Enhancing ‘Fit’ of Health Information Systems Design Through Practice Support

2011 ◽  
pp. 642-658
Author(s):  
Craig E. Kuziemsky

The design and implementation of healthcare information systems (HIS) is problematic as many HIS projects do not achieve the desired outcomes. There exist a number of theories to enhance our ability to successfully develop HIS. Examples of such theories include ‘fit’ and the sociotechnical approach. However, there are few empirical studies that illustrate how to understand and operationalize such theories at the empirical level needed for HIS design. This chapter introduces a practice support framework that bridges the gap between the theoretical and empirical aspects of HIS design by identifying specific process and information practice supports that need to be considered to actively produce fit of an HIS within a healthcare setting. The chapter also provides an empirical case study of how practice support was used to develop a computer based tool in the domain area of palliative care severe pain management.

Author(s):  
Craig E. Kuziemsky

The design and implementation of healthcare information systems (HIS) is problematic as many HIS projects do not achieve the desired outcomes. There exist a number of theories to enhance our ability to successfully develop HIS. Examples of such theories include ‘fit’ and the sociotechnical approach. However, there are few empirical studies that illustrate how to understand and operationalize such theories at the empirical level needed for HIS design. This chapter introduces a practice support framework that bridges the gap between the theoretical and empirical aspects of HIS design by identifying specific process and information practice supports that need to be considered to actively produce fit of an HIS within a healthcare setting. The chapter also provides an empirical case study of how practice support was used to develop a computer based tool in the domain area of palliative care severe pain management.


Author(s):  
Armando Ondihon Kristoper Purba ◽  
Supardi Supardi ◽  
Ernawati Dewi ◽  
Meilieta Anggriani Porrie ◽  
Muhammad Syafrullah

1988 ◽  
Vol 19 (3) ◽  
pp. 195-214
Author(s):  
Nira Hativa

Sigal, a second-grade girl in Israel, was observed for several months while practicing arithmetic with a structured and controlled computer-assisted instruction (CAI) system. Sigal was average in arithmetic in her class, enjoyed the computer practice, and believed that it helped her in arithmetic. However, observations showed that she consistently failed to solve problems on the computer that she could do successfully with paper and pencil. She was therefore given CAI practice well below her real arithmetic ability. She often oscillated among a few types of exercises, sometimes regressing rather than advancing upward in the hierarchical levels of practice. Several kinds of interventions did not bring about substantial improvement in her work with the computer. Continued observations in the following 2 years showed almost no change in her CAI-related behavior. This paper suggests the reasons for Sigal's problems with the CAI practice and draws implications for CAI design and implementation.


2002 ◽  
Vol 6 (4) ◽  
pp. 63-74
Author(s):  
Ho Young Lee

This study examines determinants of demand for incumbent auditors information systems design and implementation consulting services. While there was no evidence on how the services may affect auditor independence, opponents of allowing the service argue that auditors who provide the financial information systems consulting services may lower audit quality, reducing investor confidence in markets. The results indicate that while R&D expenditures, auditors industry specialization, and auditor tenure are positively associated with demand for the information systems consulting, there is no evidence that accounting discretion and audit committee effectiveness are associated with demand for the information systems consulting.


Author(s):  
Jill Drury ◽  
Jean Scholtz

This chapter describes different means of evaluating the usability and suitability of computer-based inter-organizational information systems (IOISs). It begins with describing why doing so is important yet difficult, and provides an assessment of the advantages and disadvantages of the major types of evaluation. It continues with a case study focusing on determining whether an application provides the necessary insight into other collaborators’ identities, presence, and activities while keeping sensitive information private from a subset of the collaborators. The goal of this chapter is to provide practical guidance to organizations seeking IOISs to help them choose (or develop) an IOIS that best meets their needs.


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