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首页> 外文期刊>European journal of information systems >Contextual Dynamics During Health Information Systems Implementation: An Event-based Actor-network Approach
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Contextual Dynamics During Health Information Systems Implementation: An Event-based Actor-network Approach

机译：卫生信息系统实施过程中的上下文动态：基于事件的参与者网络方法

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摘要

Despite its information-intensive nature and considerable investments, healthcare continues to lag behind other industries in effectively exploiting information technology (IT). This paradox suggests that the healthcare industry presents particular challenges for successful implementation of information systems. As a result, there is an increasing interest in research into how information systems implementation efforts are shaped in interaction with the healthcare context. This paper contributes to this emerging body of knowledge by applying Actor-Network Theory (ANT) to explore the implementation of a radiology network system in a Swedish hospital. The analysis of the process reveals how complex contextual dynamics had disruptive effects. First, we identified important dynamics related to implementation content; these were mainly expressed as tensions between the radiology network system and medical work practices. Second, we found important dynamics related to implementation context; these were mainly expressed as tensions between shifting networks of actors within the implementation project and the broader institutional setting. Seeking to understand contextual dynamics during healthcare information systems implementation, we use events to focus, structure, and present the ANT analysis. This event-based approach furthers our understanding of how researchers can apply ANT to study IT-based change in general.
机译：尽管它具有信息密集型性质和大量投资，但在有效利用信息技术（IT）方面，医疗保健仍落后于其他行业。这种悖论表明，医疗保健行业对成功实施信息系统提出了特殊的挑战。结果，人们对研究如何在与医疗保健环境的互动中影响信息系统实施工作的方式越来越感兴趣。本文通过运用Actor-Network Theory（ANT）探索瑞典医院放射线网络系统的实施，为这一新兴的知识体系做出了贡献。对过程的分析揭示了复杂的上下文动态如何产生破坏性影响。首先，我们确定了与实施内容相关的重要动态；这些主要表现为放射网络系统与医疗工作实践之间的紧张关系。其次，我们发现了与实现环境相关的重要动态；这些主要表现为实施项目内行为者的转移网络与更广泛的机构环境之间的紧张关系。为了了解医疗信息系统实施过程中的上下文动态，我们使用事件来重点关注，组织和提出ANT分析。这种基于事件的方法进一步加深了我们对研究人员如何将ANT应用于研究基于IT的变更的理解。

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