Kaufman David, Roberts Wm Dan, Merrill Jacqueline, Lai Tsai-Ya, Bakken Suzanne
Department of Biomedical Informatics, NY State Psychiastric Institute, Columbia University School of Nursing, 622 West 168th Street, New York, NY, USA.
Nurs Res. 2006 Mar-Apr;55(2 Suppl):S37-42. doi: 10.1097/00006199-200603001-00007.
Dramatic advances in health information technologies necessitate a comprehensive evaluation framework covering all phases of development, from conception to routine operational use.
The purpose of this article was to illustrate the application of an informatics evaluation framework that provides a heuristic for matching the stage of system design and the level of evaluation.
An evaluation framework is illustrated in the context of five studies in different stages of system design.
The studies discussed in this article represent the various stages of the framework. In addition, they are examples of how evaluation research studies not only contribute to the assessment of system design but also constitute distinct contributions to knowledge.
The ability to engineer advanced information systems has exceeded the understanding of how to deploy them effectively in complex settings and to adapt them to a range of user populations. A systematic, continuous evaluation increases the likelihood that the conditions for success will be understood, including how to tailor a system, how to maintain the target population's use of the system, and how to innovate continually to enhance the functionality of the system and the users' experience. Without sound evaluation methodologies throughout the stages of system development, information systems have limited potential to influence healthcare processes positively.
健康信息技术的巨大进步需要一个全面的评估框架，涵盖从概念构思到日常运营使用的所有发展阶段。
本文旨在阐述一种信息学评估框架的应用，该框架为匹配系统设计阶段和评估水平提供了一种启发式方法。
在系统设计不同阶段的五项研究背景下阐述一个评估框架。
本文讨论的研究代表了该框架的各个阶段。此外，它们还展示了评估研究如何不仅有助于系统设计评估，还能为知识做出独特贡献。
设计先进信息系统的能力已经超过了对如何在复杂环境中有效部署这些系统以及如何使其适应不同用户群体的理解。系统的、持续的评估增加了理解成功条件的可能性，包括如何定制系统、如何维持目标人群对系统的使用，以及如何持续创新以增强系统功能和用户体验。如果在系统开发的各个阶段没有完善的评估方法，信息系统对医疗保健流程产生积极影响的潜力将十分有限。
