期刊
HEALTH SERVICES RESEARCH
卷 52, 期 5, 页码 1928-1957出版社
WILEY
DOI: 10.1111/1475-6773.12581
关键词
Health information technology; engagement; implementation; adoption
资金
- National Institute for Health Research (NIHR) under its Programme Grants for Applied Research scheme [RP-PG-1209-10099]
- Chief Scientist Office of the Scottish Government Postdoctoral Fellowship
- Farr Institute
- ESRC [ES/F028180/1] Funding Source: UKRI
- MRC [MR/K007017/1] Funding Source: UKRI
- Economic and Social Research Council [ES/F028180/1] Funding Source: researchfish
- Medical Research Council [MR/K007017/1, MC_PC_13040] Funding Source: researchfish
- National Institute for Health Research [RP-PG-1209-10099] Funding Source: researchfish
ObjectiveTo explore and understand approaches to user engagement through investigating the range of ways in which health care workers and organizations accommodated the introduction of computerized physician order entry (CPOE) and computerized decision support (CDS) for hospital prescribing. Study SettingSix hospitals in England, United Kingdom. Study DesignQualitative case study. Data CollectionWe undertook qualitative semi-structured interviews, non-participant observations of meetings and system use, and collected organizational documents over three time periods from six hospitals. Thematic analysis was initially undertaken within individual cases, followed by cross-case comparisons. FindingsWe conducted 173 interviews, conducted 24 observations, and collected 17 documents between 2011 and 2015. We found that perceived individual and safety benefits among different user groups tended to facilitate engagement in some, while other less engaged groups developed resistance and unsanctioned workarounds if systems were perceived to be inadequate. We identified both the opportunity and need for sustained engagement across user groups around system enhancement (e.g., through customizing software) and the development of user competencies and effective use. ConclusionsThere is an urgent need to move away from an episodic view of engagement focused on the preimplementation phase, to more continuous holistic attempts to engage with and respond to end-users.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据