Int J Med Inform - Key IT management issues in hospitals: Results of a Delphi study in Canada.

Tópicos

{ implement(1333) system(1263) develop(1122) }
{ studi(1410) differ(1259) use(1210) }
{ patient(2837) hospit(1953) medic(668) }
{ perform(1367) use(1326) method(1137) }
{ patient(1821) servic(1111) care(1106) }
{ research(1218) medic(880) student(794) }
{ signal(2180) analysi(812) frequenc(800) }
{ use(976) code(926) identifi(902) }
{ concept(1167) ontolog(924) domain(897) }
{ studi(1119) effect(1106) posit(819) }
{ intervent(3218) particip(2042) group(1664) }
{ import(1318) role(1303) understand(862) }
{ data(2317) use(1299) case(1017) }
{ control(1307) perform(991) simul(935) }
{ record(1888) medic(1808) patient(1693) }
{ time(1939) patient(1703) rate(768) }
{ system(1976) rule(880) can(841) }
{ problem(2511) optim(1539) algorithm(950) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ perform(999) metric(946) measur(919) }
{ health(3367) inform(1360) care(1135) }
{ medic(1828) order(1363) alert(1069) }
{ cost(1906) reduc(1198) effect(832) }
{ method(1219) similar(1157) match(930) }
{ studi(2440) review(1878) systemat(933) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ data(3963) clinic(1234) research(1004) }
{ research(1085) discuss(1038) issu(1018) }
{ compound(1573) activ(1297) structur(1058) }
{ spatial(1525) area(1432) region(1030) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ structur(1116) can(940) graph(676) }
{ survey(1388) particip(1329) question(1065) }
{ decis(3086) make(1611) patient(1517) }
{ method(1969) cluster(1462) data(1082) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ howev(809) still(633) remain(590) }
{ risk(3053) factor(974) diseas(938) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ blood(1257) pressur(1144) flow(957) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

RPOSE: To develop an authoritative list of IT management issues faced by CIOs and IT directors in public hospitals.METHODS: The ranking-type Delphi method, which elicits the opinion of a panel of experts through iterative controlled feedback, was used in this study. Data collection involved three main steps during which three panels of experts in Ontario (n=13 in rural hospitals; n=9 in community hospitals; n=8 in academic hospitals) provided their input about the key IT management issues in hospitals and their relative importance. Attrition rate was minimal; 28 out of the 30 experts who participated in the study completed all three phases of the survey.RESULTS: During the brainstorming phase, the responses from the three panels were consolidated resulting in a list of 36 IT management issues; eleven were overlapping between the three panels. In the narrowing down phase, 18 issues were retained in the rural panel; 20 issues in the community panel; and 17 issues in the academic panel. The top issues retained in this phase included: managing demand and expectations for IT services (76% of participants); having sufficient funds (69% of participants); recognizing IT as a key stakeholder in major hospital decisions (65% of participants); and implementation of an EMR (62% of participants). In the ranking phase, a moderate level of consensus was obtained for all three panels: W=0.41 (rural panel); W=0.54 (community panel); and W=0.43 (academic panel). Despite the differences in the preoccupations between the three groups, there were similarities on certain IT management issues. Besides having sufficient funds, three of the top IT management issues relate to the strategic positioning of IT within the hospital: managing demands and expectations for IT services; IT competing with other clinical priorities for scarce resources; and recognizing IT as a key stakeholder in major hospital decisions.CONCLUSIONS: This study is the first to systematically and rigorously identify and prioritize critical IT management issues in hospitals, which may be generalizable to similar environments in other industrialized countries. The prioritized lists of IT management issues may be used as a benchmark and diagnostic tool to support internal strategic decision making related to IT. The broadening of understanding of the challenges faced by IT executives in hospitals would support a more systematic evaluation of these issues over time, and allow management, educational, and research resources to be invested in the appropriate areas.

