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Factors influencing the quality of EHR performance: An exploratory qualitative study.

机译：影响EHR绩效质量的因素：一项探索性定性研究。

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摘要

A significant amount of evidence existed in support of the positive effect on the quality of healthcare that resulted from transitioning to electronic health information systems, equally compelling evidence suggests that the development process for electronic health information systems falls short of achieving its potential. The objective of this research was to assess the existing HIT standards and health information management (HIM) principles to determine if they are robust enough to inform the development of national and international interoperability standards. The research question asked; How do HIT standards and HIM principles and practices influence the quality of EHR performance? This study's goal was to maintain focus on the collaborative challenges revealed by the lack of understanding and shared vision that commonly exists between HIM professionals, HIT developers, and HIT vendors that obstruct synergy and enfolding of health information standards-based capabilities and HIM practice (business) standards. The complex electronic health record (EHR) universe proved well suited for testing by a combination of complexity science and the unified theory of acceptance and use of technology (UTAUT) information management theories. Through analysis of research literature and qualitative interviews, the research identified nine factors defined into drivers and barriers that influenced the actions of healthcare organizations; leadership, patient focus, planning, communication, alignment with lifecycle models people, processes, dynamics, training and user input, change management standard adoption, and recognition of the power of technology. Analysis of the data obtained from exploratory qualitative interviews of health information technology professionals selected from a professional healthcare management organization supported conclusions that leadership, collaboration, planning, and training limiters, have a direct impact on EHR system success or failure.
机译：已有大量证据支持过渡到电子健康信息系统对医疗质量产生的积极影响，同样有力的证据表明，电子健康信息系统的开发过程未能实现其潜力。这项研究的目的是评估现有的HIT标准和健康信息管理（HIM）原则，以确定它们是否足够健壮，可以为制定国家和国际互操作性标准提供依据。提出研究问题； HIT标准和HIM原则和实践如何影响EHR绩效的质量？这项研究的目标是继续关注因缺乏共识和共同愿景而暴露出的协作挑战，因为缺乏共识和共识的HIM专业人士，HIT开发人员和HIT供应商之间阻碍了基于健康信息标准的功能和HIM实践（业务）标准。复杂的电子健康记录（EHR）宇宙通过复杂性科学和技术接受与使用的统一理论（UTAUT）信息管理理论的组合证明非常适合进行测试。通过对研究文献的分析和定性访谈，研究确定了九个因素，这些因素被定义为影响卫生保健组织行动的驱动因素和障碍。领导力，患者关注度，计划，沟通，与生命周期模型的一致性人员，流程，动态，培训和用户输入，变更管理标准的采用以及对技术力量的认可。对从专业医疗保健管理组织中选择的健康信息技术专业人员进行的探索性定性访谈所获得的数据的分析支持以下结论：领导力，协作，计划和培训限制因素会直接影响EHR系统的成败。

著录项

  • 作者

    Rhodes, Harry B.;

  • 作者单位

    Capella University.;

  • 授予单位 Capella University.;
  • 学科 Information technology.;Health care management.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 235 p.
  • 总页数 235
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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