Complexity and the science of implementation in health IT-Knowledge gaps and future visions
Complexity and the science of implementation in health IT-Knowledge gaps and future visions
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DOI：
10.1016/j.ijmedinf.2013.10.009
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发表时间：
2014-07-01
影响因子：
4.9
通讯作者：
Dykes, Patricia C.
中科院分区：
文献类型：
--
作者：
Abbott, Patricia A.;Foster, Joanne;Dykes, Patricia C.
目的：本文的目的是在检查卫生信息技术的实施过程中-成功实施的障碍和促进因素，确定一套开始实施的最佳做法，确定差距的卫生信息技术实施知识体系，并为未来的研究和应用提出建议。方法：通过文献综述，确定了六种与卫生信息技术相关的实施最佳实践，随后参加2012年在蒙特利尔举行的NI 2012研究后会议的与会者对此进行了辩论和澄清。2012年夏天。使用的框架实施研究（CFIR），以指导其应用程序，六个最佳实践被应用到两个不同的健康IT实施studies，以评估其适用性。结果：评估实施过程从两个明显不同的设置说明了使用标准化的实施过程的挑战和潜力。为了支持在文献审查中发现的情况，在卫生信息技术实施中“一刀切”是一种谬论，特别是在全球多样性被纳入其中的情况下。与此同时，几个框架显示出作为“脚手架”使用的承诺，开始评估最佳实践，其独特的尺寸，其适用性use.Conclusions：健康IT创新，无论实施设置，需要密切评估的许多方面。虽然没有“放之四海而皆准”的办法，但有一些共同点和最佳做法可以加以混合、调整和利用，以改进执行进程。本文探讨了卫生信息技术的实施过程，并确定了一套开始实施的最佳做法，这可能会开始，以解决卫生信息技术实施知识体系的差距。(C)2013爱思唯尔爱尔兰有限公司版权所有。
Objectives: The intent of this paper is in the examination of health IT implementation processes - the barriers to and facilitators of successful implementation, identification of a beginning set of implementation best practices, the identification of gaps in the health IT implementation body of knowledge, and recommendations for future study and application.Methods: A literature review resulted in the identification of six health IT related implementation best practices which were subsequently debated and clarified by participants attending the NI2012 Research Post Conference held in Montreal in the summer of 2012. Using the framework for implementation research (CFIR) to guide their application, the six best practices were applied to two distinct health IT implementation studies to assess their applicability.Results: Assessing the implementation processes from two markedly diverse settings illustrated both the challenges and potentials of using standardized implementation processes. In support of what was discovered in the review of the literature, "one size fits all" in health IT implementation is a fallacy, particularly when global diversity is added into the mix. At the same time, several frameworks show promise for use as "scaffolding" to begin to assess best practices, their distinct dimensions, and their applicability for use.Conclusions: Health IT innovations, regardless of the implementation setting, requires a close assessment of many dimensions. While there is no "one size fits all", there are commonalities and best practices that can be blended, adapted, and utilized to improve the process of implementation. This paper examines health IT implementation processes and identifies a beginning set of implementation best practices, which could begin to address gaps in the health IT implementation body of knowledge. (C) 2013 Elsevier Ireland Ltd. All rights reserved.