Table 4.

Distribution of the indicators according to the themes and subthemes of the structure, process, and outcome categories.

Category, theme, and subtheme			Advantage (n)	Disadvantage (n)	Neutral (n)	Source
Structure (n=175)
	Inner setting (n=51)
		Support of primary process (n=34)	7	13	14	[27,34,37-43]
		Culture and leadership (n=17)	7	9	1	[27,34,37,40]
	Health care professional (n=28)
		Skills (n=8)	4	0	4	[27,36,38,40,41,43]
		Attitude (n=20)	8	8	4	[27,34-41,43]
	Care receiver (n=40)
		Daily life (n=18)	3	8	7	[27,34-39]
		Baseline characteristics (n=22)	1	5	16	[34-39]
	Technology (n=38)
		Usability and functionality (n=33)	8	17	8	[27,34-43]
		Interaction with EHRa (n=5)	0	5	0	[35,37,38,41,43]
	Outer setting (n=18)
		Finance and legislation (n=10)	0	2	8	[27,34,36,38-41]
		Involvement of stakeholders (n=8)	2	3	3	[27,38,43]
	Total structure		40	70	65
Process (n=84)
	Health care actions (n=38)
		Workflow (n=18)	5	11	2	[27,34-39,41-43]
		Patient-centered (n=20)	7	0	13	[27,34-39,41,42]
	Interpersonal actions (n=24)
		Personal (n=19)	11	3	5	[27,34-42]
		Shifting roles (n=5)	2	1	2	[34,36,42]
	Process management (n=22)
		Quality improvement (n=11)	4	3	4	[27,34,38,40]
		Mistake-proofing (n=11)	1	3	7	[27,37-39,41-43]
	Total process		30	21	33
Outcome (n=88)
	Health status (n=10)
		Clinical/functional (n=3)	1	0	2	[36,41,43]
		Intrapersonal (n=7)	6	0	1	[34,36,37,41,42]
	Experience of care receiver (n=23)
		Satisfaction (n=16)	11	3	2	[34-38,42]
		Convenience (n=7)	7	0	0	[36,38,42]
	Experience of health care professional (n=25)
		“What’s in it for me” (n=15)	9	2	4	[27,34,36-38,40,42]
		“What’s in it for them” (n=10)	10	0	0	[27,34,36-38,41-43]
	Efficiency (n=30)
		Operations (n=27)	4	9	14	[34-43]
		Revenues (n=3)	1	1	1	[27,41,43]
	Total outcome		49	15	24

^aEHR: electronic health record.