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Management information systems in process-oriented healthcare organisations
Linköping University, Department of Computer and Information Science.
2003 (English)Licentiate thesis, comprehensive summary (Other scientific)
Abstract [en]

The aim of this thesis work was to develop a management information system model for process-oriented healthcare organisations. The study explores two questions: “What kinds of requirements do healthcare managers place on information systems?” and “How can the work and information systems of healthcare managers and care providers be incorporated into process-oriented healthcare organisations?”

The background to the study was the process orientation of Swedish healthcare organisations. The study was conducted at the paediatric clinic of a county hospital in southern Sweden. Organisational process was defined as “a sequence of work procedures that jointly constitute complete healthcare services”, while a functional unit was the organisational venue responsible for a certain set of work activities.

A qualitative research method, based on a developmental circle, was used. The data was collected from archives, interviews, observations, diaries and focus groups. The material was subsequently analysed in order to categorise, model and develop small-scale theories about information systems.

The study suggested that computer-based management information systems in processoriented healthcare organisations should: (1) support medical work; (2) integrate clinical and administrative tools; (3) facilitate the ability of the organisation to measure inputs and outcomes.

The research effort concluded that various healthcare managers need the same type of primary data, though presented in different ways. Professional developers and researchers have paid little attention to the manner in which integrated administrative, financial and clinical systems should be configured in order to ensure optimal support for process-oriented healthcare organisations. Thus, it is important to identify the multiple roles that information plays in such an organisation.

Place, publisher, year, edition, pages
Institutionen för datavetenskap , 2003. , 21 p.
Series
Linköping Studies in Science and Technology. Thesis, ISSN 0280-7971
Keyword [en]
Management information systems, Information policy, healthcare organisations, computer-based management,
National Category
Computer Science
Identifiers
URN: urn:nbn:se:liu:diva-5689ISBN: 91-7373-654-6 (print)OAI: oai:DiVA.org:liu-5689DiVA: diva2:21453
Presentation
2003-05-15
Note
Report code: LiU-TEK-LIC-2003:14. On the day of the public defence the status of the article I was: In press and the status of article II was: Submitted.Available from: 2003-10-06 Created: 2003-10-06
List of papers
1. Management demands on information and communication technology in process- oriented health-care organizations: The importance of understanding managers expectations during early phases of systems design
Open this publication in new window or tab >>Management demands on information and communication technology in process- oriented health-care organizations: The importance of understanding managers expectations during early phases of systems design
2002 (English)In: Journal of Management in Medicine, ISSN 0268-9235, Vol. 16, no 2-3, 159-169 p.Article in journal (Refereed) Published
Abstract [en]

There are numerous challenges to overcome before information and communication technology (ICT) can achieve its full potential in process-oriented health-care organizations. One of these challenges is designing systems that meet users’ needs, while reflecting a continuously changing organizational environment. Another challenge is to develop ICT that supports both the internal and the external stakeholders’ demands. In this study a qualitative research strategy was used to explore the demands on ICT expressed by managers from functional and process units at a community hospital. The results reveal a multitude of partially competing goals that can make the ICT development process confusing, poor in quality, inefficient and unnecessarily costly. Therefore, from the perspective of ICT development, the main task appears to be to coordinate the different visions and in particular clarify them, as well as to establish the impact that these visions would have on the forthcoming ICT application.

Keyword
Communications technology, Health care, Information technology, Management, Organizational development, Systems design
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-13778 (URN)10.1108/02689230210434907 (DOI)
Available from: 2003-10-06 Created: 2003-10-06 Last updated: 2013-09-05
2. A Model for Interpreting Work and Information Management in Process-Oriented Healthcare Organisations
Open this publication in new window or tab >>A Model for Interpreting Work and Information Management in Process-Oriented Healthcare Organisations
2003 (English)In: International Journal of Medical Informatics, ISSN 1386-5056, Vol. 72, no 1-3, 47-56 p.Article in journal (Refereed) Published
Abstract [en]

Background: To increase productivity, management in healthcare organisations have introduced different types of process-oriented organisational configurations. Few studies have addressed clinical practice and information management in these settings. Methods: A case study was performed at a paediatric clinic. Data was collected from archives, through interviews, by participatory observation, and by performing a focus group session. The collected data was analysed using a qualitative and interpretative research strategy. Results: A model was developed of care practitioners’ daily work in process-oriented organisations. The model shows that clinical work was deeply integrated; the care activities were dependent on supply activities and tightly connected to management routines. Conclusion: The resulting model can be used to support development of health information system (HIS) embedded in process-oriented healthcare work.

Keyword
Process-oriented healthcare organisation; Health information system (HIS); Healthcare management; Care process; Case study methods
National Category
Engineering and Technology
Identifiers
urn:nbn:se:liu:diva-13779 (URN)10.1016/j.ijmedinf.2003.09.001 (DOI)
Available from: 2003-10-06 Created: 2003-10-06 Last updated: 2013-09-05
3. A Management Information System Model for Process-Oriented Health Care
Open this publication in new window or tab >>A Management Information System Model for Process-Oriented Health Care
2003 (English)In: Proceedings of Medinfo 2004, 2003Conference paper, Published paper (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-13780 (URN)
Available from: 2003-10-06 Created: 2003-10-06 Last updated: 2013-09-05

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
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  • Other style
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  • de-DE
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