Frisse M
Bernard Becker Medical Library, Washington University School of Medicine, St. Louis, MO 63110, USA.
J Am Med Inform Assoc. 1997 Mar-Apr;4(2 Suppl):S13-9.
The success of IAIMSs and other information technology plans depends to a great extent on the fit between the planning process and the nature of the organization. Planning processes differ as a function of both plurality of goals and the degree to which technology or the external environment changes. If all members of an organization share a common goal and the organization is in a relatively stable environment, the classic "plan, prototype, implement, evaluate" process may be appropriate. Most health care organizations are not consistent with this model. The components of the organization may have different goals, and both the health care environment and roles for technology are changing rapidly. In these circumstances, planning takes on a different light. This paper outlines approaches to IAIMS planning in various environments and provides a framework for IAIMS planning in rapidly changing environments.
综合先进的信息管理系统（IAIMS）及其他信息技术计划的成功，在很大程度上取决于规划过程与组织性质的契合度。规划过程因目标的多元性以及技术或外部环境变化的程度而有所不同。如果一个组织的所有成员都有共同目标，且该组织处于相对稳定的环境中，经典的“规划、原型设计、实施、评估”过程可能是合适的。大多数医疗保健组织并不符合这种模式。组织的各个组成部分可能有不同的目标，而且医疗保健环境和技术所起的作用都在迅速变化。在这种情况下，规划就呈现出不同的特点。本文概述了在各种环境中进行IAIMS规划的方法，并为在快速变化的环境中进行IAIMS规划提供了一个框架。
