Test the artefact - Develop the organization - The implementation of an electronic medication plan
Test the artefact - Develop the organization - The implementation of an electronic medication plan
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DOI：
10.1016/j.ijmedinf.2006.01.001
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发表时间：
2007-01-01
影响因子：
4.9
通讯作者：
Bossen, Claus
中科院分区：
文献类型：
--
作者：
Bossen, Claus
目的和方法：本文旨在通过描述在丹麦一个县的三家医院试行新开发的电子医疗计划（EMP）的研究结果，进一步深入了解医疗保健中实施IT的过程。通过参与者观察和半结构化开放式访谈的定性方法获得的数据应用了社会技术视角。结论：在医疗保健中实现IT技术与工作流程之间的契合涉及建立新的组织结构，该组织结构跨越现有的部门医院组织，并详细地对齐人工制品、功能和工作流程。这一进程可以通过支持“实践社区”，即由参与的临床医生组成的非正式团体来进一步推进。社会技术视角有利于分析这些过程。2006爱思唯尔爱尔兰有限公司版权所有。
Objective and methods: The paper aims to develop further insights into the process of implementation of IT in health care by describing findings from a study of a trial implementation of a newly developed electronic medication plan (EMP) in three hospitals in a county in Denmark. A sociotechnical perspective is applied to data acquired by the qualitative methods of participant observation and semi-structured open-ended interviews. Conclusions: The achievement of fit between IT technology and work processes in health care involves the establishment of new organizational structures that cut across the existing divisionalized hospital organization and a detailed alignment of artefact, functionality and work process. This process can be furthered by supporting 'communities of practice', i.e. informal groups of engaged clinicians. A sociotechnical perspective is beneficial to the analysis of such processes. (c) 2006 Elsevier Ireland Ltd. All rights reserved.