Table 5.
Reporting on the barriers and facilitators of health IT adoption aligned with the Integrated Technology Implementation Model (ITIM).
| ITIM constructs | Barriers (n=34), n (%)a | Facilitators (n=37), n (%) |
| Adoption or adopters | 2 (6) | 1 (3) |
| Communication | 6 (18) | 5 (14) |
| Economic environment | 5 (15) | 6 (16) |
| Facilitators (boundary spanner) | —b | 4 (11) |
| Implementation | 3 (9) | 9 (24) |
| Inner context | 17 (50) | 14 (38) |
| Interfacing systems | 5 (15) | 2 (5) |
| Leadership | 2 (6) | 2 (5) |
| Nature of the innovation | 15 (44) | 17 (46) |
| Outer context | 11 (32) | 9 (24) |
| Users (adopters) | 9 (26) | 4 (11) |
| Workflow | 9 (26) | 11 (30) |
aPercentages were calculated with respect to the total studies that reported barriers or facilitators. Some studies featured both barriers and facilitators to health IT adoption for cancer screening in primary care. As a result, these categories are not mutually exclusive and will not necessarily sum to 100%.
bNot available.