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
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.
引用
收藏
页数:10
相关论文
共 49 条
  • [1] IT-adoption and the interaction of task, technology and individuals: A fit framework and a case study
    Ammenwerth E.
    Iller C.
    Mahler C.
    [J]. BMC Medical Informatics and Decision Making, 6 (1) : 13P
  • [2] [Anonymous], 2002, CAP MAT MOD INT CMMI
  • [3] Armer Jane M, 2004, J Nurses Staff Dev, V20, P42, DOI 10.1097/00124645-200401000-00008
  • [4] Factors and forces affecting EHR system adoption: Report of a 2004 ACMI discussion
    Ash, JS
    Bates, DW
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2005, 12 (01) : 8 - 12
  • [5] A consensus statement on considerations for a successful CPOE implementation
    Ash, JS
    Stavri, PZ
    Kuperman, GJ
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2003, 10 (03) : 229 - 234
  • [6] Bakalar RS, 2005, COMPUT CARDIOL, V32, P687
  • [7] Using the Clinical Document Architecture as open data exchange format for interfacing EMRs with clinical decision support systems
    Bilykh, Iryna
    Jahnke, Jens H.
    McCallum, Glen
    Price, Morgan
    [J]. 19TH IEEE INTERNATIONAL SYMPOSIUM ON COMPUTER-BASED MEDICAL SYSTEMS, PROCEEDINGS, 2006, : 855 - +
  • [8] Stimulating the Adoption of Health Information Technology.
    Blumenthal, David
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2009, 360 (15) : 1477 - 1479
  • [9] Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care
    Chaudhry, Basit
    Wang, Jerome
    Wu, Shinyi
    Maglione, Margaret
    Mojica, Walter
    Roth, Elizabeth
    Morton, Sally C.
    Shekelle, Paul G.
    [J]. ANNALS OF INTERNAL MEDICINE, 2006, 144 (10) : 742 - 752
  • [10] Chismar W.G., 2003, 36 HAWAII INT C SYST, P8, DOI [10.1109/HICSS.2003.1174354, DOI 10.1109/HICSS.2003.1174354]