数字化如何 (不) 改变医疗机构的绩效管理和运营:在外科手术室的实施经验
Martina Pisarra1, Antonella Cavalieri2, Letizia Magnani1
1Department of Economics Management and Quantitative Methods, University of Milan, Milan, Italy.
Journal of health organization and management
|February 17, 2026
概括
数字医疗保健信息系统 (HIS) 显示出改善医疗保健绩效管理和运营的潜力. 然而,成功的转型需要强有力的领导力,明确的目标和支持的文化,而不仅仅是技术实施.
科学领域:
- 医疗保健管理的管理
- 医疗信息学 医疗信息学
- 组织变革 组织变革
背景情况:
- 医疗保健信息系统 (HIS) 对于支持临床和管理决策至关重要.
- 数字HIS有潜力提高组织绩效,为患者和专业人员创造价值.
- 改变绩效管理 (PM) 系统是利用HIS能力的关键.
研究的目的:
- 探索数字HIS对管理决策的影响.
- 通过数字HIS实施来分析PM系统和运营活动的转型.
- 确定影响医疗保健环境中数字HIS有效性的因素.
主要方法:
- 行动研究在意大利一家公共医疗机构中被使用了15个月.
- 实施数字HIS以取代纸质记录并提高手术室的性能.
- 数据收集涉及与员工的合作,并开发了一个数字绩效仪表板.
主要成果:
- 医院的PM系统仍然专注于体积指标,而不是整合仪表板指标.
- 运营活动的变化很小,员工对数字工具的感知有用度下降.
- 关键的障碍包括领导力不连续性,变革议程不清楚,战略不一致和不支持的文化.
结论:
- 数字HIS具有巨大的潜力,可以改变医疗保健中的管理决策.
- 实现这一潜力取决于解决领导力,战略调整和组织文化等关键因素.
- 有效实施对于为包括患者在内的所有医疗保健利益相关者创造价值至关重要.
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