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How does joint procurement affect the design, customisation and usability of a hospital ePrescribing system?

机译：联合采购如何影响医院电子处方系统的设计，定制和可用性？

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摘要

The aim of this article is to explore the effect of the joint procurement model adopted during the English National Programme for Information Technology (NPfIT) on the customisation, design and usability of a hospital ePrescribing system. Drawing on qualitative data collected at two case study sites deploying an ePrescribing system jointly procured within one of the NPfIT's geographical clusters, we explain how procurement decisions, difficult relationships with the supplier and strict contractual arrangements contributed to usability issues and difficulties in the customisation process. While some limited change requests made by users were taken up by the developers, these were seen by users as insufficient to meet local clinical needs and practices. A joint procurement approach, such as the NPfIT, thus limited the opportunity and scope of the changes to the ePrescribing system, which impinged not only on the perceived success of the implementation but also on the system's usability.
机译：本文旨在探讨在英国国家信息技术计划（NPfIT）期间采用的联合采购模式对医院电子处方系统的定制，设计和可用性的影响。利用在两个案例研究站点收集的定性数据，这些站点部署了在NPfIT的一个地理区域内联合采购的电子处方系统，我们解释了采购决策，与供应商的困难关系以及严格的合同安排如何导致可用性问题和定制过程中的困难。尽管用户提出了一些有限的更改请求，但开发人员已将其接受，但用户认为这些更改请求不足以满足本地临床需求和实践。因此，诸如NPfIT之类的联合采购方法限制了电子处方系统更改的机会和范围，这不仅影响了实施的成功感，而且也影响了系统的可用性。

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