Plazzotta Fernando, Luna Daniel, González Bernaldo de Quirós Fernán
Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Rev Peru Med Exp Salud Publica. 2015 Apr-Jun;32(2):343-51.
Despite the technological advances of recent decades and the many documented benefits, the implementation of information and communication technologies (ICT) in health remains a major challenge for healthcare organizations. Looking to contribute to the analysis of multiple variables involved at the time of achieving successful implementation, we apply a sociotechnical model to analyze the experience of computerization of the clinical layer in the Italian Hospital of Buenos Aires. The conceptual framework applied consists of eight interconnected dimensions that allow the review of different aspects to consider at the time of design, development, implementation, use and evaluation of the application of ICT. Considering the evolution of our project, we divided it into three stages, so that each of the dimensions is analyzed in each of the stages. The socio-technical model applied resulted in an appropriate tool for assessing our implementation of ICT in health, allowing us the analysis of the eight dimensions, including retrospectively. Applying this analysis to each of the stages of the evolution of our institutional project we were able to show that by taking into account all aspects together, its execution was facilitated and allowed us to identify areas for improvement.
尽管近几十年来技术取得了进步，且有诸多已记录的益处，但卫生领域信息通信技术（ICT）的实施对医疗保健组织而言仍是一项重大挑战。为助力分析成功实施时涉及的多个变量，我们应用一种社会技术模型来分析布宜诺斯艾利斯意大利医院临床层面计算机化的经验。所应用的概念框架由八个相互关联的维度组成，这些维度有助于在设计、开发、实施、使用和评估ICT应用时审视不同方面。考虑到我们项目的发展历程，我们将其分为三个阶段，以便在每个阶段对各个维度进行分析。所应用的社会技术模型成为评估我们在卫生领域实施ICT的合适工具，使我们能够对这八个维度进行分析，包括回顾性分析。将此分析应用于我们机构项目发展的每个阶段，我们能够表明，综合考虑所有方面有助于项目的执行，并使我们能够确定改进领域。
