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研究综述:本科层次健康信息管理项目中两种创新阻力理论的比较

Research review: a comparison of two theories of resistance to innovation in baccalaureate level health information management programs.

作者信息

Brown-Harvey J, Frazer G H, Youmans K G

机构信息

Norfolk State University, VA, USA.

出版信息

Top Health Inf Manage. 1995 Aug;16(1):47-65.

Abstract

Health information management (HIM) practitioners and educators must keep abreast of changing technologies in the health care environment as well as in education. The study reported compared two explanations of resistance to innovation to determine which one best explains the variance in receptivity and proposed innovations among faculty members in HIM programs. The psychological explanation holds that organization members' receptivity to change is a function of their personalities. The sociological explanation holds that members respond to specific innovations and that they do so in terms of whether the innovation would increase or reduce their present status. The 138 faculty members of all HIM baccalaureate degree programs in the United States were queried to measure their receptivity to computer-assisted instruction and televised courses. The data were collected using four semantic differential scales. The findings revealed that status variables accounted for the greatest variance in receptivity for each innovation. Significant relationships between selected status variables and receptivity to each innovation were found. The data indicated that the respondents were moderately receptive to the innovations of computer-assisted instruction and televised courses. The study also concluded that faculty were inclined to have a positive attitude toward change.

摘要

健康信息管理(HIM)从业者和教育工作者必须紧跟医疗保健环境以及教育领域不断变化的技术。所报告的这项研究比较了两种对创新抵触情绪的解释,以确定哪一种最能解释健康信息管理项目中教师对接受度和拟议创新的差异。心理学解释认为,组织成员对变革的接受度是其个性的一种函数。社会学解释认为,成员会对特定创新做出反应,并且他们会根据创新是否会提高或降低其当前地位来做出反应。对美国所有健康信息管理学士学位项目的138名教师进行了询问,以衡量他们对计算机辅助教学和电视课程的接受度。数据是使用四个语义差异量表收集的。研究结果表明,地位变量在每种创新的接受度方面造成的差异最大。在所选定的地位变量与对每种创新的接受度之间发现了显著关系。数据表明,受访者对计算机辅助教学和电视课程创新的接受程度适中。该研究还得出结论,教师倾向于对变革持积极态度。

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