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医疗保健领域的信息技术成熟度:一项针对加拿大医院的工具验证研究。

Information technology sophistication in health care: an instrument validation study among Canadian hospitals.

作者信息

Paré G, Sicotte C

机构信息

Information Technology Department, HEC Montreal, 3000 Côte-Sainte-Catherine, Montreal, Que., Canada H3T 2A7.

出版信息

Int J Med Inform. 2001 Oct;63(3):205-23. doi: 10.1016/s1386-5056(01)00178-2.

Abstract

Several empirical studies have shown that the use of computer-based information systems could have positive impacts on organizational performance. Many agree to say that health care organizations are no exceptions. But if one wishes to identify the effects of information technology (IT) on the delivery of care, one must be able to characterize IT for operationalization purposes. The primary objective of this research project is to develop and validate a measurement instrument of IT sophistication in the hospital milieu. Such instrument should provide hospital managers with a diagnostic tool capable of indicating the profile of their respective institutions in regard to IT adoption and comparing this profile to those of other similar medical centers. Both qualitative and quantitative data were collected in order to assess the psychometric properties of the measurement instrument. Overall, findings suggest a high-moderate level of functional sophistication, a somewhat low level of technological sophistication, and an even lower level of integration sophistication in all of the sampled medical centers. Hence, future investments shall therefore be directed towards the integration of clinical and administrative applications and the acquisition of more advanced technological devices, more specifically those, which allow direct capture of clinical data at the bedside.

摘要

多项实证研究表明,使用基于计算机的信息系统可能会对组织绩效产生积极影响。许多人认为,医疗保健组织也不例外。但是,如果有人希望确定信息技术(IT)对医疗服务提供的影响,就必须能够为操作目的对IT进行特征描述。本研究项目的主要目标是开发并验证一种衡量医院环境中IT成熟度的测量工具。这种工具应能为医院管理人员提供一种诊断工具,能够表明各自机构在IT采用方面的概况,并将此概况与其他类似医疗中心的概况进行比较。为了评估测量工具的心理测量特性,收集了定性和定量数据。总体而言,研究结果表明,在所有抽样医疗中心中,功能成熟度处于中高水平,技术成熟度略低,集成成熟度更低。因此,未来的投资应朝着临床和行政应用的整合以及获取更先进的技术设备的方向进行,更具体地说,是那些能够在床边直接采集临床数据的设备。

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