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用户参与对医院信息系统成功的重要性:来自一个案例研究的见解

Significance of User Participation in a Hospital Information System Success: Insights From a Case Study.

作者信息

Saleem Naveed, Steel Douglas, Gercek Gokhan, Chandra Ashish

机构信息

Author Affiliations: Management Information Systems Department (Drs Saleem and Gercek), Management Information Department (Dr Steel), and Healthcare Administration Department, College of Business (Dr Chandra), University of Houston-Clear Lake, Texas.

出版信息

Health Care Manag (Frederick). 2017 Apr/Jun;36(2):199-205. doi: 10.1097/HCM.0000000000000156.

DOI:10.1097/HCM.0000000000000156
PMID:28441667
Abstract

User participation in the development of a system is universally prescribed as an effective strategy to ensure the success of the resultant system. However, the existing literature on the merits of user participation only provides equivocal evidence. Various analyses of this literature point out that this equivocal evidence may be due to inconsistent operational measures of the user participation and system success constructs. Planned organizational change and participative decision making, the underlying paradigms of user participation construct, suggest that the development of some information systems may require blending of users' system-related functional expertise and developers' technical expertise to ensure system success. These paradigms also maintain that in case of well-defined, structured information systems user participation should enhance the likelihood of system success through better user understanding of the need for the system and system content and objectives, user trust, and a sense of system ownership. This research also described a case study involving the development and implementation of a medical records system for a neonatal intensive care unit in a large hospital in Texas. The case study provides evidence that in systems that require incorporation of user functional expertise user participation will enhance the likelihood of system success.

摘要

普遍认为,用户参与系统开发是确保最终系统成功的有效策略。然而,现有关于用户参与优点的文献仅提供了模棱两可的证据。对该文献的各种分析指出,这种模棱两可的证据可能是由于用户参与和系统成功构建的操作措施不一致所致。计划组织变革和参与式决策是用户参与构建的潜在范式,这表明某些信息系统的开发可能需要将用户的系统相关功能专业知识与开发人员的技术专业知识相结合,以确保系统成功。这些范式还认为,对于定义明确、结构化的信息系统,用户参与应通过用户更好地理解系统需求、系统内容和目标、用户信任以及系统主人翁意识来提高系统成功的可能性。本研究还描述了一个案例研究,涉及德克萨斯州一家大型医院新生儿重症监护病房的病历系统的开发和实施。该案例研究提供了证据,表明在需要纳入用户功能专业知识的系统中,用户参与将提高系统成功的可能性。

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