that draws on theory, including Normalisation Process Theory, to provide an interpretive framework for qualitative work to explicate individual, organisa tional and contextual factors that may influence use of dashboards. Phase II will comprise a quantitative survey, informed by Phase I findings, to broaden understanding of how dashboards might meet user needs in different contexts. Work will inform strategies that promote adoption of E-Health interventions generally and specifically help us understand how to leverage technology for quality improvement in low-income contexts.

Programme: International Masters Fellowship

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