Nocella Kiki C, Horowitz Kim J, Young Jami J
University of California, Riverside, USA.
J Healthc Inf Manag. 2008 Spring;22(2):34-41.
Community Health Information Networks have provided lessons learned for RHIOs by bringing attention to issues of trust, buy-in, ownership and financing. This article reports the formation of a new rural RHIO, East Kern County Integrated Technology Association (EKCITA) and addresses unique rural demands and success themes specificto rural environments. A case study approach-grounded in action research and utilizing techniques of key informant interviews, participant observations and content review of written data sources from 2006-was utilized. Through a process of grassroots governance, transparency and consensus decision-making, EKCITA was incorporated in 2006. Taking lessons learned from past initiatives, this rural RHIO used a transparent and participative process while addressing unique challenges faced by rural regions. Through this process, seven additional success themes were identified, five of which are unique to rural regions. Rural communities can develop dynamic entities that address a host ofissues in addition to information technology.
社区健康信息网络通过关注信任、支持、所有权和融资等问题，为区域卫生信息技术组织提供了经验教训。本文报道了一个新的农村区域卫生信息技术组织——东克恩县综合技术协会（EKCITA）的成立，并探讨了农村地区特有的需求和成功主题。采用了一种基于行动研究的案例研究方法，运用了关键信息提供者访谈、参与观察以及对2006年书面数据源的内容审查等技术。通过基层治理、透明度和共识决策的过程，EKCITA于2006年成立。吸取过去举措的经验教训，这个农村区域卫生信息技术组织在应对农村地区面临的独特挑战时，采用了透明和参与性的过程。通过这个过程，确定了另外七个成功主题，其中五个是农村地区特有的。农村社区可以发展充满活力的实体，除了信息技术之外，还能解决一系列问题。
