دانلود رایگان مقاله انگلیسی باز کردن بسته های تحقیقاتی در مورد سیستم های اطلاعات بهداشتی - الزویر 2018

ABSTRACT

In 2004, Chiasson and Davidson published a challenge to the scholarly Information Systems (IS) field to embrace health information systems research more fully within its mainstream research interests. In the ensuing 14 years, health care research has become an acknowledged specialization within the IS field. In this review article, we examine how health care research publications have developed within the IS field's leading journals since 2004 and explore the analytical and technological areas of focus within these publications. In addition to providing a descriptive overview of such research, we also examine three topical clusters in-depth (health IT adoption and diffusion, physician resistance to health IT use, and health IT impact on health care or system outcomes) to consider how researchers have addressed the challenge of developing general IS knowledge within this distinctive research context while also contributing contextually-relevant insights to the health care field. Finally, we discuss the implications of these analyses and suggest potential areas for future research. Overall, we contribute a foundation for IS health care researchers to consider how to position their work to contribute to knowledge through informational and organizational theory as well as to address important concerns of practice at the intersection of health and IS.

4. Discussion and implications

Our review of HIT publications highlights several key findings about this specialty within the IS academic field: i) HIT research is increasing in scale and scope across top journals in the IS discipline; ii) the topical focus of HIT research, although weighted toward organizational and inter-organizational studies of administrative and clinical systems, is diversifying to new phenomena developing in health care and technology; iii) the majority of HIT publications in leading IS journals articulate contributions to knowledge in terms of IS theory based on empirical research at the intersection of IS and health care concerns; and, iv) a growing number of publications suggests IS researchers are more explicitly addressing specific health industry priorities and information challenges through their research published in IS journal outlets. During the review study period (2004–2017), a substantial volume of HIT research has addressed how individual stakeholder organizations apply HIT to solve internal problems and improve processes and outcomes through HIT adoption and use. In the future, we suggest the frontier of practical questions and research opportunities will emerge at the intersection of HIT between the field's diverse stakeholder groups and through field-level (versus organizational-level) transformation. Drawing on our observations of health sector trends as scholars experienced in this specialty and through this literature review process, we now highlight areas for future HIT research that we believe could usefully inform IS theory and health care system practice.