公立医院采用电子健康的影响因素：以荷兰为例。
eHealth adoption factors in medical hospitals: A focus on the Netherlands.
作者信息
Faber Sander, van Geenhuizen Marina, de Reuver Mark
机构信息
Delft University of Technology, Faculty Technology Policy and Management, Netherlands.
Delft University of Technology, Faculty Technology Policy and Management, Netherlands.
出版信息
Int J Med Inform. 2017 Apr;100:77-89. doi: 10.1016/j.ijmedinf.2017.01.009. Epub 2017 Jan 21.
BACKGROUND
Despite strong policy interest in eHealth, actual adoption in many European hospitals is low.
PURPOSE
This study develops and tests in a preliminary way an organisational eHealth adoption model rooted in several adoption frameworks to improve understanding of this phenomenon.
METHODS
The model is explored through a survey among hospitals in the Netherlands using a Structural Equation Modelling (SEM) approach. Specific attention is paid to measurement of organisational readiness and to adoption as a process including different stages.
RESULTS
Our results suggest a sharp decrease in the adoption process by hospitals after the stage of interest/commitment. Adoption tends to be significantly affected by size of the hospital, organisational readiness including technical aspects, and top management support.
CONCLUSIONS
eHealth adoption tends to be not a linear process nor a linear function of contextual antecedents. Organisational readiness is an important antecedent for eHealth adoption. The paper concludes with organisational strategies and policies to foster eHealth adoption in hospitals and suggestions for future study.
背景
尽管政策对电子健康有浓厚兴趣，但在许多欧洲医院中，其实际采用率较低。
目的
本研究初步开发并测试了一个基于多个采用框架的组织电子健康采用模型，以增进对这一现象的理解。
方法
采用结构方程模型（SEM）方法，通过对荷兰医院的一项调查来探索该模型。特别关注组织准备情况的测量以及作为一个包括不同阶段的过程的采用情况。
结果
我们的结果表明，在兴趣/承诺阶段之后，医院的采用过程急剧下降。采用情况往往受到医院规模、包括技术方面的组织准备情况以及高层管理支持的显著影响。
结论
电子健康采用往往既不是一个线性过程，也不是情境先行因素的线性函数。组织准备情况是电子健康采用的一个重要先行因素。本文最后提出了促进医院采用电子健康的组织战略和政策以及对未来研究的建议。
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