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Planning and managing computerized order entry: a case study of IT-enabled organizational transformation. 计划和管理计算机化订单输入:一个基于it的组织转型的案例研究。
Topics in health information management Pub Date : 1999-05-01
E J Davidson, W G Chismar
{"title":"Planning and managing computerized order entry: a case study of IT-enabled organizational transformation.","authors":"E J Davidson,&nbsp;W G Chismar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article uses a model for technology-enabled organizational transformation to analyze a case study of computerized order entry at a medium-sized, urban hospital. The hospital achieved initial goals for direct order entry by physicians and improvements in patient care and is now using the system to implement disease management policies. The authors use the model to examine decisions and actions that facilitated or constrained effective implementation of the system and discuss the model's implications for managing implementation of computerized order entry technologies in health care systems.</p>","PeriodicalId":79756,"journal":{"name":"Topics in health information management","volume":"19 4","pages":"47-61"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21254588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers to the adoption of computerized technology in health care systems. 在卫生保健系统中采用计算机技术的障碍。
Topics in health information management Pub Date : 1999-05-01
M G Sobol, M Alverson, D Lei
{"title":"Barriers to the adoption of computerized technology in health care systems.","authors":"M G Sobol,&nbsp;M Alverson,&nbsp;D Lei","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The increased emphasis on national health care plans, cost reduction, and additional recordkeeping has given impetus to the adoption of computerized information technologies in hospitals. A series of case studies performed in large, multihospital health care systems revealed ten important barriers to the adoption of information technologies grouped as follows: knowledge problems, approval problems, design problems, and implementation problems. These aspects were uncovered by using focus studies and interviews with chief information officers, physicians, consultants, and medical staff and by consulting numerous journals in the field. The article describes the barriers that arise because of the special conditions in hospitals and shows how some institutions are working to eliminate these barriers. The strategic issues that should be studied to overcome these barriers are also discussed.</p>","PeriodicalId":79756,"journal":{"name":"Topics in health information management","volume":"19 4","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21254819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A framework for strategic information systems implementation in the United Kingdom health sector. 联合王国卫生部门战略信息系统实施框架。
Topics in health information management Pub Date : 1999-05-01
S J Barnes, D Targett
{"title":"A framework for strategic information systems implementation in the United Kingdom health sector.","authors":"S J Barnes,&nbsp;D Targett","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The implementation of information technologies in the United Kingdom health sector is a relatively recent phenomenon. Many of the developments have followed the patterns in the United States. One such example is that of Case Mix, introduced strategically as part of the Resource Management Initiative and aimed at the facilitation of both clinical and financial audit. Moreover, Case Mix was implemented alongside significant changes in hospital structure and culture, requiring clinicians to get involved in management tasks and decision making within the structure of the hospital, supported by a new information infrastructure. The success of such systems has varied significantly. A number of lessons can be learned from the way that the implementation was approached. This article stems from a research project focusing longitudinally on the implementation of Case Mix in four UK hospitals. It draws a number of findings from the cases, and importantly, explicates a framework for strategic information systems implementation, as generated from the cases and supported by the extant literature. Such a framework has implications for both theory and practice, and assists in the understanding of what is often a dynamic and poorly understood situation.</p>","PeriodicalId":79756,"journal":{"name":"Topics in health information management","volume":"19 4","pages":"62-74"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21254589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strategic relevance and accountability expectations: new perspectives for health care information technology design. 战略相关性和问责期望:卫生保健信息技术设计的新视角。
Topics in health information management Pub Date : 1999-05-01
J K Tan, R E Modrow
{"title":"Strategic relevance and accountability expectations: new perspectives for health care information technology design.","authors":"J K Tan,&nbsp;R E Modrow","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this article, we discuss the traditional systems analysis perspective on end-user information requirements analysis and extend it to merge with the new accountability expectations perspective to guide the future planning and design of health organization information systems. Underlying the strategic relevance of health care information technology (HCIT) are three critical questions: (1) What is the ideal HCIT model for the health organization in terms of achieving strategic expertise and competitive advantage? Specifically, how does this model link industry performance standards with organizational performance and accountability expectations? (2) How should the limitations of past HCIT models be reconciled to the benefits presented by the superior arrangement of the ideal model in the context of changing accountability expectations? (3) How should alternative HCIT solutions be evaluated in light of evidence-based accountability and organizational performance benchmarking? Insights into these questions will ensure that health care managers, HCIT practitioners and researchers can continue to focus on the most critical issues in harnessing today's fast-paced changing technologies for evolving strategically relevant, performance-based health organization systems.</p>","PeriodicalId":79756,"journal":{"name":"Topics in health information management","volume":"19 4","pages":"84-97"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21254591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physician acceptance of telemedicine technology: an empirical investigation. 医生接受远程医疗技术:一项实证调查。
Topics in health information management Pub Date : 1999-05-01
P J Hu, P Y Chau
{"title":"Physician acceptance of telemedicine technology: an empirical investigation.","authors":"P J Hu,&nbsp;P Y Chau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fast-growing interest in telemedicine and increased investment in its enabling technology have made physician technology acceptance a growing concern for development and management of telemedicine. At the dawn of large-scale technology implementation by health care organizations around the globe, it is essential to understand physicians' attitudes toward use of telemedicine technology and their intention to use the technology. In this study, we used Theory of Planned Behavior to investigate technology acceptance among physicians who practiced in public tertiary hospitals in Hong Kong. Our data supported the investigated theory and the results suggest that attitude and perceived behavioral control are crucial to physician technology acceptance. Overall, physicians showed positive attitudes toward use of telemedicine technology and exhibited moderate intention to use the technology, primarily for clinical purposes. Implications for development and management of telemedicine also are discussed.</p>","PeriodicalId":79756,"journal":{"name":"Topics in health information management","volume":"19 4","pages":"20-35"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21254820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Information systems in the rehabilitation setting: the multidisciplinary approach. 康复环境中的信息系统:多学科方法。
