Why National eHealth Programs Need Dead Philosophers: Wittgensteinian Reflections on Policymakers' Reluctance to Learn from History
Why National eHealth Programs Need Dead Philosophers: Wittgensteinian Reflections on Policymakers' Reluctance to Learn from History
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DOI：
10.1111/j.1468-0009.2011.00642.x
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发表时间：
2011-12-01
影响因子：
6.6
通讯作者：
Parsons, Wayne
中科院分区：
文献类型：
--
作者：
Greenhalgh, Trisha;Russell, Jill;Parsons, Wayne
背景：政策制定者寻求引入昂贵的国家电子健康计划将被建议从其他地方学习经验教训。但这些教训并不明确，部分原因是一场范式战争（对照实验与解释性案例研究）正在激烈进行。英国2003年至2010年实施了206亿美元的国家信息技术计划（NPfIT），但其总体成功有限。虽然发表了案例研究评价，但决策者似乎忽视了其中的许多建议，坚持采用国家促进创新和贸易政策中一些最受批评的组成部分和执行方法。
Context: Policymakers seeking to introduce expensive national eHealth programs would be advised to study lessons from elsewhere. But these lessons are unclear, partly because a paradigm war (controlled experiment versus interpretive case study) is raging. England's $20.6 billion National Programme for Information Technology (NPfIT) ran from 2003 to 2010, but its overall success was limited. Although case study evaluations were published, policymakers appeared to overlook many of their recommendations and persisted with some of the NPfIT's most criticized components and implementation methods.