Strategies and Solutions in eHealth: A Literature Review

  • Marco De Marco
  • Francesca Ricciardi
  • Jan vom Brocke
Part of the Healthcare Delivery in the Information Age book series (Healthcare Delivery Inform. Age)


This study has three purposes: First, to provide a synthetic, up-to-date overview of the main emerging strategies for the health care sector in the Western developed countries; second, to understand the possible role of eHealth solutions in each of these emerging strategies; third, to understand how these emerging health care strategies and emerging eHealth solutions may be usefully applied to address one of the most important challenges for health care systems, i.e. population ageing. The overview on emerging strategies and emerging eHealth solutions provided here is based on a literature review including a wide spectrum of recent documents published on the Web about health care and eHealth. The outcome of this document search is a concept matrix linking emerging health care strategies and emerging eHealth solutions. This concept matrix is used as a framework to synthetically describe how eHealth initiatives are perceived by different stakeholders, such as investors, policy makers, insurance companies, PA bodies, researchers and academics, health care professionals, patients.


Health care strategies eHealth Population ageing Health record systems Telemedicine 


  1. Appelgate, L. M. et al. (2001). Emerging networked business models: Lessons from the field. Harvard Business School, (9), 801–172.Google Scholar
  2. Bahol, R. (2007). Methods to evaluate health information systems in healthcare settings: A literature review. Journal of Medical Systems, 31, 397–432.CrossRefGoogle Scholar
  3. Bath, P. A. (2008). Health informatics: Current issues and challenges. Journal of Information Science, 34(4), 501–518.CrossRefGoogle Scholar
  4. Blobel, B. (March 2010). Architectural approach to eHealth for enabling paradigm changes in health. Methods of Information in Medicine, 49(2), 123–134.PubMedCrossRefGoogle Scholar
  5. Blobel, B., Pharow, P., & Nerlich, M. (2008). eHealth: Combining health telematics, telemedicine, biomedical engineering, and bioinformatics to the edge: global experts summit textbook. Amsterdam: IOS Press.Google Scholar
  6. Boddy, D., et al. (2009). The influence of context and process when implementing e-health. BMC Medical Informatics and Decision Making, 9(9), 2009.Google Scholar
  7. Buccoliero, L., et al. (2008). A methodological and operative framework for the evaluation of an eHealth project. International Journal of Health Planning and Management, 23, 3–20.PubMedCrossRefGoogle Scholar
  8. Cass Business School. (2008). The economic, health and social benefits of care co-ordination for older people Cass Business School. London: City University.Google Scholar
  9. Conley, E. C., et al. (2008). Simultaneous trend analysis for evaluating outcomes in patient-centred health monitoring services. Healthcare Management Science, 11, 152–166.PubMedCrossRefGoogle Scholar
  10. Dansky, K., et al. (2006). A framework for evaluating eHealth research. Evaluation and Program Planning, 29, 397–404.PubMedCrossRefGoogle Scholar
  11. Dixon, B. E., et al. (2008). Using telehealth to improve quality and safety: Findings from the AHRQ portfolio (Vol. AHRQ publication no. 09-0012-EF). Rockville, MD: AHRQ Publication. December 2008.Google Scholar
  12. Dobrev, A., Vatter, Y., & Jones, T. (2010). The health information platform SISS in the region of Lombardy. Socio-economic impact and lessons learnt for future investments in interoperable electronic health record and ePrescribing systems. EHRI Case 9, Available at
  13. Findley, P. (March 2009). Preventive health services and lifestyle practices in cancer survivors: A population health investigation. Journal of Cancer Survivorship, 3(1), 43–58.PubMedCrossRefGoogle Scholar
  14. Garrido, T. (2005). Effect of electronic health records in ambulatory care: Retrospective, serial, cross sectional study. British Medical Journal, 330(7491), 581–585.PubMedCentralPubMedCrossRefGoogle Scholar
  15. Goldzweig, C. L., et al. (2009). Costs and benefits of health information technology. Health Affairs, 28(2), 282–293.CrossRefGoogle Scholar
  16. Hedman, J., & Kalling, T. (2003). The business model concept: Theoretical underpinnings and empirical illustrations. European Journal of Information Systems, 12(1), 49–59.CrossRefGoogle Scholar
