People and Organizational Issues in Health Informatics

Autor: Robert M. Braude
Rok vydání: 1997
Předmět:
Zdroj: Journal of the American Medical Informatics Association. 4:150-151
ISSN: 1527-974X
1067-5027
DOI: 10.1136/jamia.1997.0040150
Popis: Just as patient acceptance is the final factor in successful health intervention, so is acceptance of an information system by its intended users the final stage in successful information systems implementation. Health care providers who struggle with the problems of attitudes and behaviors regarding medication or self-directed care are no different than information systems designers who struggle with similar attitudes towards the systems that they develop and implement. They both need to understand that, in the final analysis—people count. The brief history of medical informatics is littered with horror stories of systems that were not completed, that were orders of magnitude over budget, or that were not used by the primary population for which they were designed. But despite the all too frequent reoccurrence of these failures, there has been little interest in looking for the reasons for them or in research into organizational impacts of change. Yes, there have been major evaluation studies of systems and social scientists have been studying the effect of implementing information systems for years, but the majority of the medical informatics community seems to be either unaware of this phenomenon or uninterested in it. Given the magnitude of change represented by even the simplest information system, this lack of interest is perplexing. Perhaps it is because the area of study is neither hardware nor software, neither system design nor algorithm, but is instead the study of organizational factors and attitudes of people …
Databáze: OpenAIRE