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评估康复中心的电子健康准备情况。

Assessment of organizational readiness for e-health in a rehabilitation centre.

机构信息

Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Qc, Canada.

出版信息

Disabil Rehabil. 2012;34(2):167-73. doi: 10.3109/09638288.2011.591885. Epub 2011 Sep 22.

Abstract

PURPOSE

The aims of this study were to assess organizational readiness for e-health among the staff of an out-patient rehabilitation centre and to identify the personal characteristics of potential users that may have influenced readiness.

METHODS

A cross-sectional study was conducted with 137 clinicians, 28 managers, and 47 nonclinical staff in a rehabilitation centre in Montreal, Quebec, Canada. All participants completed a self-administered questionnaire assessing organizational readiness for e-health. The measure contained three subscales: Individual, Organizational and Technological. Data were also collected on the users' profile, use of technologies and typical response to new information.

RESULTS

Generally, participants considered themselves ready to adopt e-health in their work (X = 73.8%, SD = 8.5) and they also had a favorable view of the technologies in place (X 73.8%, SD = 7.2). However, they perceived the center as being only moderately ready (X 66.6%, SD = 9.8) for e-health changes. Perceived workload and position/duties in the organization were found to have an impact on readiness for e-health.

CONCLUSIONS

These results underscore the importance of addressing organizational readiness for change as a multidimensional concept. Based on these results, implementation strategies tailored to the specific profile of a rehabilitation organization were identified.

摘要

目的

本研究旨在评估一家门诊康复中心员工对电子健康的组织准备情况,并确定可能影响准备情况的潜在用户的个人特征。

方法

在加拿大魁北克省蒙特利尔的一家康复中心,对 137 名临床医生、28 名管理人员和 47 名非临床人员进行了横断面研究。所有参与者都完成了一份自我管理的问卷,评估他们对电子健康的组织准备情况。该衡量标准包含三个子量表:个人、组织和技术。还收集了用户个人资料、技术使用情况和对新信息的典型反应数据。

结果

总体而言,参与者认为自己已经准备好在工作中采用电子健康(X=73.8%,SD=8.5),并且对现有技术也持积极态度(X=73.8%,SD=7.2)。然而,他们认为中心对电子健康变革的准备程度仅为中等(X=66.6%,SD=9.8)。感知的工作量和在组织中的职位/职责被发现对电子健康的准备情况有影响。

结论

这些结果强调了将组织变革准备情况作为一个多维概念来处理的重要性。基于这些结果,确定了针对康复组织特定概况的定制实施策略。

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