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首页> 外文期刊>BMC Medical Informatics and Decision Making >Methods to identify, study and understand End-user participation in HIT development
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Methods to identify, study and understand End-user participation in HIT development

机译：识别，研究和了解最终用户参与HIT开发的方法

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Background Experience has shown that for new health-information-technology (HIT) to be suc-cessful clinicians must obtain positive clinical benefits as a result of its implementation and joint-ownership of the decisions made during the development process. A prerequisite for achieving both success criteria is real end-user-participation. Experience has also shown that further research into developing improved methods to collect more detailed information on social groups participating in HIT development is needed in order to support, facilitate and improve real end-user participation. Methods A case study of an EHR planning-process in a Danish county from October 2003 until April 2006 was conducted using process-analysis. Three social groups (physicians, IT-professionals and administrators) were identified and studied in the local, present perspective. In order to understand the interactions between the three groups, the national, historic perspective was included through a literature-study. Data were collected through observations, interviews, insight gathered from documents and relevant literature. Results In the local, present perspective, the administrator's strategy for the EHR planning process meant that there was no clinical workload-reduction. This was seen as one of the main barriers to the physicians to achieving real influence. In the national, historic perspective, physicians and administrators have had/have different perceptions of the purpose of the patient record and they have both struggled to influence this definition. To date, the administrators have won the battle. This explains the conditions made available for the physicians' participation in this case, which led to their role being reduced to that of clinical consultants - rather than real participants. Conclusion In HIT-development the interests of and the balance of power between the different social groups involved are decisive in determining whether or not the end-users become real participants in the development process. Real end-user-participation is essential for the successful outcome of the process. By combining and developing existing theories and methods, this paper presents an improved method to collect more detailed information on social groups participating in HIT-development and their interaction during the development. This allows HIT management to explore new avenues during the HIT development process in order to support, facilitate and improve real end-user participation.
机译：背景经验表明，要使新的健康信息技术（HIT）成功，临床医生必须通过实施和共同拥有开发过程中制定的决策，才能获得积极的临床收益。达到这两个成功标准的前提是最终用户的参与。经验还表明，为了支持，促进和改善真正的最终用户参与，需要进一步研究开发改进的方法以收集有关参与HIT开发的社会群体的更详细信息。方法采用过程分析方法，对丹麦县从2003年10月至2006年4月的EHR规划过程进行了案例研究。确定了三个社会群体（医师，IT专业人士和管理人员），并从当地当前的角度进行了研究。为了理解这三个群体之间的相互作用，通过文献研究纳入了国家的历史视角。通过观察，访谈，从文件和相关文献收集的见解收集数据。结果从当地当前的角度来看，管理员的EHR计划过程策略意味着不减少临床工作量。这被认为是医师获得真正影响力的主要障碍之一。从国家历史的角度来看，医生和管理人员对患者病历的目的有不同的看法，他们都在努力影响这一定义。迄今为止，管理员已经赢得了这场战斗。这就解释了在这种情况下可供医师参与的条件，这导致他们的角色沦为临床顾问的角色，而不是真正的参与者。结论在HIT开发中，所涉及的不同社会群体的利益和力量平衡是决定最终用户是否真正成为开发过程参与者的决定性因素。真正的最终用户参与对于该过程的成功结果至关重要。通过结合和发展现有的理论和方法，本文提出了一种改进的方法，以收集有关参与HIT发展及其在发展过程中的相互作用的社会群体的更多详细信息。这允许HIT管理层在HIT开发过程中探索新途径，以支持，促进和改善最终用户的实际参与。

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