Health Information System Implementation: A Qualitative Meta-analysis
Open accessAbstract
Healthcare information systems (HISs) are often implemented to enhance the quality of care and the degree to which it is patient-centered, as well as to improve the efficiency and safety of services. However, the outcomes of HIS implementations have not met expectations. We set out to organize the knowledge gained in qualitative studies performed in association with HIS implementations and to use this knowledge to outline an updated structure for implementation planning. A multi-disciplinary team performed the analyses in order to cover as many aspects of the primary studies as possible. We found that merely implementing an HIS will not automatically increase organizational efficiency. Strategic, tactical, and operational actions have to be taken into consideration, including management involvement, integration in healthcare workflow, establishing compatibility between software and hardware and, most importantly, user involvement, education and training. The results should be interpreted as a high-order scheme, and not a predictive theory.
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- Authors
- Rahimi, B., Vimarlund, V., & Timpka, T.
- Affiliations
- Linköping University (SE)
- Corresponding author
- Rahimi, Bahlol
- Venue
- Journal of Medical Systems
- Published
- 2008-08-15
- Volume
- 33
- Issue
- 5
- Pages
- 359-368
- ISSN
- 0148-5598 (ISSN-L)
- 1573-689X
- OpenAlex
- W1987623223
- Cited by
- 82
- References
- 45
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 4 · 2019: 4 · 2018: 6 · 2017: 2 · 2016: 6 · 2015: 8 · 2014: 9 · 2013: 5 · 2012: 5
- FWCI
- 10.26
- Type
- journal article
- Language
- en
- Open access
- green
- urn.kb.se
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- Journal of Medical Systems (publishedVersion)
- PubMed (publishedVersion)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Social Sciences › Sociology and Political Science › Information Systems Theories and Implementation
- Social Sciences › Business, Management and Accounting › Management Information Systems › ERP Systems Implementation and Impact
- Keywords
- health information systems, health information system implementation, implementation planning, user participation, staff training and education, management involvement, organizational efficiency, patient-centered care, quality of care
- MeSH terms
- Diffusion of Innovation, Hospital Information Systems, Medical Informatics, United States, Qualitative Research
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