Privacy management and information flow in the context of the development of the Extended Choice Network: A socio-technical study

扩展选择网络发展背景下的隐私管理和信息流：社会技术研究

• 批准号: EP/G038759/1
• 负责人: Iain Crinson
• 金额: $ 8.68万
• 依托单位: St George's, University of London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2009
• 资助国家: 英国
• 起止时间: 2009 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=EP%2FG038759%2F1
• 关键词: Privacy; management; information; flow; context

The primary aim of this evaluative socio-technical study is to investigate the management of information flow between public and private healthcare providers participating as partners in the Extended Choice Network (ECN). The ECN is a truly integrated socio-technical policy programme which is affected by both the technological and organisational contexts in which it operates. ECN supports the Choose and Book application and uses both technological and organisational mechanisms to manage information flows and as a result has both technological and social dependencies and combined implications. The ECN is the designated mechanism by through which the process of 'commissioning' services from a range of healthcare providers, public and independent sector, in order to achieve widened patient choice and achieve greater value-for-money can be realised. Since its launch there has been concern in healthcare communities about the costs involved in being a member of ECN. Privacy and consent management are an important part of those costs. The study seeks to draw attention to the importance of an understanding of organisational context in the clinical management of patient information flows, particularly in relation to its privacy and security aspects. Utilising a case study approach deploying a range of qualitative and quantitative data collection methods it focuses upon the clinical management of patient information within one private sector provider. The research will trace patient information flow as it traverses the different organisations participating within the ECN, and will utilize an integrated socio-technical methodology to evaluate the impact of macro-organisational context on the privacy management of patient information flow. While a feature of information systems design is that they have well-formed technological research methodologies, an interdisciplinary research framework has been chosen for the study in order to achieve an integration of the socio-technical dimension of information flows. Privacy management is a socio-technical activity that is dependent both on the technology used to deliver the ECN and upon the organisational structures that interact with the technology. This integrated socio-technical evaluation of ECN information flows examines the following key areas: Information systems compatibility; national programme compliance versus local organisational deployment requirements; and institutional cultural complexities affecting knowledge transfer. In undertaking this evaluation of the ECN as it impacts on an independent sector partner, a realist methodological approach has been adopted which is able to draw attention to the particular context-mechanism-outcome configurations of the programme. That is, which configuration of information system flow, healthcare professional roles, and organisational structure might benefit most from the programme, and which social, technological and cultural resources are necessary to sustain the ECN programme whilst meeting the demands of ensuring patient privacy, consent, and security.

这项评估性社会技术研究的主要目的是调查参与扩展选择网络（ECN）合作伙伴的公共和私人医疗保健提供者之间的信息流管理。ECN是一个真正综合的社会技术政策方案，受到其运作的技术和组织环境的影响。ECN支持选择和预订应用程序，并使用技术和组织机制来管理信息流，因此具有技术和社会依赖性以及综合影响。ECN是指定的机制，通过该机制，可以从一系列公共和独立部门的医疗保健提供者“委托”服务，以扩大患者的选择范围并实现更大的性价比。自其推出以来，医疗保健社区一直关注成为ECN成员所涉及的成本。隐私和同意管理是这些成本的重要组成部分。这项研究旨在提请注意的重要性，在临床管理的病人信息流，特别是在其隐私和安全方面的组织背景的理解。利用案例研究的方法，部署了一系列的定性和定量数据收集方法，它侧重于在一个私营部门提供者的患者信息的临床管理。该研究将追踪患者信息流，因为它穿过参与ECN的不同组织，并将利用综合的社会技术方法来评估宏观组织背景对患者信息流隐私管理的影响。虽然信息系统设计的一个特点是，他们有良好的技术研究方法，一个跨学科的研究框架已被选定的研究，以实现信息流的社会技术层面的整合。隐私管理是一项社会技术活动，既取决于用于提供ECN的技术，也取决于与技术交互的组织结构。ECN信息流的综合社会技术评估检查了以下关键领域：信息系统兼容性;国家计划合规性与当地组织部署要求;以及影响知识转移的机构文化复杂性。在对环境竞争网络对独立部门伙伴的影响进行评价时，采用了一种现实主义的方法，能够提请注意该方案的特定背景-机制-成果配置。也就是说，信息系统流程，医疗保健专业人员角色和组织结构的配置可能从该计划中受益最多，以及哪些社会，技术和文化资源是维持ECN计划所必需的，同时满足确保患者隐私，同意和安全的需求。