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The application and adaptation of a diffusion of innovation framework for information systems research in NHS general medical practice

机译:NHS普通医学实践中信息系统研究中创新框架的传播与应用

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This paper proposes an adapted diffusion of innovation (DOI) framework that may be considered relevant and useful to researchers undertaking studies of information systems innovations in healthcare organizations. A particular focus concerns problems and issues associated with professional cultures and powerful organizational control structures. A review of four empirical DOI studies are undertaken to identify candidate frameworks for the retrospective analysis of a pilot study conducted across General Medical Practices based within a Primary Care Trust in the north east of England. A research approach, based on phenomenology, semi-structured interviews and template analysis is adopted in order to conduct and provide a rich analysis of the data. The findings are discussed using the modified DOI framework. Discussion and conclusions relate to the extended use of the DOI framework, its further development and how it may be used to understand how ICT innovation is politically constrained, perceived and motivated within healthcare environments.
机译:本文提出了一种创新的适应性传播(DOI)框架,对于从事医疗保健组织信息系统创新研究的研究人员来说,该框架可能被认为相关且有用。特别关注的是与专业文化和强大的组织控制结构相关的问题。我们对四项经验性DOI研究进行了审查,以找出候选框架,以便对英格兰东北部地区的初级保健基金会内的常规医学研究进行回顾性分析。为了进行并提供丰富的数据分析,采用了一种基于现象学,半结构化访谈和模板分析的研究方法。使用改进的DOI框架讨论了发现。讨论和结论涉及DOI框架的扩展使用,其进一步的发展以及如何将其用于理解ICT创新在医疗保健环境中在政治上如何受到约束,感知和激励。

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