  17. Kostkova, P. (Ed.) (2009). Electronic Healthcare. Second international ICST conference, eHealth 2009, Istanbul, Turkey, September 23–25, 2009, Revised Selected Papers. Springer.Google Scholar
  18. Leonard, K. (2004). The role of patients in designing health information systems: The case of applying simulation techniques to design an electronic patient record (EPR) interface. Health Care Management Science, 7, 275–284.PubMedCrossRefGoogle Scholar
  19. Maddalena Sorrentino, M., & Niehaves, B. (2010). Intermediaries in E-Inclusion: A literature review. HICSS. 43rd Hawaii international conference on system sciences, pp. 1–10, 2010.Google Scholar
  20. Mayhew, L. (2009). On the effectiveness of care co-ordination services aimed at preventing hospital admissions and emergency attendances. Health Care Management Science, 12, 269–248.PubMedCentralPubMedCrossRefGoogle Scholar
  21. Mayhew, L., & Lawrence, D. (2006). The costs and service implications of substituting intermediate care for acute hospital care. Health Services Management Research, 19, 80–93.PubMedCrossRefGoogle Scholar
  22. Myers, S., Grant, R. W., Lugn, N. E., Holbert, B., & Kvedar, J. (2006). Impact of home-based monitoring on the care of patients with congestive heart failure. Home Health Care Management & Practice, 18(6), 444–451.CrossRefGoogle Scholar
  23. Nir, M. (2004). Factors affecting the adoption of telemedicine: A multiple adopter perspective. Journal of Medical Systems, 28(6), 671–632.Google Scholar
  24. Oinas-Kukkonen, H., Räisänen, T., & Hummastenniemi, N. (2008). Patient relationship management. An overview and study of a follow-Up system. Journal of Healthcare Information and Management, 22(3), 24–29.Google Scholar
  25. Parente, S. T. (2000). Beyond the hype: A taxonomy of e-health business models. Health Affairs, 21, 90–101.Google Scholar
  26. Pomerleau, J., et al. (2008). The burden of chronic disease in Europe. In E. Nolte & M. McKee (Eds.), Caring for people with chronic diseases: An health system perspective (pp. 15–43). Maidenhead: Open University Press.Google Scholar
  27. Ricciardi, F. (2010). ICTs in an ageing society: an overview of emerging research streams. In A. D’Atri et al. (Eds.), Management of the interconnected world. Berlin Heidelberg: Springer.Google Scholar
  28. Shumaker, S. A., Ockene, J. K., Riekert, K. A., & Judith, K. (Eds.). (2008). The handbook of health behavior change. New York: Springer Publishing.Google Scholar
  29. Smith, M. (2001). Towards a global definition of patient centred care. British Medical Journal, 322(7284), 444–445.CrossRefGoogle Scholar
  30. Steiner, A. (1997). Intermediate care: A conceptual framework and review of the literature. London: King’s Fund.Google Scholar
  31. Stroetman, V. (2007). eHealth for safety: impact of ICT on patient safety and risk management. Report prepared for ICT for Health Unit, DG Information Society and Media, European Commission, October 2007.Google Scholar
  32. Valeri, L., Giesen, D., Jansen, P., & Klokgieters, K. (2010). Business models for eHealth. Available at (August, 2010).
  33. vom Brocke, J., Simons, A., Niehaves, B., Riemer, K., Plattfaut, R., & Cleven, A. (2009). Reconstructing the giant: On the importance of rigour in documenting the literature search process. Paper presented at the 17th European conference on information systems (ECIS 2009), Verona.Google Scholar
  34. Walker, J. (2005). The value of health care information exchange and interoperability. Health Affairs, 25(6), Scholar
  35. Wang, S. (2003). A cost–benefit analysis of electronic medical records in primary care’. American Journal of Medicine, 114, 397–403.PubMedCrossRefGoogle Scholar
  36. Weerasinghe, D. (Ed.) (2008). First international conference, eHealth 2008, London, September 8–9, 2008, Revised Selected Papers. Springer.Google Scholar
  37. Zweifel, P., Breyer, F., & Kifmann, M. (2009). Health economics. Berlin Heidelberg: Oxford University Press.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Marco De Marco
    • 1
  • Francesca Ricciardi
    • 1
  • Jan vom Brocke
    • 2
  1. 1.Department of Economics and Management SciencesUniversità Cattolica del Sacro Cuore, Catholic UniversityMilanItaly
  2. 2.Institute of Information SystemsUniversity of LiechtensteinVaduzLiechtenstein

Personalised recommendations