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Currently submitted to: JMIR mHealth and uHealth

Date Submitted: May 25, 2020
Open Peer Review Period: May 24, 2020 - Jul 3, 2020
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Factors impacting clinicians’ adoption of a clinical photo documentation app and its implications for clinical workflows and quality of care - A qualitative case study

  • Christine Jacob; 
  • Antonio Sanchez-Vazquez; 
  • Chris Ivory; 



Mobile health (mHealth) tools have shown promise in clinical photo and wound documentation for their potential to improve workflows, expand access to care, and improve the quality of patient care. However, some barriers to adoption persist.


This research focuses on understanding the social, organizational, and technical factors impacting clinicians’ adoption of a clinical photo documentation mobile health app, and its implications for clinical workflows and quality of care.


A qualitative case study of a clinical photo and wound documentation app, called imitoCam. The data were collected through 20 in-depth interviews with mHealth providers, clinicians, and medical informatics experts in 8 clinics and hospitals in Switzerland and Germany.


This case demonstrates that the use of mHealth in clinical photo and wound documentation provides numerous benefits such as time-saving and efficacy, better patient safety and quality of care, enhanced data security and validation, as well as better accessibility. Clinical workflow may also improve when the app is a good fit, resulting in better collaboration and transparency, streamlined daily work, clinician empowerment, and improved quality of care. Findings included important factors that may contribute to or hinder adoption. Factors may be related to the material nature of the tool such as the perceived usefulness, ease of use, interoperability, cost, or security of the app; or social, such as personal experience, attitudes, awareness, or culture. Organizational and policy barriers include the available clinical practice infrastructure, workload and resources, the complexity of the decision making, training, as well as ambiguity or lack of regulations. User engagement in the development and implementation process are vital contributors to the successful adoption of mHealth apps.


The promising potential of mHealth in clinical photo and wound documentation is clear and may enhance clinical workflow and quality of care, but the factors impacting adoption go beyond the technical features of the tool itself to also embrace significant social and organizational elements. Technology providers, clinicians and decision makers should work together to carefully address any barriers in order to improve adoption and harness the potential of these tools. Clinical Trial: NA


Please cite as:

Jacob C, Sanchez-Vazquez A, Ivory C

Factors impacting clinicians’ adoption of a clinical photo documentation app and its implications for clinical workflows and quality of care - A qualitative case study

JMIR Preprints. 25/05/2020:20203

DOI: 10.2196/preprints.20203


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