Topics in health information management Pub Date : 1999-02-01
C A Eiseman
{"title":"Information systems in the rehabilitation setting: the multidisciplinary approach.","authors":"C A Eiseman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Very few inpatient rehabilitation facilities have implemented computerized patient information systems. HEALTHSOUTH Harmarville Rehabilitation Hospital has been able to successfully take advantage of its size and standing in the rehabilitation community to develop applications that provide clinicians with up-to-date patient information in a usable and easy to access format at a very reasonable cost. These systems, designed by multidisciplinary teams of clinicians, data users, and programmers, include a Nutrition and Diet Record, a Computerized Education Record, Case Management Tracking and Documentation, On-line Functional Outcomes Documentation and Patient Activity Calendar/Charge Entry applications.</p>","PeriodicalId":79756,"journal":{"name":"Topics in health information management","volume":"19 3","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21215744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Observational data collection using computer and manual methods: which informs best? 使用计算机和人工方法收集观测数据:哪种方法提供的信息最好?
Topics in health information management Pub Date : 1999-02-01
M B Holm, J C Rogers, L D Burgio, B J McDowell
{"title":"Observational data collection using computer and manual methods: which informs best?","authors":"M B Holm,&nbsp;J C Rogers,&nbsp;L D Burgio,&nbsp;B J McDowell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Computer and manual systems were used simultaneously to record observations of nursing home residents with dementia during a study designed to improve their dressing performance. This article differentiates the overlapping and unique features of the two data collection systems and discusses the clinical and research utility of each system. Although the computer system was more suited to clinical research and the manual system to clinical practice, when used in tandem each system provided data about the residents' performance that could be used for both clinical research and clinical practice, and complemented or expanded upon data generated by the other system.</p>","PeriodicalId":79756,"journal":{"name":"Topics in health information management","volume":"19 3","pages":"15-25"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21216331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of grounded theory to content definition: a case study. 扎根理论在内容定义中的应用:个案研究。
Topics in health information management Pub Date : 1999-02-01
D Audiss, T Roth
{"title":"Application of grounded theory to content definition: a case study.","authors":"D Audiss,&nbsp;T Roth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Successful implementation of a clinical information system requires clinician involvement throughout the process of content definition and system development to ensure acceptance of the automated care process. In these times of downsizing, however, clinicians are not always able to participate fully in the dontent definition phase of system development and often become frustrated with their inability to obtain the patient information they need from the system. The qualitative research principles of grounded theory afford clinicians the opportunity to participate in content definition for information systems. This article presents a case study of the application of grounded theory to develop systematically the content definition for a clinical information system in preparation for implementation on four medical-surgical units.</p>","PeriodicalId":79756,"journal":{"name":"Topics in health information management","volume":"19 3","pages":"47-51"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21216335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social, legislative, and clinical influences on defining disability: implications for information management. 定义残疾的社会、立法和临床影响:对信息管理的启示。
Topics in health information management Pub Date : 1999-02-01
L C Spruill
{"title":"Social, legislative, and clinical influences on defining disability: implications for information management.","authors":"L C Spruill","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Making a clear distinction between illness and disability, as well as between organic, individual, and social components of disability, has important implications for clinical practice, research, development of social policy, and equalization of opportunity for people with disabilities. The influence of social and legislative change arising from social movements of people with disabilities, and advancements in rehabilitation medicine and assistive technology, have resulted in major changes in understanding all these components of disability. The role of information management professionals in clarifying and applying these concepts, as well as providing clear, accurate, and complete data, is of critical importance in efforts to prevent, remediate, and offset the social consequences of all aspects of disability.</p>","PeriodicalId":79756,"journal":{"name":"Topics in health information management","volume":"19 3","pages":"10-4"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21215745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interdependence: a model for community-based health information management systems. 相互依存:基于社区的卫生信息管理系统模式。
Topics in health information management Pub Date : 1999-02-01
A Condeluci
{"title":"Interdependence: a model for community-based health information management systems.","authors":"A Condeluci","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When a person becomes ill or injured, it is the health care professional's role to restore patients to their preexisting condition. However, when injuries or illness render the individual disabled, it has been my experience that the health care system continues treatment based on what has been regarded as the Medical Model. This Medical Model, however, may not be appropriate for enabling community independence of the individual disabled. An alternative method I have found to be more appropriate in meeting the community participation needs of the individual is examined in this article. The Interdependent Model promotes community acceptance and personal empowerment of the individual. This paradigm is capacities-driven rather than deficit-driven. In an exciting and important way, we have found that it repositions the health care professional's perspective of the doctor-patient relationship.</p>","PeriodicalId":79756,"journal":{"name":"Topics in health information management","volume":"19 3","pages":"40-6"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21216334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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