People and organizational issues are critical in both implementing medical informatics systems and in dealing with the altered organizations that new systems often create. The people and organizational issues area--like medical informatics itself--is a blend of many disciplines. The academic disciplines of psychology, sociology, social psychology, social anthropology, organizational behavior and organizational development, management, and cognitive sciences are rich with research with significant potential to ease the introduction and on-going use of information technology in today's complex health systems. These academic areas contribute research data and core information for better understanding of such issues as the importance of and processes for creating future direction; managing a complex change process; effective strategies for involving individuals and groups in the informatics effort; and effectively managing the altered organization. This article reviews the behavioral and business referent disciplines that can potentially contribute to improved implementations and on-going management of change in the medical informatics arena.
This paper unifies two apparently competing theories of information systems (IS) implementation by developing a model in which the contributions of innovation characteristics and implementation process theories are contingent upon the implementation context. To do this, we identify the different assumptions regarding the implementation context implicit in the two theories and, based on these differences, develop a contingent model within which to integrate the two theories. A partial test of the model within one particular context is reported using data collected from the end-users of an IS innovation introduced in a State health system in Australia. As hypothesized, we find that, within the context, characterized by high individual level impact and low group level impact, the contribution of innovation characteristics to implementation success is higher than that of implementation process.
This paper uni® es two apparently competing theories of information systems (IS) implementation by developing a model in which the contributions of innovation characteristics and implementation process theories are contingent upon the implementation context. To do this, we identify the different assumptions regarding the implementation context implicit in the two theories and, based on these differences, develop a contingent model within which to integrate the two theories. A partial test of the model within one particular context is reported using data collected from the end-users of an IS innovation introduced in a State health system in Australia. As hypothesized, we ® nd that, within the context, characterized by high individual level impact and low group level impact, the contribution of innovation characteristics to implementation success is higher than that of implementation process.
Health service reforms and structures have, in general, emphasised hierarchical systems to enable control and accountability. In doing so, policies have substantially sidelined networks and their potential for contributing to health service performance. Networks play a number of roles, such as in supporting expertise development, arranging referrals, coordinating programs, undertaking projects, sharing common interests and providing mutual support in managing common conditions. They handle knowledge, support expertise and deal with complexity in ways that hierarchies are unable to, and are fundamental to supporting professionalism. Until networks are used to a greater extent, the development of health services will be substantially impeded. This will require enhancing the role and contribution that networks play, which is dependent on resources, leadership and skills.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.