Resumo Limpo

rpose develop authorit list manag issu face cio director public hospitalsmethod rankingtyp delphi method elicit opinion panel expert iter control feedback use studi data collect involv three main step three panel expert ontario n rural hospit n communiti hospit n academ hospit provid input key manag issu hospit relat import attrit rate minim expert particip studi complet three phase surveyresult brainstorm phase respons three panel consolid result list manag issu eleven overlap three panel narrow phase issu retain rural panel issu communiti panel issu academ panel top issu retain phase includ manag demand expect servic particip suffici fund particip recogn key stakehold major hospit decis particip implement emr particip rank phase moder level consensus obtain three panel w rural panel w communiti panel w academ panel despit differ preoccup three group similar certain manag issu besid suffici fund three top manag issu relat strateg posit within hospit manag demand expect servic compet clinic prioriti scarc resourc recogn key stakehold major hospit decisionsconclus studi first systemat rigor identifi priorit critic manag issu hospit may generaliz similar environ industri countri priorit list manag issu may use benchmark diagnost tool support intern strateg decis make relat broaden understand challeng face execut hospit support systemat evalu issu time allow manag educ research resourc invest appropri area

Resumos Similares

J Am Med Inform Assoc - A centralized research data repository enhances retrospective outcomes research capacity: a case report. ( 0,789969199842741 )
Int J Med Inform - Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations. ( 0,773976434749504 )
Int J Med Inform - Pilot implementation of health information systems: issues and challenges. ( 0,76619569819724 )
Telemed J E Health - E-health implementation challenges in Iranian medical centers: a qualitative study in Iran. ( 0,758584779063987 )
AMIA Annu Symp Proc - Implementing a Real-time Complex Event Stream Processing System to Help Identify Potential Participants in Clinical and Translational Research Studies. ( 0,753272415875156 )
Telemed J E Health - Cabo Verde telemedicine program: initial results of nationwide implementation. ( 0,750722372436758 )
Telemed J E Health - International telepharmacy education: another venue to improve cancer care in the developing world. ( 0,746708723735052 )
Methods Inf Med - What Are Complex eHealth Innovations and How Do You Measure Them? Position Paper. ( 0,742684888885611 )
Comput Methods Programs Biomed - Development of an online automatic diagnostic reference levels management system for digital radiography: a pilot experience. ( 0,742207778859344 )
J Telemed Telecare - Readiness of health-care institutions in KwaZulu-Natal to implement telepsychiatry. ( 0,740866779419587 )
Telemed J E Health - An integrated telehealth system for remote administration of an adult autism assessment. ( 0,730957349966097 )
J Clin Monit Comput - GlideScope video laryngoscopy use tracheal intubation in patients with ankylosing spondylitis: a series of four cases and literature review. ( 0,729182443850014 )
BMC Med Inform Decis Mak - Development and formative evaluation of the e-Health Implementation Toolkit (e-HIT). ( 0,724440146074374 )
J Med Syst - E-Health: a global approach with extensive semantic variation. ( 0,70801288846277 )
Methods Inf Med - Potential and requirements of IT for ambient assisted living technologies. Results of a Delphi study. ( 0,70747728353864 )
Healthc (Amst) - The use of participatory action research to design a patient-centered community health worker care transitions intervention. ( 0,705478161172058 )
J. Med. Internet Res. - A holistic framework to improve the uptake and impact of eHealth technologies. ( 0,699352218067957 )
J. Med. Internet Res. - Principles and framework for eHealth strategy development. ( 0,698235233910492 )
J Telemed Telecare - Key challenges in the development and implementation of telehealth projects. ( 0,692425570330801 )
Int J Med Inform - A comparative review of patient safety initiatives for national health information technology. ( 0,688280520769516 )
AMIA Annu Symp Proc - Developing national eHealth infrastructures--results and lessons from Europe. ( 0,676960333698999 )
Telemed J E Health - Electronic prescriptions are slowly spreading in the European Union. ( 0,675430627659955 )
Int J Med Inform - Flexibility in interaction: sociotechnical design of an operating room scheduler. ( 0,675000801289782 )
J. Med. Internet Res. - Why business modeling is crucial in the development of eHealth technologies. ( 0,67491167761932 )
Telemed J E Health - Transnational comparison: A retrospective study on e-health in sparsely populated areas of the northern periphery. ( 0,672883772209783 )
Brief. Bioinformatics - Challenges in integrating Escherichia coli molecular biology data. ( 0,667870195427625 )
Int J Med Inform - Promoting ICT innovations for the ageing population in Japan. ( 0,662625069272262 )
