Harrop Nick, Wood-Harper Trevor, Gillies Alan
Victoria Hospital, Blackpool FY38NR, UK.
Health Informatics J. 2006 Dec;12(4):293-303. doi: 10.1177/1460458206069759.
Technical aspects of the National Programme for IT in the National Health Service have run ahead of genuine engagement with front-line users. We have explored with front-line NHS staff the factors which limit their contribution to management information from operational systems. Staff place psychological distance between 'the real job' and the reporting of information. Even where accurate reporting is heavily incentivized, and operational control is shared between staff and shift leader, the reporting of information to the computer represents a division between caregiving and computer input, and between information openly declared and that waiting to be disclosed. The Programme needs to reconsider how clinicians are to be engaged. Equally, information systems designers, if they expect to obtain management information and want to understand the limitations of that process, need to be socialized into the fields where systems are to be deployed.
英国国家医疗服务体系（NHS）信息技术国家计划的技术层面已经超越了与一线用户的真正互动。我们与NHS一线工作人员探讨了限制他们从运营系统中提供管理信息的因素。工作人员在“实际工作”和信息报告之间保持心理距离。即使在准确报告受到大力激励，且工作人员和轮班主管之间共享运营控制权的情况下，向计算机报告信息也代表了护理工作与计算机输入之间、公开申报的信息与等待披露的信息之间的区分。该计划需要重新考虑如何让临床医生参与进来。同样，如果信息系统设计师期望获取管理信息并想了解该过程的局限性，他们需要融入系统即将部署的领域。
