ITR-(ECS)-(soc + int): Overcoming Barriers to Integrated Information System and Information Technology Adoption by Health Care Professionals: Diagnosis, Prescription and Prognosis

ITR-(ECS)-(soc int)：克服医疗保健专业人员采用综合信息系统和信息技术的障碍：诊断、处方和预后

• 批准号: 0426593
• 负责人: Sonja Wiley Patton
• 金额: --
• 依托单位: Louisiana State University
• 依托单位国家: 美国
• 项目类别: Continuing Grant
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-10-01 至 2008-09-30
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=0426593&HistoricalAwards=false
• 关键词: ITR; ECS; soc; int; Overcoming

The general dilemma facing many healthcare organizations is a lack of integration between clinical processes through the use of information technology. One of the major contributing factors of the problem is the resistance of healthcare professionals towards the adoption and integrated use of information systems and information management technologies, such as (CPOE) computerized physician order entry systems, (EMR) electronic medical record systems, electronic prescription (e-prescribing) technology systems, Pocket PCs, Tablet PCs, and Personal Digital Pens. Such information technologies could help to significantly decrease medical errors and reduce costs while improving the quality of healthcare delivery. The integration of clinical processes and information technology (IT) is imperative in improving healthcare quality in America. The benefits of adopting information technology to improve patient care would seem to be obvious, and yet many healthcare professionals remain remarkably resistant. Previous research suggests that technology adoption models that work well in business environments do not explain the technology adoption process and the resistance to technology adoption in the healthcare industry. Certain healthcare specialties (in particular physicians and radiologists) are more resistant to information technology adoption for clinical purposes than others despite the potential economic and quality of care benefits and despite the fact that they may readily use information technology for personal reasons. Approaching the problem from two new perspectives (social networks and persuasion and social influence) and combining a small in-depth case study with a larger survey in multiple locations will provide new insights into this paradox.Researchers will be working with both healthcare and IT professionals to develop practical guidelines for the development and implementation of integrated medical information systems delivered with new information technology in clinical environments. The researchers will devise a set of interventions and guidelines for IT deployment designed to improve healthcare professionals' participation and ultimately the quality of care provided. These guidelines will be integrated into a set of Best Practices that will be shared with hospitals to help improve healthcare professionals' participation, with developers of healthcare information technology systems and with the individuals who would be responsible for the implementation and evaluation of such systems.

许多医疗保健组织面临的普遍困境是缺乏通过使用信息技术来整合临床流程。造成这一问题的主要原因之一是医疗保健专业人员抵制采用和集成使用信息系统和信息管理技术，例如（CPOE）计算机医嘱输入系统、（EMR）电子病历系统、电子处方（e-prescribing）技术系统、掌上电脑、平板电脑和个人数字笔。此类信息技术有助于显着减少医疗错误并降低成本，同时提高医疗保健服务的质量。临床流程和信息技术 (IT) 的整合对于提高美国的医疗质量至关重要。 采用信息技术来改善患者护理的好处似乎是显而易见的，但许多医疗保健专业人员仍然非常抵制。先前的研究表明，在商业环境中运作良好的技术采用模型并不能解释医疗保健行业中的技术采用过程和对技术采用的阻力。某些医疗保健专业人士（特别是医生和放射科医生）比其他专业人士更抵制将信息技术用于临床目的，尽管其具有潜在的经济和护理质量优势，而且他们可能出于个人原因很容易使用信息技术。从两个新的角度（社交网络、说服力和社会影响力）来解决这个问题，并将小型深入案例研究与在多个地点进行的大规模调查相结合，将为这一悖论提供新的见解。研究人员将与医疗保健和 IT 专业人员合作，为在临床环境中使用新信息技术提供的集成医疗信息系统的开发和实施制定实用指南。研究人员将设计一套 IT 部署干预措施和指南，旨在提高医疗保健专业人员的参与度，并最终提高所提供护理的质量。这些指南将被纳入一套最佳实践中，并与医院、医疗信息技术系统的开发人员以及负责实施和评估此类系统的个人共享，以帮助提高医疗保健专业人员的参与度。