BMC Med Inform Decis Mak - RMS: a platform for managing cross-disciplinary and multi-institutional research project collaboration. ( 0,660976543366889 )
AMIA Annu Symp Proc - Design Considerations for Post-Acute Care mHealth: Patient Perspectives. ( 0,657005328404032 )
Int J Med Inform - Key factors influencing the implementation success of a home telecare application. ( 0,65436923361807 )
BMC Med Inform Decis Mak - Requirements for guidelines systems: implementation challenges and lessons from existing software-engineering efforts. ( 0,64558615420567 )
AMIA Annu Symp Proc - Collaborative development and maintenance of health terminologies. ( 0,643308848350806 )
Int J Med Inform - Social care informatics as an essential part of holistic health care: a call for action. ( 0,642305362326829 )
Telemed J E Health - Ten steps to establishing an e-consultation service to improve access to specialist care. ( 0,638374472206798 )
AMIA Annu Symp Proc - Sustaining compliance with pediatric asthma inpatient quality measures. ( 0,637631868329981 )
J Am Med Inform Assoc - WHO guidance on electronic systems to manage data for tuberculosis care and control. ( 0,632440985484366 )
Int J Med Inform - The implications of e-health system delivery strategies for integrated healthcare: lessons from England. ( 0,629661384707013 )
Telemed J E Health - The emergence of telemedicine and e-health in Hungary. ( 0,626439242678059 )
J Med Syst - eHealth in Denmark: a case study. ( 0,626127890078001 )
Comput Methods Programs Biomed - A platform for the development of patient applications in the domain of personalized health. ( 0,623762799401925 )
BMC Med Inform Decis Mak - Ancillary study management systems: a review of needs. ( 0,623571639073559 )
Int J Med Inform - Evaluation of real-time location systems in their hospital contexts. ( 0,623099505634443 )
BMC Med Inform Decis Mak - A review on the relation between simulation and improvement in hospitals. ( 0,622829344865214 )
Appl Clin Inform - Initial implementation and evaluation of a Hepatitis C treatment clinical decision support system (CDSS): a nurse practitioner-driven quality improvement initiative. ( 0,622305321468319 )
J Med Syst - The nurse scheduling problem in real-life. ( 0,620419373722856 )
Methods Inf Med - Suitability of customer relationship management systems for the management of study participants in biomedical research. ( 0,620392335441094 )
Int J Med Inform - Providing traceability for neuroimaging analyses. ( 0,620391362434967 )
Geospat Health - GeoMedStat: an integrated spatial surveillance system to track air pollution and associated healthcare events. ( 0,618087044469061 )
Brief. Bioinformatics - Reconsideration of in silico siRNA design from a perspective of heterogeneous data integration: problems and solutions. ( 0,614227790256106 )
J Am Med Inform Assoc - Computerization of workflows, guidelines, and care pathways: a review of implementation challenges for process-oriented health information systems. ( 0,613980646354169 )
J Am Med Inform Assoc - Overcoming challenges to achieving meaningful use: insights from hospitals that successfully received Centers for Medicare and Medicaid Services payments in 2011. ( 0,613429548944559 )
Comput Methods Programs Biomed - SAPPHIRE: a toolkit for building efficient stream programs for medical video analysis. ( 0,612798837628198 )
J. Med. Internet Res. - Security considerations for e-mental health interventions. ( 0,612640064325582 )
Telemed J E Health - Telemedicine as an innovative model for rebuilding medical systems in developing countries through multipartnership collaboration: the case of Albania. ( 0,611966631078722 )
J. Med. Internet Res. - The behavioral intervention technology model: an integrated conceptual and technological framework for eHealth and mHealth interventions. ( 0,611589637597592 )
Telemed J E Health - Key factors influencing the intention of telecare adoption: an institutional perspective. ( 0,608884489536227 )
J Biomed Inform - A survey of SNOMED CT implementations. ( 0,608310398310495 )
BMC Med Inform Decis Mak - In eHealth in India today, the nature of work, the challenges and the finances: an interview-based study. ( 0,607821471066319 )
J. Med. Internet Res. - Scope of policy issues in eHealth: results from a structured literature review. ( 0,606326499491517 )
J Am Med Inform Assoc - Primary care practitioners' views on test result management in EHR-enabled health systems: a national survey. ( 0,600689247037602 )
BMC Med Inform Decis Mak - Designing a multifaceted survivorship care plan to meet the information and communication needs of breast cancer patients and their family physicians: results of a qualitative pilot study. ( 0,600171899707936 )
Telemed J E Health - A pilot project to improve access to telepsychotherapy at rural clinics. ( 0,594616206192297 )
Appl Clin Inform - A review of medication reconciliation issues and experiences with clinical staff and information systems. ( 0,593441665799632 )
Telemed J E Health - A global model for effective use and evaluation of e-learning in health. ( 0,591839635169959 )
