Telfer School of Management, University of Ottawa, Ottawa, ON, Canada.
Inform Health Soc Care. 2012 Jan;37(1):37-50. doi: 10.3109/17538157.2011.613553. Epub 2011 Oct 21.
There is a need to better understand the specific settings in which health information technology (HIT) is used and implemented. Factors that will determine the successful implementation of HIT are context-specific and often reside not at the technical level but rather at the process and people level. This paper provides the results of a needs assessment for HIT to support hospice palliative care (HPC) delivery in rural settings.
Roundtable discussions using the nominal group technique were done to identify priority issues regarding HIT usage to support rural HPC delivery. Qualitative content analysis was then used to identify sociotechnical themes from the roundtable data.
Twenty priority issues were identified at the roundtable session. Content analysis grouped the priority issues into one central theme and five supporting themes to form a sociotechnical framework for patient-centered care in rural settings.
There are several sociotechnical themes and associated issues that need to be considered prior to implementing HIT in rural HPC settings. Proactive evaluation of these issues can enhance HIT implementation and also help to make ethical aspects of HIT design more explicit.
需要更好地了解卫生信息技术（HIT）的具体使用和实施环境。决定 HIT 成功实施的因素具有特定背景，往往不在于技术层面，而在于流程和人员层面。本文提供了一项针对支持农村地区临终关怀（HPC）服务的 HIT 需求评估结果。
使用名义小组技术进行圆桌讨论，以确定支持农村 HPC 服务提供的 HIT 使用的优先事项。然后，使用定性内容分析从圆桌会议数据中确定社会技术主题。
在圆桌会议上确定了 20 个优先事项。内容分析将优先事项分为一个中心主题和五个支持主题，为农村环境中以患者为中心的护理形成一个社会技术框架。
在农村 HPC 环境中实施 HIT 之前，需要考虑几个社会技术主题和相关问题。主动评估这些问题可以增强 HIT 的实施，并有助于更明确 HIT 设计的伦理方面。
