دانلود رایگان مقاله انگلیسی گفتمان و سیاست در نظام سلامت آلبرتا: تجزیه و تحلیل سیاست تکنولوژی تلفن همراه - الزویر 2018

Abstract

Advances in technology are changing the way healthcare professionals communicate with peers and with patients. Although healthcare professionals are increasingly utilizing mobile health technologies to successfully support their practices, healthcare organizations are slow to embrace and support the use of mobile technologies in the provision of health services. This paper uses a case study to highlight how the adoption and use of mobile technologies in clinical practice is impacted when there is a paucity of clear polices to provide direction. The localized approach is limited in its generalizability but is useful to provide a deeper understanding of the roles organizational discourse and politics have in technology acceptance. By reframing the circumstances present in the case study and analyzing the underlying issues of power and discourse, the goal is to better understand barriers to HIT approval and diffusion within a health system.

Conclusion

The rapidly changing IT environment creates challenges for individuals, organizations, and policy makers in negotiating technological innovations and their resultant influence on information and communication transactions within organizations. The literature suggests that maximal IT infusion across an organization is often not fully realized as organizations commonly fall short in the integration of IT applications with their existing business processes and with individual and organizational level work systems [60]. A more thorough explanation focuses on organizational communication and politics. Healthcare organizations are complex and messy, constantly evolving to keep up with change; creating tension which constrains everyday actions leading to a state of disorder which becomes the norm. The dynamic interactions among discursive and nondiscursive practices in an organization lead to an ongoing translation of meanings, development of structures, modes of management, and control systems. This in turn affects the recursive discourse related to technology and the organization. Thus, communication and power are interwoven in the very essence of organizing and organization.

The case study illuminates that careful examination of various forces beyond the HIT itself, such as power and communication, impact the adoption and diffusion of new technology in organizational life. The hope is that this discussion provides a contextual understanding of the difficulty inherent in technology acceptance and the unique perspective that communication and power have on policies in clinical practice. Suggestions for further study focus on the realities of IT use in clinical practice. Studies investigating organizational and policy contexts for the adoption of clinical technologies are needed. An example is initiation of a pilot project on a nursing unit, which involves the use of mobile devices as a communication tool between instructors, preceptors, and students. Implications of such a study would help explicate how rules, norms and usage structures arise through practice based use of mobile technology.