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Computer Rx: more harm than good?

R Wall1

  • 1Faculty of Medicine, University of Manitoba, Winnipeg, Canada.

Journal of Medical Systems
|December 1, 1991
PubMed
Summary
This summary is machine-generated.

Selecting clinical information systems (CIS) requires evidence-based evaluation. A technology assessment framework helps decision-makers choose effective CIS, avoiding costly, underperforming systems for better patient care quality and efficiency.

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Area of Science:

  • Health Informatics
  • Health Services Research
  • Technology Assessment

Background:

  • Clinical Information Systems (CIS) are vital health technologies for improving healthcare performance.
  • Informed selection of CIS is crucial, as many adopted systems fail to enhance patient care quality or efficiency.
  • Lack of evidence-based evaluation contributes to the adoption of ineffective CIS.

Purpose of the Study:

  • To present a technology assessment framework for evaluating alternative CIS.
  • To guide decision-makers in selecting CIS that demonstrably improve healthcare quality and efficiency.
  • To prevent the adoption of non-beneficial CIS, often termed 'white elephants'.

Main Methods:

  • Discusses a technology assessment framework tailored for CIS evaluation.

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  • Leverages existing methodologies for assessing diagnostic and therapeutic technologies.
  • Emphasizes the role of researchers in providing evidence for decision-makers at each framework stage.

    • Main Results:

    • The framework provides a structured approach to evaluating CIS.
    • It enables decision-makers to utilize scientific evidence for informed system selection.
    • Rigorous pre-implementation evaluation is key to successful CIS adoption.

    Conclusions:

    • Evidence-based technology assessment is essential for effective CIS selection.
    • The proposed framework supports informed decision-making in healthcare technology adoption.
    • Implementing this framework can lead to improved patient care and operational efficiency.