Ash J
Biomedical Information Communication Center, Oregon Health Sciences University, Portland 97201-3098, USA.
Proc Annu Symp Comput Appl Med Care. 1995:795-9.
An interpretive oral history technique was used to identify factors most important in the implementation stage of information technology innovation diffusion. Electronic mail, end user literature searching, and aspects of the computer-based patient record were the innovations selected for study at academic health sciences centers. Transcripts of thirty-four interviews with key individuals were analyzed to determine six categories of factors. Word counts were then used to determine underlying emphases. Analysis of variance tested whether there were significant differences in uses of words by categories of individuals, by those at different institutions, and when different innovations were described. Results indicate that the innovations themselves correlate significantly with different word categories, where category of individual and institution do not. Words related to the computer based patient record characterize further critical factors in implementing that particular innovation.
采用解释性口述历史技术来确定在信息技术创新传播的实施阶段最为重要的因素。电子邮件、终端用户文献检索以及基于计算机的患者记录方面，是在学术健康科学中心选择用于研究的创新内容。对与关键人物进行的34次访谈的文字记录进行了分析，以确定六类因素。然后使用词频统计来确定潜在的重点。方差分析检验了不同类别的个人、不同机构的人员以及在描述不同创新时用词是否存在显著差异。结果表明，创新本身与不同的词类显著相关，而个人类别和机构类别则不然。与基于计算机的患者记录相关的词汇进一步刻画了实施该特定创新中的关键因素。
