Zikos Dimitrios, Mitsios Athanasios, Mantas John
National and Kapodistrian University of Athens, Athens, Greece.
Stud Health Technol Inform. 2011;165:123-8.
The use of integrated Hospital Information Systems is related with many benefits for the healthcare system, increasing the effectiveness of the provided services and assuring quality of care. Aim of this study is to investigate the types of Information Systems, the level of integration and the problems identified during the implementation phase, in three public hospitals. The above are expected to contribute to the understanding of the organizational, human resource and technical factors related with the successful implementation of a hospital IS. In order to investigate those elements, an assessment questionnaire was developed and completed by nine hospitals IT employees of the three hospitals. In addition, open interviews were organized with the same employees to further formulate an overall aspect, while in one hospital case, observation and discussion with four different categories of involved staff was undertaken. It was found that the implementation problems are mainly related with the underfunding, inadequate use of standards, lack of skilled IT experts, insufficiently trained personnel and users' reserve. The problems may be tackled with a supportive hospital administration committed to the successful implementation. The external contracting company working on its own, without any participation of the hospital IT department seems to be a failure recipe. It is evident that an active management support and skillful hospital IT employees, are expected to result to success stories during the implementation of integrated hospital information systems.
综合医院信息系统的使用给医疗系统带来诸多益处，提高了所提供服务的效率并确保了医疗质量。本研究旨在调查三家公立医院中信息系统的类型、集成水平以及在实施阶段发现的问题。上述内容有望有助于理解与医院信息系统成功实施相关的组织、人力资源和技术因素。为了调查这些因素，我们编制了一份评估问卷，并由这三家医院的九名医院信息技术员工填写。此外，还与这些员工进行了开放式访谈，以进一步形成全面的看法，同时在一个医院案例中，与四类不同的相关工作人员进行了观察和讨论。结果发现，实施问题主要与资金不足、标准使用不充分、缺乏熟练的信息技术专家、人员培训不足以及用户储备有关。这些问题可以通过致力于成功实施的支持性医院管理来解决。外部承包公司独自运作，没有医院信息技术部门的任何参与，似乎是一个失败的做法。显然，积极的管理支持和熟练的医院信息技术员工有望在综合医院信息系统的实施过程中带来成功案例。
