Cresswell Kathrin
Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, UK.
Stud Health Technol Inform. 2019 Jul 30;263:87-97. doi: 10.3233/SHTI190114.
This chapter introduces Actor-Network Theory, a sociotechnical approach to studying health information technology implementation. The chapter is intended as a pragmatic introduction to the field, acknowledging that there are many contested features of an Actor-Network Theory informed methodology. Nevertheless, the approach can be usefully drawn on to help to focus data collection and sampling. A case study describing the application of Actor-Network Theory to study the "failed" implementation of national electronic health records in England as part of a national "top-down" implementation program illustrates the main tenets of the approach and provides concrete examples of how Actor-Network Theory may be applied. In doing so, this chapter offers a reflexive account of how Actor-Network Theory has provided a nuanced analysis of how the implementation of national electronic health records affected different stakeholders, organizations and technology.
本章介绍行动者网络理论，这是一种用于研究健康信息技术实施的社会技术方法。本章旨在对该领域进行务实的介绍，承认基于行动者网络理论的方法存在许多有争议的特征。然而，这种方法可有效地用于帮助聚焦数据收集和抽样。一个案例研究描述了如何应用行动者网络理论来研究英国国家电子健康记录在一项全国性“自上而下”实施计划中的“失败”实施情况，该案例说明了该方法的主要原则，并提供了行动者网络理论应用方式的具体示例。通过这样做，本章对行动者网络理论如何对国家电子健康记录的实施如何影响不同利益相关者、组织和技术进行了细致入微的分析进行了反思性阐述。
