دانلود رایگان مقاله انگلیسی ذهن شفاف: ارزیابی هماهنگی بین کیفیت بیمارستان و سیستم های اطلاعاتی آن - تیلور و فرانسیس 2017

ABSTRACT

We present a method to assess how aligned hospital information systems (HIS) are with quality standards adopted by the organization. Canonical action research is our mode of inquiry, in a district hospital implementing multiple certification standards. We build on the “ground-truth” provided by healthcare professionals to identify risks and opportunities for HIS developments while contributing to their awareness of its implications. We address different categories of design-reality gaps, namely the organizational, service, process, and individual. The findings suggest that HIS compliance should address five interrelated dimensions of context, people, processes, IT, and information/data. The proposed method allows self-evaluation through gap analysis and a comprehensive assessment of hospital quality, integrating HIS and healthcare processes. Moreover, it supports multiple quality models in hospitals and the development of heterogeneous HIS solutions in different maturity stages. HIS developments should be a priority for hospital quality worldwide; especially in the emerging economies that require methods accessible to their resources, standards compliance, and demographic demands for healthcare.

6. Conclusion

We presented a method to assess HIS compliance guided by the integrative IS quality framework suggested by Stylianou and Kumar (2000), in the context of multiple hospital quality models, distinct maturity, and levels of adoption. The method is supported by customized, non-prescriptive, questionnaires suggesting people involvement at all levels of the organization. It explores and proposes a practical solution to assess design-reality gaps as proposed by the work of Heeks (2006). Moreover, we argue that contrasting the opinions of healthcare professionals can be decisive in the comprehensive assessment of HIS compliance.

A sentence attributed to Peter Drucker warns us that “culture eats strategy for breakfast”. A quality culture involving HIS quality can be built and learned (Schein, 1990), involving hospital professionals in its construction. The proposed method can make a dual contribution of assessing HIS compliance and fostering a hospital quality culture that integrates the HIS in its core.