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The Impacts Mechanism of Controlling System in Hospital on Quality of Care: From Process and Outcome Perspectives

机译:从过程和结果的角度看医院控制系统对护理质量的影响机制

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Considering complex environment of hospital, the implementation of information systems occurs lots of obstacles which impairs its effectiveness and efficiency in medical process. In other words, there exists lots of poor interactions between human and information system use, such as the overload work volume and medical errors resulting from inappropriate behavior with new technology. Thus, we use quality control system, an augmented system of electronic medical records, to explore the complementary impacts of information system to enhance the effectiveness of information system us. Our study extracted physicians' scores evaluated by the controlling system automatically at a large urban hospital in China. To examine relationship between controlling system and healthcare organizational outcomes, we construct the fixed effect model. Our results reveal an interesting progression over time in how process standardization forming from controlling system affects physician performance and patient benefits. Our findings contribute to both theoretical and practical Implications, in particular the new insight of behavior change in healthcare and policy directions.
机译:考虑到医院的复杂环境,信息系统的实施遇到很多障碍,削弱了其在医疗过程中的有效性和效率。换句话说,人与信息系统使用之间存在许多不良的交互作用,例如超负荷工作量和由于新技术的不当行为而导致的医疗错误。因此,我们使用质量控制系统(电子病历的增强系统)来探索信息系统的互补影响,以提高信息系统的有效性。我们的研究提取了由中国大型城市医院的控制系统自动评估的医生评分。为了检查控制系统与医疗组织结果之间的关系,我们构建了固定效应模型。我们的结果揭示了随着时间的流逝,从控制系统形成的过程标准化如何影响医师的表现和患者利益方面,有趣的进展。我们的发现对理论和实践意义都有贡献,特别是在医疗保健和政策指导方面对行为改变的新见解。

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