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Titolo:
Indicators of organizational readiness for clinical information technology/systems innovation: a Delphi study
Autore:
Snyder-Halpern, R;
Indirizzi:
Univ Arizona, Coll Nursing, Tucson, AZ 85721 USA Univ Arizona Tucson AZ USA 85721 zona, Coll Nursing, Tucson, AZ 85721 USA
Titolo Testata:
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
fascicolo: 3, volume: 63, anno: 2001,
pagine: 179 - 204
SICI:
1386-5056(200110)63:3<179:IOORFC>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
MEDICAL INFORMATICS; USER ACCEPTANCE; HEALTH-SERVICES; SYSTEMS; REDESIGN; CULTURE; IMPACT; ISSUES;
Keywords:
organizational change; information technology/system innovation; organizational evaluation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
73
Recensione:
Indirizzi per estratti:
Indirizzo: Snyder-Halpern, R Univ Arizona, Coll Nursing, 1305 N Martin, Tucson, AZ 85721 USA Univ Arizona 1305 N Martin Tucson AZ USA 85721 85721 USA
Citazione:
R. Snyder-Halpern, "Indicators of organizational readiness for clinical information technology/systems innovation: a Delphi study", INT J MED I, 63(3), 2001, pp. 179-204

Abstract

The study presented in this article represents the second phase in a multi-phased research program focused on health care organization readiness, forclinical information technology/system (IT/S) innovation. The overall purposes of this exploratory study were to: (1) validate the seven IT/S innovation readiness sub-dimensions of a heuristic organizational information technology/systems innovation model (OITIM) developed in phase one of the research program, and (2) identify indicators to assess the validated sub-dimensions. The study was conducted with an expert panel using a two-round modified Delphi technique. In Round #1, panelists supported retention of the OITIMs' seven theoretical IT/S innovation readiness sub-dimensions with an interrater agreement level range of 82-100%. Their sub-dimension importance ratings ranged from 3.27 to 3.72 (1 = not important to 4 = critically important) with the resources sub-dimension receiving the highest rating of 3.72. Panelists recommended that two sub-dimensions, 'Staffing and Skills' and 'Operations', be renamed to 'End-Users' and 'Management Structures', respectively, and that one sub-dimension, 'Administrative Support' be added. In Round #2, panelists identified a total of 316 indicators to assess the eight sub-dimensions. A two-step thematic analysis process was done with these indicators to reduce duplication and overlap. In Step 1, the investigator created ten preliminary theme categories per sub-dimension. In Step 2, a coding team categorized 279 (88%) of the 316 indicators into preliminary sub-dimension themes to create an organizational IT/S innovation readiness assessment taxonomy. This preliminary taxonomy was used to develop an organizationalinformation technology/systems innovation readiness scale that is currently being pilot tested in phase three of the research program. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.

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Documento generato il 27/01/20 alle ore 17:46:47