James G. Anderson - Böcker

Evaluating the Organizational Impact of Health Care Information Systems, Second Edition, is heavily updated and revised from its First Edition, which is entitled Evaluating Health Care Information Systems: Methods and Applications. The much-needed Second Edition is a guide for evaluating the organizational impacts of computer systems in health care institutions.It provides a practical guide for determining the appropriate questions to ask based on underlying models of change and the most effective methods available. An introduction to various methods is provided, as well as appendices containing survey instruments usable in research and evaluation, computer programs for data analyses, and other evaluation resources. The book provides a critical overview of current research and evaluation to date with numerous bibliographic references from health care and other fields.The methods and instruments described are applicable to a wide variety of other organizations that utilize information technology and they emphasize the importance of clearly specifying the purpose of the evaluation, recognizing assumptions about organizational change and using a multi-method approach to system evaluation. The material presented is drawn from a variety of social and health science disciplines in order to integrate the study of information system with social science theory and methods. Chapter highlights include Cognitive Approaches to Evaluation, Computer Simulation as an Evaluation Tool, and Research and Evaluation: Future Directions.Evaluating the Organizational Impact of Health Care Information Systems, Second Edition is timely since annual investment in information technology by health care organization in the U.S. now exceeds USD15 billion. It will prove valuable to physicians, nurses, other health care providers, health care administrators, information systems personnel and consultants who are involved in planning, developing, implementing, utilizing and evaluating computer-based health care systems.

This book presents 130 case studies illustrating ethical and social issues that arise from the increasing use of computers in medicine, nursing, psychology, pharmacy, and the allied health professions. The rapid development of health informatics offers a rich array of issues and challenges to academics, clinicians, and system developers. These issues involve threats to privacy and confidentiality, misuse of clinical and genetic information, risks to patients of bias and discrimination, erosion of the practitioner-patient relationship, threats to the autonomy of the health professional, and compromises to the quality of care provided. The use of case studies is well known in medicine, nursing, public health, epidemiology, and other health education programs. This book presents selected cases with annotation and commentaries that illustrate ethical concerns and social problems in the use of computers in medicine.

Evaluating the Organizational Impact of Health Care Information Systems, Second Edition, is heavily updated and revised from its First Edition, which is entitled Evaluating Health Care Information Systems: Methods and Applications.

This book presents 130 case studies illustrating ethical and social issues that arise from the increasing use of computers in medicine, nursing, psychology, pharmacy, and the allied health professions. The rapid development of health informatics offers a rich array of issues and challenges to academics, clinicians, and system developers. These issues involve threats to privacy and confidentiality, misuse of clinical and genetic information, risks to patients of bias and discrimination, erosion of the practitioner-patient relationship, threats to the autonomy of the health professional, and compromises to the quality of care provided. The use of case studies is well known in medicine, nursing, public health, epidemiology, and other health education programs. This book presents selected cases with annotation and commentaries that illustrate ethical concerns and social problems in the use of computers in medicine.

Computer technology has impacted the practice of medicine in dramatic ways. Imaging techniques provide noninvasive tools which alter the diag­ nostic process. Sophisticated monitoring equipment presents new levels of detail for both patient management and research. In most of these high technology applications, the computer is embedded in the device; its presence is transparent to the user. There is also a growing number of applications in which the health care provider directly interacts with a computer. In many cases, these applica­ tions are limited to administrative functions, e.g., office practice manage­ ment, location of hospital patients, appointments, and scheduling. Nev­ ertheless, there also are instances of patient care functions such as results reporting, decision support, surveillance, and reminders. This series, Computers and Medicine, focuses upon the direct use of information systems as it relates to the medical community. After twenty­ five years of experimentation and experience, there are many tested ap­ plications which can be implemented economically using the current gen­ eration of computers. Moreover, the falling cost of computers suggests that there will be even more extensive use in the near future. Yet there is a gap between current practice and the state-of-the-art.