1996
DOI: 10.1136/bmj.313.7063.1008
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Current evaluations of information technology in health care are often inadequate

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Cited by 20 publications
(22 citation statements)
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“…The use of standard clinical trial regime for evaluating new healthcare technologies has been subject to much criticism in recent years [23][24][25][26]. One problem that has been highlighted is that trial designs inevitably ignore the contextual nature of the work being supported, raising doubts about extrapolating trial results to real settings of use.…”
Section: Methodological Implications For the Evaluation Of Computer Aidsmentioning
confidence: 99%
“…The use of standard clinical trial regime for evaluating new healthcare technologies has been subject to much criticism in recent years [23][24][25][26]. One problem that has been highlighted is that trial designs inevitably ignore the contextual nature of the work being supported, raising doubts about extrapolating trial results to real settings of use.…”
Section: Methodological Implications For the Evaluation Of Computer Aidsmentioning
confidence: 99%
“…Fort he samer eason, the location wheree valuation studies took placew as of interest for us (e.g.w ee xpected ar ising numberofevaluationsatthe patient'shome reflecting an increased significanceo f home-based care).O ur inventoryt hene mphasizes the focusofastudy (e.g.software quality, effect on outcome quality) andt he methods applied (e.g.q ualitative versus quantitative methods), as methodological discussions have been going on for some yearsnow in medical informatics(compare e.g. [5,[11][12][13]).…”
Section: Introductionmentioning
confidence: 99%
“…As the many studies cited here indicate, integral to system success is not only system functionality, but also a mix of organizational, behavioral, and social issues involving clinical context, cognitive factors, methods of development and dissemination [42,63,87,95,[225][226][227], and who defines "success" and when the determination of "success" is made [124]. Numerous studies support the observations that: "Sociologic, cultural, and financial issues have as much to do with the success or failure of a system as do technological aspects" [228] because "information technologies are embedded within a complex social and organizational context" [229].…”
Section: Recommendationsmentioning
confidence: 99%
“…Other approaches, when used under controlled conditions, also have been similarly criticized [42]. Some have called for making it a priority "to develop richer understanding of the effects of [system] benefits in health care and to develop new evaluation methods that help us to understand the process of implementing it" [229].…”
Section: Diversify Research Approaches and Con-mentioning
confidence: 99%