Expanding multi-disciplinary approaches to healthcare information technologies: What does information systems offer medical informatics?

Chiasson, Mike; Reddy, Madhu; Kaplan, Bonnie; Davidson, Elizabeth

doi:10.1016/j.ijmedinf.2006.05.010

Cited by 121 publications

(78 citation statements)

References 46 publications

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“…As Kazi [16] One of the criticisms of evaluation studies is that they tend to be undertheorised [5]. The use of frameworks has been recommended as a way forward to contribute to theory development [25]. Classification of items into the context, mechanisms and outcomes structure of realistic evaluation has helped to clarify how variables are understood and used for analysis.…”

Section: Discussionmentioning

confidence: 99%

A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework

Oroviogoicoechea

Watson

2009

International Journal of Medical Informatics

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Measurements.A questionnaire was distributed to all nurses working in in-patient units of a university hospital in Spain (n= 227). Quantitative data were analysed using SPSS 13.0. Descriptive statistics were used for an overall overview of nurses' perception. Inferential analysis, including both bivariate and multivariate methods (path analysis), were used for cross-tabulation of variables searching for CMO relationships. Conclusion.Results from the study looking at subtle variations in users and units provide insight into how important professional culture and working practices could be in IT (information technology) implementation. The socio-technical approach on IT systems evaluation suggested in the recent literature appears to be an adequate 3 theoretical underpinning for IT evaluation research. Realistic evaluation has proven to be an adequate method for IT evaluation.

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Section: Discussionmentioning

confidence: 99%

A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework

Oroviogoicoechea

Watson

2009

International Journal of Medical Informatics

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“…In the Western healthcare sector, such a perspective is increasingly more relevant, as different parts of the sector have invested heavily in information systems over the years (Chantler et al 2006;Chiasson et al 2007;LeRouge et al 2007). In 2002, IT expenditures in the UK's National Health Service (NHS) were estimated at £18 billion over a 10-year period-4% of the total NHS budget (Chantler et al 2006).…”

Section: Theorymentioning

confidence: 99%

“…Several countries have started to target their efforts towards interaction and integration between different institutions in the healthcare sector (Chantler et al 2006;Ministry of Health and Care Services 2008;OUS 2009;Jones et al 2008). The motivation is associated with improved efficiency and quality, as well as better exploitation of substantial investments made in the healthcare sector over several years (Chantler et al 2006;Chiasson et al 2007;LeRouge et al 2007).…”

Section: Introductionmentioning

confidence: 99%

The Role of Integration in Health-Based Information Infrastructures

Ellingsen

Røed

2010

Comput Supported Coop Work

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Abstract. In this paper, we contribute with empirical insight into the complexity of establishing and sustaining integration between different information infrastructures in health care. An overall concern is to elaborate on how, despite many obstacles, the integration effort moves forward. We see this as a collective achievement, where users have an essential role in terms of mobilizing and coordinating the other actors as well as maintaining the integration. These activities are not limited to a specific project; they emerge from and are part of day-to-day practice. Empirically, we focus on a large integration initiative between the laboratory systems at the University Hospital of Northern Norway and the electronic patient records used by general practitioners in the Northern health region. Together with the vendor, Well Diagnostics, the hospital initiated a project aimed at establishing a new laboratory requisition system that enabled GPs to send requisitions electronically to the hospital laboratories. Theoretically, we draw on the concept of information infrastructures, and supplement this with Actor Network Theory.

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“…In recent year, the western world has pledged substantial levels of financial investment for ICT in health care [7]. The National Programme for IT in the UK National Health Service (NHS), led by the agency NHS Connecting for Health, was estimated to cost È12.8 bn, although it has currently been terminated by the coalition government.…”

Section: Introductionmentioning

confidence: 99%

Electronic patient record development in Norway: The case for an evolutionary strategy

Ellingsen

Monteiro

2012

Health Policy and Technology

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With the failure of many large-scale ''big-bang'' projects, combined with the lack of influence associated with many small-scale projects, we need to look for alternative strategies for implementing ICT in healthcare. One such strategy is to focus on the processes that enable successful scaling of locally developed ICT systems and how these gain a foothold in a larger market. In this paper, we contribute with empirical insight into one such scaling process. We illustrate how scale is both connected to a vendor's strategy of maintaining close user contact and influenced by how the authorities choose to organize the healthcare system. Empirically, the study draws on the establishment and growth of the Norwegian company DIPS ASA over a period of nearly 25 years, which today claims the lion's share of the electronic patient records market in Norwegian hospitals.

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Expanding multi-disciplinary approaches to healthcare information technologies: What does information systems offer medical informatics?

Cited by 121 publications

References 46 publications

A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework

A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework

The Role of Integration in Health-Based Information Infrastructures

Electronic patient record development in Norway: The case for an evolutionary strategy

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