Table 3.
Workflow-related factors and their occurrence, with references.
| Factor | Subthemes | References |
| Training (n=80) | Clinicians’ training to enable an efficient use and management of the tools | [2,4,9,10,37,42-44,49,50,52-56,59,61,62,65,68,70-74,77,79-81, 83,85,89,90,92-94,96,97,103,104,111,112,120,122,126,128,129, 136,139,142,143,149-154,156,158,162,165,166,168-173,176,179,182, 183,185-189,191,194] |
| Workload (n=66) | Availability and allocation of resources | [2-5,9,10,34-37,39,41,45,46,48,49,51,53,55,59,61,62,70-74,77-81, 83-86,89,90,92,102,104,115,119,122,123,131,152,158-160,162, 164,169,172,174,178,181-183,185,186,188-190,192,195] |
| Workflow fit (n=60) | Improvements versus disruptions of the workflow and organization of work | [1,8-10,36,39,40,46,48,53,57,59,61,67,70,72-74,78,80,81,83-89,94, 104,107,109,114,120,122,129,135-137,141,147,150,155,156,159, 161,163,166,169,171,172,178,180-182,185,188,193] |
| Time or cost-efficiency (n=51) | Impact on efficiency and competitiveness | [1,5,9,38,39,43,44,47,49,52-54,57,59-61,64,74,77,78,86,87,91, 94,107-110,114,115,119,132,137,140,150,152,156,157,159,161, 162,165,168,173,174,177,179,181,188,190,195] |
| Collaboration and coordination (n=50) | Coordination of health services and collaboration between health care professionals | [1,2,8-10,39,40,42,46,50,52,55-57,59,61,68,69,71,84,85,87,88, 92,93,100,102,109,111,127,137,141,150,152,153,155,156,159, 161,162,168,172,176,182,185,186,188,194] |
| Technical skills, and experience (n=44) | Clinicians’ tech-savviness, and previous experience with technology or mHealtha | [9,37,44,49,55,59-61,67,72,73,81,83,96,100-102,112,121,122,127, 129,133,134,136,138,142,143,145,146,149,153,155,157,158,161, 168-170,179,184,188,191,196] |
| Roles and responsibilities (n=40) | Expansion, reassignment, or possible changes to clinical roles and responsibilities | [2,10,39,40,48,56,59-62,65,67,68,70-72,74,77-80,82,83,85,86, 88-90,94,103,104,152,157,164,167,169,176,182,189] |
| Leadership support (n=35) | Senior management and organizational support | [5,9,34,35,40,42,59,61,71-73,86,95,103,105,106,111,127,131,132,134, 138,145,156,157,164,166,170,174,181,182,188,192,195,196] |
| Infrastructure (n=33) | Availability and accessibility of the needed foundation | [2-4,9,35,47,51,54,69,70,77,82,83,87,91,93,95,116,124,126, 127,130,151,153,154,157,163,169,172,179,181,187,193] |
| Process standardization and planning (n=26) | Governance and control, streamlined procedures, and processes | [5,8,9,39,40,44-46,61,65,67,73,80,82-84,86,88,103,149,155, 160,164,167-169,180,182,185,189] |
| Staff competence (n=26) | Expertise in the required skills | [2,4,9,36,37,39,51,58,59,69,73,80,84,91,92,105,108,109,137, 154-157,164,176,185] |
| Data access and management (n=25) | Accessing, analyzing, and interpreting generated data | [36,38,51,53,60,62,66,72-75,77,78,100,108,115,120,150,157, 167,169,176,177,182,183] |
| Changes to clinical practice (n=24) | New paradigms of care and treatment | [10,35,37,40,46,48,49,59,64,65,72,79,80,92,94,123,130,139, 162,182,185,186,189,192] |
| Job security (n=22) | Autonomy, loss of control, threat to own career, and professional identity | [9,10,55,62,72,79,80,108,113,116,118,124,130,140,141,151, 159,176,182,185,188] |
| Incentives (n=15) | Different means to incentivize clinicians | [4,54,59,87,88,106,122,129,141,157,164,168,175,191] |
| Career and knowledge expansion (n=13) | Impact on professional development and expertise | [62,72-74,86,124,131,137,161,162,169,188,189] |
| Decision making (n=8) | The process of decision making in a fragmented health care system | [4,8,34,43,71,72,74,97,102,160,191] |
amHealth: mobile health.