Phansalkar Shobha, Sward Katherine A, Weir Charlene R, Morris Alan H
Department of Biomedical Informatics, College of Nursing, University of Utah, and LDS Hospital, Pulmonary Division, Salt Lake City, Utah 84112-5750, USA.
Stud Health Technol Inform. 2007;129(Pt 2):1098-101.
Previous studies have described the determinants of successful information technology (IT) implementation. In 2003, Kukafka et al. integrated several theoretical perspectives and proposed a framework for IT implementation. This framework is applicable to IT implementation in general but lacks the identification of factors affecting adoption, which are specific to the technology under consideration. We developed and validated a model that specifically identifies factors associated with clinicians' adoption of computerized protocols. The purpose of this paper is to identify the relations between the specific factors associated with intention to use computerized protocols and the high level variables that constitute the framework proposed by Kukafka et al. Incorporation of a specific model into a general schema for IT implementation allows implementers to assess the specific individual, organizational and environmental changes required to bring about successful implementation of computerized protocols. An understanding of clinicians' perceptions specific to the technology in use will allow its seamless integration into an organization's healthcare IT plan. Strategic planning requires enhancing the framework with additional detail related to the specific technology under consideration.
以往的研究描述了成功实施信息技术(IT)的决定因素。2003年,库卡afka等人整合了多种理论观点,提出了一个IT实施框架。该框架一般适用于IT实施,但缺乏对影响采用率的因素的识别,而这些因素是特定于所考虑的技术的。我们开发并验证了一个模型,该模型专门识别与临床医生采用计算机化协议相关的因素。本文的目的是确定与使用计算机化协议的意图相关的特定因素与构成库卡afka等人提出的框架的高层次变量之间的关系。将特定模型纳入IT实施的一般模式,使实施者能够评估成功实施计算机化协议所需的特定个人、组织和环境变化。了解临床医生对所使用技术的具体看法,将有助于将其无缝集成到组织的医疗IT计划中。战略规划需要用与所考虑的特定技术相关的更多细节来完善框架。