Sobol M G, Alverson M, Lei D
Department of Management Information Sciences, Cox School of Business, Southern Methodist University, Dallas, TX, USA.
Top Health Inf Manage. 1999 May;19(4):1-19.
The increased emphasis on national health care plans, cost reduction, and additional recordkeeping has given impetus to the adoption of computerized information technologies in hospitals. A series of case studies performed in large, multihospital health care systems revealed ten important barriers to the adoption of information technologies grouped as follows: knowledge problems, approval problems, design problems, and implementation problems. These aspects were uncovered by using focus studies and interviews with chief information officers, physicians, consultants, and medical staff and by consulting numerous journals in the field. The article describes the barriers that arise because of the special conditions in hospitals and shows how some institutions are working to eliminate these barriers. The strategic issues that should be studied to overcome these barriers are also discussed.
对国家医疗保健计划、成本削减以及额外记录保存的日益重视，推动了医院采用计算机信息技术。在大型多医院医疗保健系统中进行的一系列案例研究揭示了采用信息技术的十个重要障碍，这些障碍可分为以下几类：知识问题、审批问题、设计问题和实施问题。通过焦点研究以及与首席信息官、医生、顾问和医务人员的访谈，并参考该领域的众多期刊，发现了这些方面的问题。本文描述了因医院特殊情况而产生的障碍，并展示了一些机构如何努力消除这些障碍。还讨论了为克服这些障碍而应研究的战略问题。
