Information systems evaluation and subjectivity

Grémy, F; Fessler, Joachim; Bonnin, M

doi:10.1016/s1386-5056(99)00034-9

Cited by 35 publications

(20 citation statements)

References 2 publications

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“…A closely related issue is that the most appropriate method should be selected to overcome demonstrated barriers to change, 85 avoiding what Gremy has termed the "idolatry of technology" by those working in medical informatics. 258 Some barriers require education or organisational change to abolish them, not a DSS at all. 85 Fourthly, health technology assessment methods (such as studies on accuracy or impact, systematic reviews and economic analyses) are frequently misapplied.…”

Section: Problems With Current Decision Support Systemsmentioning

confidence: 99%

“…85 Fourthly, health technology assessment methods (such as studies on accuracy or impact, systematic reviews and economic analyses) are frequently misapplied. 238,258 Correct application of these methods is necessary to evaluate their impact on clinical practice and their cost-effectiveness. 162 The cost-effectiveness of computer DSSs compared with paper-based decision tools is seldom studied, and was missing from a recent large study on computerised reminders in US hospitals.…”

Section: Problems With Current Decision Support Systemsmentioning

confidence: 99%

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Systematic reviews of clinical decision tools for acute abdominal pain

Liu¹,

Wyatt²,

Deeks³

et al. 2006

Health Technol Assess

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA Programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS,...

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Section: Problems With Current Decision Support Systemsmentioning

confidence: 99%

Section: Problems With Current Decision Support Systemsmentioning

confidence: 99%

Systematic reviews of clinical decision tools for acute abdominal pain

Liu¹,

Wyatt²,

Deeks³

et al. 2006

Health Technol Assess

View full text Add to dashboard Cite

show abstract

“…One technique for achieving bottomup deployment is to involve interested workers within each unit as local advocates so that they can help to build consensus in operational work units. Since clinicians are more easily influenced by their close colleagues than they are by those outside their immediate work setting (Gremy et al, 1999), using local advocates for the system can help to influence workers to use a new deployment. This has the potential to avoid feelings of coercion when deployments are directed exclusively by units external to the operational unit such as by administration or IT units, and similarly can help prevent workers from ''digging in their heels'' and resisting the deployment (Ash and Bates, 2005).…”

Section: Identify Local Championsmentioning

confidence: 99%

Loose Coupling and Healthcare Organizations: Deployment Strategies for Groupware

Pinelle

Gutwin

2006

Comput Supported Coop Work

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Healthcare organizations are often organized in a modular, loosely coupled fashion where separate and semi-autonomous work units specialize in different areas of care delivery. This partitioning allows each unit to adapt to emerging practice standards in its area of expertise and to adjust to its local work environment. However, organizational loose coupling can limit the flow of information within organizations and can make it difficult to coordinate services when patientsÕ care is dependent on professionals from more than one unit. Groupware systems have the potential to improve coordination and information access in healthcare organizations. However, modularity and loose coupling make it difficult to introduce new systems when they span more than one unit, since authority is not always centralized and since perceptions and frames of reference on new deployments differ across units. In this paper, we define a groupware deployment framework for loosely coupled healthcare organizations that has two parts: a set of deployment challenges and a set of deployment strategies. The deployment challenges include: difficulties centralizing deployments, perceptions of inequity, role conflicts, and problems achieving critical mass. The deployment strategies outline a preliminary set of approaches for addressing the difficulties of deploying CSCW systems in loosely coupled healthcare organizations. We illustrate the framework by presenting a case study of a groupware deployment in a home care setting.

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“…Several evaluation methods based on theory and subjective user perceptions have been introduced (Aggelidis & Chatzoglou, 2009;Elske Ammenwerth, Iller, & Mahler, 2006;Brender, Ammenwerth, Nykanen, & Talmon, 2006;Chang, Chang, Wu, & Huang, 2014;Jen & Chao, 2008;Lee, Mills, Bausell, & Lu, 2008;Tsiknakis & Kouroubali, 2009;Tung, Chang, & Chou, 2008;Yu, Li, & Gagnon, 2009). Although these social-science based evaluation models have been widely applied in the healthcare field, according to some studies, the evaluation methods used for hospital information systems (HIS) are still confusing and lack in specificity (Gremy, Fessler, & Bonnin, 1999;Yusof, Papazafeiropoulou, Paul, & Stergioulas, 2008).…”

Section: Introductionmentioning

confidence: 99%

Developing multiple evaluation frameworks in an older adults care information system project: A case study from Taiwan

Lo¹,

Su²

2018

Journal of Aging and Long-Term Care

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Many hospital managers agree that they can copy their successful experience in the medical center through implementing the information system (IS) successfully in the older adults care institution. However, these facilities are not the same care model as general hospitals. In addition, the scales of operation in older adults care institution are often rather small and they cannot undertake IS project with a high failure risk. Thus, the same standards for evaluating a successful implementation cannot be guaranteed for both types of institutions. A suitable system evaluation framework before the whole system migrates is very important, especially in the older adults care institution with low informatization levels. The goal of this study is emphasized by developing an innovative system project and its' multiple evaluation framework in our case which turned to be a research-action, study participant comprising whole staffs and its residents of the older adults care village of biggest health care group in Taiwan. The results describe our resulting functional design of the system, multiple evaluation framework phases, and several challenges, difficulties or attentions. The contribution of this study is our project design and practical feasibility and execution of its evaluation methodology to an older adults care institution.

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Information systems evaluation and subjectivity

Cited by 35 publications

References 2 publications

Systematic reviews of clinical decision tools for acute abdominal pain

Systematic reviews of clinical decision tools for acute abdominal pain

Loose Coupling and Healthcare Organizations: Deployment Strategies for Groupware

Developing multiple evaluation frameworks in an older adults care information system project: A case study from Taiwan

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