Determinants of e-Health Routinization in Public Healthcare Facilities in Kenya

Abstract

The integration of e-Health into health has the potential to transform healthcare service delivery by increasing quality. Quality service delivery has the following components: safety, timeliness, effectiveness, efficiency, patient-centeredness, and equity. However, the uptake and routinization of these systems remain a challenge, particularly in developing countries. The paper adopted a narrative literature review approach to explore determinants that influence e-Health routinization in public healthcare facilities. The search was conducted across multiple academic databases, including PubMed, Google Scholar, and JSTOR, using the key terms “e-Health,” “routinization,” “Kenya,” “health facilities,” “health information systems,” and “digital health adoption.” The study peer-reviewed articles, reports, and relevant policy documents published between 2014 and 2023. The findings show that organizational support, user training, technological infrastructure, and the involvement of stakeholders in design as critical to the successful implementation of e-Health and its routinization. Challenges such as inadequate infrastructure, user involvement during implementation, and resistance to change hinder uptake and widespread use of routinization. If these challenges are adequately addressed, uptake of e-Health routinization will easily be achieved.