PDF(Pubmed)
Abstract：
BACKGROUND: Health information technology (HIT) is increasingly used to enable health service/system transformation. Most HIT implementations fail to some degree; very few demonstrate sustainable success. No guidelines exist for health service leaders to leverage factors associated with success. The purpose of this paper is to present an evidence-based guideline for leaders to test and leverage in practice.
METHODS: This guideline was developed from a literature review and refined by a set of eight interviews with people in senior HIT roles, which were thematically analysed. It was refined in the consultancy work of the first author and confirmed after minor refinements.
RESULTS: Five key actions were identified: relationships, vision, HIT system attributes, constant evaluation and learning culture.
CONCLUSIONS: This guideline presents a significant opportunity for health system leaders to systematically check relevant success factors during the implementation process of single projects and regional/national programmes.
METHODS: This guideline was developed from a literature review and refined by a set of eight interviews with people in senior HIT roles, which were thematically analysed. It was refined in the consultancy work of the first author and confirmed after minor refinements.
RESULTS: Five key actions were identified: relationships, vision, HIT system attributes, constant evaluation and learning culture.
CONCLUSIONS: This guideline presents a significant opportunity for health system leaders to systematically check relevant success factors during the implementation process of single projects and regional/national programmes.
摘要：
背景：健康信息技术（HIT）越来越多地用于实现健康服务/系统转换。大多数HIT实施在某种程度上都失败了；很少有人表现出可持续的成功。没有针对卫生服务领导者的指导方针来利用与成功相关的因素。本文的目的是为领导者提供一个基于证据的指南，以便在实践中进行测试和利用。
方法：本指南是根据文献综述制定的，并通过对高级HIT角色人员的八次访谈来完善。进行了主题分析。它在第一作者的咨询工作中得到了完善，并在进行了少量改进后得到了确认。
结果：确定了五个关键行动：关系，愿景,HIT系统属性，不断的评价和学习文化。
结论：该指南为卫生系统领导者提供了一个重要的机会，可以在单个项目和区域/国家计划的实施过程中系统地检查相关的成功因素。
方法：本指南是根据文献综述制定的，并通过对高级HIT角色人员的八次访谈来完善。进行了主题分析。它在第一作者的咨询工作中得到了完善，并在进行了少量改进后得到了确认。
结果：确定了五个关键行动：关系，愿景,HIT系统属性，不断的评价和学习文化。
结论：该指南为卫生系统领导者提供了一个重要的机会，可以在单个项目和区域/国家计划的实施过程中系统地检查相关的成功因素。
