导航景观:在公共卫生机构实施电子案例报告的障碍和促进者
Joel D Hartsell1, Catherine Staes, Katie S Allen
1Author Affiliations: Department of Population Health Sciences (Drs Hartsell, Wilson), Department of Health Economics (Dr Wilson), Department of Internal Medicine (Dr Samore), Division of Public Health (Dr Shoaf), and College of Nursing, Department of Biomedical Informatics (Dr Staes), University of Utah, Salt Lake City, Utah; Epi-Vant, LLC, Salt Lake City, Utah (Dr Hartsell); Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana (Ms Allen); Richard M. Fairbanks School of Public Health, IUPUI, Indianapolis, Indiana (Ms Allen); Salt Lake County Health Department, Salt Lake City, Utah (Dr Dunn); Matheson Center for Health Care Studies, University of Utah Health, Salt Lake City, Utah (Dr Wilson); and Veteran Affairs, Salt Lake City, Utah (Dr Samore).
确定了公共卫生机构实施电子病例报告 (eCR) 的障碍和促进因素. 结果揭示了实施阶段的模式,为eCR和数据现代化努力提供了最佳实践.
科学领域:
- 公共卫生信息学 公共卫生信息学
- 卫生系统研究 卫生系统研究
- 信息技术的实施信息技术的实施
背景情况:
- 电子病例报告 (eCR) 对于现代公共卫生监测至关重要.
- 了解实施挑战是成功采用公共卫生机构的关键.
- 组织和以人为基础的因素显著影响技术整合.
研究的目的:
- 确定eCR实施的障碍和促进因素.
- 分析影响eCR的组织和基于人的知识/流程.
- 确定实施阶段的模式,以提供最佳实践指导.
主要方法:
- 使用与关键利益相关者进行半结构面试的定性研究.
- 参与了来自6个公共卫生机构的信息提供者,他们在eCR实施的各个阶段.
- 利用面试指南,代码书和主题分析的概念框架.
主要成果:
- 从6个公共卫生机构的16名信息人那里确定了28个主题.
- 在实施阶段发现了障碍物和促进者的3个不同的模式.
- 主题从仅仅是障碍/促进者到演变的角色和特定阶段的促进者.
结论:
- 阐明了eCR的国家,组织和以人为中心的最佳实践.
- 他强调了与国家队合作,综合发展和任务协调的重要性.
- 研究结果可用于公共卫生领域更广泛的数据现代化计划.
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