Integrating Healthcare with Information and Communications Technology

Currie, Wendy L.; Finnegan, David

doi:10.4324/b21767

Cited by 5 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study adds to the extant literature through a comparative examination of the organizational and social processes during complex national healthcare integration projects. As noted in prior studies (Currie & Finnegan, 2009), such forms of healthcare integration involve intricate organizational and social processes. However, it is a complex phenomenon (Currie, 2012) that has received relatively less research attention.…”

Section: Theoretical Contributionsmentioning

confidence: 88%

“…This suggests a range of stakeholders in development and implementation of EHR and points to the importance of examining the dynamics of their participation. Prior work has looked at the organizational and social processes involved in service deployment (Currie and Finnegan, 2009) and the changing roles and perceptions of stakeholders in nationwide health information technology (HIT) implementation (Pouloudi et al, 2016). Building on this literature, we further explore the interactions and influences of stakeholders in EHR implementations and the manner in which these dynamics shape deployment.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries

Klecuń

Zhou

Kankanhalli

et al. 2019

Journal of Information Technology

View full text Add to dashboard Cite

Through electronic health record implementation, national healthcare systems are aiming for care integration and enhancement. However, the path to large-scale electronic health record implementation is seldom smooth, involving multiple stakeholders with diverse interests and influences. This study proposes a framework that draws on both stakeholder and institutional theories to understand the complex dynamics of stakeholder interactions and institutional pressures over time during electronic health record systems implementation. This framework is utilized to analyze the national electronic health record programs of Singapore and England, which provide contrasting perspectives on how two top-down system implementations took place with different outcomes. Our results suggest that in the Singapore case, the presence of boundary spanners, supporting implementation agency that included IT staff from healthcare organizations, and greater engagement with medical professionals were associated with more positive dynamics of stakeholder interactions (e.g. limited pushback from professionals or the press) during electronic health record implementation than in England. Differences in the healthcare structures and systems, electronic health record project organization, and the combined influences of institutional pressures shed light on the varying implementation paths and outcomes in the two cases. This study adds to the health information technology literature through a comparative examination of the organizational and social processes during complex national healthcare integration projects. It also contributes to the institutional and stakeholder literatures in several ways, in particular by depicting the processes and outcomes of the dynamics of isomorphic pressures played out under different institutional conditions. Finally, our proposed framework provides a useful conceptual tool for analyzing such complex IT implementations across multiple stakeholders.

show abstract

Section: Theoretical Contributionsmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries

Klecuń

Zhou

Kankanhalli

et al. 2019

Journal of Information Technology

View full text Add to dashboard Cite

show abstract

“…Over the past few decades, health care organizations have been undergoing significant organizational and practice change to incorporate information communication technologies (ICTs), with the aim of reducing costs, improving quality, increasing efficiency and effectiveness and raising patient or client satisfaction [1,2]. The incorporation of telemedicine services is a prominent example of such change.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, this study aims to: (1) identify what CM practices have been applied to the implementation of telemedicine services; (2) identify the frequency of the CM practices reported; (3) provide a CM practice framework specific for telemedicine implementations and; (4) identify the gaps in the current CM approach to implementing telemedicine, as reported by existing literature, by comparing it to the broader CM literature.…”

Section: Introductionmentioning

confidence: 99%

A systematic scoping review of change management practices used for telemedicine service implementations

Kho

Gillespie

Martin‐Khan

2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background: Telemedicine improves access to health care services enabling remote care diagnosis and treatment of patients at a distance. However, the implementation of telemedicine services often pose challenges stemming from the lack of attention to change management (CM). Health care practitioners and researchers agree that successful telemedicine services require significant organizational and practice change. Despite recognizing the importance of the "people-side" of implementation, research on what constitutes best practice CM strategies for telemedicine implementations remains fragmented, offering little cohesive insight into the specific practices involved in the change process. We conducted a systematic scoping review of the literature to examine what and how CM practices have been applied to telemedicine service implementation, spanning a variety of health care areas and countries. Methods: Three bibliographic databases (CINAHL, PubMed, and ISI Web of Science) and four specialist telehealth journals were searched. To keep the review manageable and relevant to contemporary telemedicine technologies and contexts, the search was limited to articles published from 2008 to 2019. Forty-eight articles were selected for inclusion. Results: From the 48 articles, 16 CM practices were identified relating to either strategic or operational aspects of telemedicine implementations. We identify the key CM practices that are recognized in the broader CM literature as essential for successful and sustained change but are not commonly reported in telemedicine implementation studies. We draw on the CM literature to provide a comprehensive process-based, researched-informed, organizing framework to guide future telemedicine service implementations and research. Conclusions: Our findings suggest that the slow rate of adoption of telemedicine may be due to a piecemeal approach to the change process, and a lack of understanding of how to plan, manage and reinforce change when implementing telemedicine services.

show abstract

“…Despite these developments, the health sector is still facing numerous challenges. Some of these challenges include lack of qualified doctors, lack of funds to equip health institutions with modern technologies, high cost of health care services unreasonable to the majority of the populace among others [2]. Reducing health care expenditure and providing quality health care have become a worldwide priority [3].…”

Section: Introductionmentioning

confidence: 99%

E-Health Readiness of Healthcare Providers in Ghana: A Qualitative Comparative Study of Two Hospitals in Accra

Botchwey

Boateng

Opoku³

et al. 2021

CJAST

View full text Add to dashboard Cite

E-health has become an innovation of interest in many healthcare organisations due to its numerous advantages. This study aimed at empirically assessing the nature of e-health in LEKMA Hospital and Nyaho Medical Centre and examined the factors that determined e-health readiness. LEKMA Hospital is a public facility while Nyaho Medical Centre is a private facility. The study used a qualitative design and a comparative approach through the use of interviews and focus group discussions to collect qualitative data from 32 healthcare staff in the two facilities. The study found that Nyaho Medical Centre had an advanced system that runs effectively and efficiently compared to the LEKMA Hospital. Also, core/technological, structural, and societal issues determined e-health readiness in health facilities. In effect, we recommend among other things that government must invest in the technological infrastructure of public hospitals. This is necessary for these facilities to deliver healthcare that is efficient, accelerated, and based on improved information-sharing abilities.

show abstract

Integrating Healthcare with Information and Communications Technology

Cited by 5 publications

References 0 publications

The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries

The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries

A systematic scoping review of change management practices used for telemedicine service implementations

E-Health Readiness of Healthcare Providers in Ghana: A Qualitative Comparative Study of Two Hospitals in Accra

Contact Info

Product

Resources

About