The clinical adoption meta-model: a temporal meta-model describing the clinical adoption of health information systems

被引：34

作者：

Price, Morgan ^{[1
,2
]}

Lau, Francis ^{[1
]}

机构：

[1] Univ Victoria, Sch Hlth Informat Sci, Victoria, BC, Canada

[2] Univ British Columbia, Fac Med, Dept Family Practice, Vancouver, BC, Canada

来源：

BMC MEDICAL INFORMATICS AND DECISION MAKING | 2014年 / 14卷

关键词：

Health information systems; Adoption model; ELECTRONIC MEDICAL-RECORD; PRIMARY-CARE; MATURITY MODEL; TECHNOLOGY; SUCCESS; ACCEPTANCE; GUIDELINES; MANAGEMENT; FAILURE;

D O I：

10.1186/1472-6947-14-43

中图分类号：

R-058 [];

学科分类号：

摘要：

Health information systems (HISs) hold the promise to transform health care; however, their adoption is challenged. We have developed the Clinical Adoption Meta-Model (CAMM) to help describe processes and possible challenges with clinical adoption. The CAMM, developed through an action research study to evaluate a provincial HIS, is a temporal model with four dimensions: availability, use, behaviour changes, and outcome changes. Seven CAMM archetypes are described, illustrating classic trajectories of adoption of HISs over time. Each archetype includes an example from the literature. The CAMM and its archetypes can support HIS implementers, evaluators, learners, and researchers.

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