Information System Success in Todays' Health Care: an Evaluation of the Dependent Variable
Translated title
Suksess i informasjonssystemer i dagens helsevesen: en evaluering av den avhengige variabelen
Authors
Askedal, Kirsti ; Rabbersvik, Elisabeth Holen ; Solberg, Lillian N. Q.
Term
3 year
Publication year
2010
Pages
160
Abstract
At vurdere, om digitale informationssystemer (IS) i sundhedsvæsenet er succesfulde, er vigtigt for at efterprøve påstande om bedre kvalitet, styrkede patienter og færre medicinske fejl. DeLone & McLean’s IS Success Model (2003) er en udbredt ramme, der definerer kategorier til at måle IS-succes, den afhængige variabel (det udfald, der vurderes). Vi undersøgte, om modellen stadig passer til nutidens sundhedsvæsen, og om dens kategorier bør tilpasses forholdene i sundhedsinformatik. Metode: Med udgangspunkt i fem forskningsspørgsmål gennemførte vi en kvantitativ indholdsanalyse af videnskabelige artikler fra 2003–2010. Vi sammenlignede modellens kategorier med eksperters anbefalinger for IS-succes i sundhedsvæsenet og med de kategorier, der bruges i evalueringsstudier. Forskelle blev testet med chi-kvadrat. Resultater: Kategorierne i DeLone & McLean-modellen var signifikant forskellige fra eksperters anbefalinger. På grund af manglende overensstemmelse sammensatte vi en Health Information System (HIS) Success Model. HIS-modellens kategorier var ikke signifikant forskellige fra eksperters anbefalinger og passede bedre til de kategorier, der bruges i evalueringer. Diskussion: Sundhedsvæsenet er komplekst, rummer mange interessenter, og hvad der tæller som succes, varierer på tværs af organisationer og over tid. Teknologiske og organisatoriske ændringer siden 2003 kan have ændret kriterierne for at vurdere succes. Konklusion: DeLone & McLean-modellens kategorier har ikke gyldighed i nutidens sundhedsvæsen. Det er hensigtsmæssigt at tilpasse kategorierne til sundhedsinformatik. Vores HIS Success Model har større gyldighed under de aktuelle forhold.
Evaluating the success of digital information systems (IS) in healthcare is essential to verify claims about better care quality, patient empowerment, and fewer medical errors. The DeLone & McLean IS Success Model (2003) is a widely used framework that defines categories for measuring IS success, the dependent variable (the outcome being assessed). We examined whether this model still fits today’s healthcare and whether its categories should be adjusted to health informatics. Method: Guided by five research questions, we performed a quantitative content analysis of scientific papers published in 2003–2010. We compared the model’s categories with expert recommendations for IS success in healthcare and with the categories used in evaluation studies. Differences were tested with chi-square. Results: The categories in the DeLone & McLean model were significantly different from expert recommendations. Based on the lack of agreement, we composed a Health Information System (HIS) Success Model. The HIS model’s categories did not differ significantly from expert recommendations and aligned better with categories used in evaluations. Discussion: Healthcare is complex, involves many stakeholders, and definitions of success vary across organizations and over time. Technological and organizational changes since 2003 may have altered the criteria for evaluating success. Conclusion: The DeLone & McLean model’s categories do not have validity in today’s healthcare. Adjusting the categories to health informatics is appropriate. Our proposed HIS Success Model shows greater validity under current health informatics conditions.
[This abstract was generated with the help of AI]
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