Int J Med Inform - Guideline for good evaluation practice in health informatics (GEP-HI). ( 0,589578388320335 )
Comput. Biol. Med. - NeuPAT: an intranet database supporting translational research in neuroblastic tumors. ( 0,589543765946106 )
Telemed J E Health - An independent investigation into the deployment of the federal communications commissions' rural health care pilot program. ( 0,589101627916888 )
Int J Med Inform - Infrastructures in healthcare: the interplay between generativity and standardization. ( 0,588541507291703 )
BMC Med Inform Decis Mak - Person-centred web-based support--development through a Swedish multi-case study. ( 0,588253772423043 )
J Med Syst - Constructing a model-based software monitor for the insulin pump behavior. ( 0,588055581307846 )
Methods Inf Med - Testing conformance and interoperability of eHealth applications. ( 0,587931912239128 )
Telemed J E Health - Beyond Initiate-Build-Operate-Transfer strategy for creating sustainable telemedicine programs: lesson from the first decade. ( 0,584905616819363 )
IEEE J Biomed Health Inform - A Routing Mechanism for Cloud Outsourcing of Medical Imaging Repositories. ( 0,584379188153533 )
J Med Syst - Closing the feedback loop: an interactive voice response system to provide follow-up and feedback in primary care settings. ( 0,58381580455597 )
J Med Syst - HL7 engine module for healthcare information systems. ( 0,582466321521516 )
Telemed J E Health - A model for measuring e-health status across the world. ( 0,581843949875454 )
J Integr Bioinform - Analysis of high-throughput plant image data with the information system IAP. ( 0,581317481669044 )
BMC Med Inform Decis Mak - Decision support at home (DS@HOME)--system architectures and requirements. ( 0,581025088840914 )
BMC Med Inform Decis Mak - The challenges of real-world implementation of web-based shared care software: the HopSCOTCH Shared-Care Obesity Trial in Children. ( 0,579082313830351 )
J Am Med Inform Assoc - Changing the research landscape: the New York City Clinical Data Research Network. ( 0,57870942334331 )
BMC Med Inform Decis Mak - No personalization without participation: on the active contribution of psychiatric patients to the development of a mobile application for mental health. ( 0,578384271909894 )
Int J Med Inform - Evaluation of user adoption during three module deployments of region-wide electronic patient record systems. ( 0,577765683885072 )
AMIA Annu Symp Proc - Patient-centered appointment scheduling using agent-based simulation. ( 0,577255439476888 )
J Biomed Inform - The ACGT Master Ontology and its applications--towards an ontology-driven cancer research and management system. ( 0,576974326143672 )
J Med Syst - Experiences sharing of implementing Template-based Electronic Medical Record System (TEMRS) in a Hong Kong medical organization. ( 0,575176092778681 )
Inform Health Soc Care - Older adults' acceptance of a community-based telehealth wellness system. ( 0,573474702178145 )
Comput Methods Programs Biomed - Systems engineering principles for the design of biomedical signal processing systems. ( 0,570145357920228 )
J Am Med Inform Assoc - The military health system's personal health record pilot with Microsoft HealthVault and Google Health. ( 0,567686523793997 )
AMIA Annu Symp Proc - Sequential incoherence in a multi-party synchronous computer mediated communication for an introductory Health Informatics course. ( 0,56619712864132 )
AMIA Annu Symp Proc - Implementation of Emergency Medical Text Classifier for syndromic surveillance. ( 0,565801041983168 )
AMIA Annu Symp Proc - Integration of heterogeneous clinical decision support systems and their knowledge sets: feasibility study with Drug-Drug Interaction alerts. ( 0,565401883640462 )
J. Comput. Biol. - On the A-optimality criterion for finding two-color microarray optimal designs. ( 0,563405226794068 )
Inform Health Soc Care - A healthcare management system for Turkey based on a service-oriented architecture. ( 0,558247288714699 )
J Biomed Inform - The Taiwanese method for providing patients data from multiple hospital EHR systems. ( 0,556677648485166 )
Perspect Health Inf Manag - Commentary on the federal government's role in influencing e-prescribing use and research. ( 0,555348419791348 )
Int J Med Inform - Critical areas of national electronic health record programs-is our focus correct? ( 0,553749252889846 )
BMC Med Inform Decis Mak - Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: utility, technical performance and service provider perspective. ( 0,553291905496835 )
J Am Med Inform Assoc - A partnership model for implementing electronic health records in resource-limited primary care settings: experiences from two nurse-managed health centers. ( 0,552006520196912 )
Healthc (Amst) - Using a mentoring approach to implement an inpatient glycemic control program in United States hospitals. ( 0,551793194118376 )
AMIA Annu Symp Proc - MindTrial: An Intelligent System for Clinical Trials. ( 0,548146634779054 )