Using a descriptive model of change when implementing large scale clinical information systems to identify priorities for further research

In this paper we identify domains for research based on a model that describes the stages of change when designing and implementing large scale information and communication technology throughout a healthcare organization. We use the model in the case of the electronic patient record systems. We suggest that the research agenda should include approaches from the social and business sciences.

[1]  Casimir A Kulikowski,et al.  Synthesis of Research: An Informatics-based Chronic Disease Practice: Case Study of a 35-year Computer-based Longitudinal Record System , 1998, J. Am. Medical Informatics Assoc..

[2]  Thomas K. Landauer,et al.  Trouble with Computers: Usefulness, Usability, and Productivity , 1996 .

[3]  R. Yin.  Case Study Research: Design and Methods , 1984 .

[4]  Jos Aarts,et al.  Organizational issues in health informatics: a model approach , 1998, Int. J. Medical Informatics.

[5]  Pamela S. Tolbert,et al.  Institutionalization and Structuration: Studying the Links between Action and Institution , 1997 .

[6]  Chris Sauer,et al.  Why information systems fail: a case study approach , 1993 .

[7]  Dean F. Sittig.  Grand challenges in medical informatics? , 1994, J. Am. Medical Informatics Assoc..

[8]  J. Marc Overhage,et al.  A plea for controlled trials in medical informatics , 1994, J. Am. Medical Informatics Assoc..

[9]  D M Eddy,et al.  Variations in physician practice: the role of uncertainty. , 1984, Health affairs.

[10]  G. Bowker,et al.  The multiple bodies of the medical record : Toward a sociology of an artifact , 1996 .

[11]  C. Atkinson,et al.  Transforming a hospital through growing, not building, an electronic patient record system. , 1998, Methods of information in medicine.

[12]  Clement J. McDonald,et al.  Viewpoint: The Barriers to Electronic Medical Record Systems and How to Overcome Them , 1997, J. Am. Medical Informatics Assoc..

[13]  S. Barley.  The alignment of technology and structure through roles and networks. , 1990, Administrative science quarterly.

[14]  M. Collen.  A History of Medical Informatics in the United States, 1950 to 1990 , 1995 .

[15]  Stanley Joel Reiser,et al.  Medicine and the reign of technology , 1979 .

[16]  B G Buchanan,et al.  Broadening our approach to evaluating medical information systems. , 1991, Proceedings. Symposium on Computer Applications in Medical Care.

[17]  Nancy M. Lorenzi,et al.  Organizational Aspects of Health Informatics , 1995, Computers in Health Care.

[18]  Y. Engeström,et al.  Developmental studies of work as a testbench of activity theory: The case of primary care medical practice , 1993 .