Karsten Ulrik Niss
Department of Health Science and Technology, Medical Informatics, Aalborg University, Denmark
Ole Hejlesen
Department of Health Science and Technology, Medical Informatics, Aalborg University, Denmark/Department of Computer Science, University of Tromsø, Norway
Ladda ner artikelIngår i: Scandinavian Conference on Health Informatics; August 22; 2014; Grimstad; Norway
Linköping Electronic Conference Proceedings 102:5, s. 31-36
Publicerad: 2014-08-20
ISBN: 978-91-7519-241-3
ISSN: 1650-3686 (tryckt), 1650-3740 (online)
A Readiness for Change survey was conducted in a radiology department at large Danish University Hospital’s in connec-tion with the implementation of RIS/PACS in 2005. The survey was part of a research project concerning organizational factors in the implementation of RIS/PACS and aimed to evaluate the preparedness for the new system and obtain staff members’ assessments of co-operation in and among profes-sional groups. A follow-up survey conducted in May 2014 shows that nine years after the RIS/PACS implementation; users continue to call for changes in system functionality and work processes; and point out organizational shortcomings. Co-operation in and among professional groups was assessed at the same level as in 2005. The new survey corroborates the 2005 respondents’ expectations for change in work processes and organizational structure in as far as their retrospective as-sessment of the significance of work processes and organiza-tional structure when implementing RIS/PACS remain un-changed. It is concluded that the implementation of RIS/PACS involves not only technological issues but also affects tasks; actors and structure in the department; as predicted by Leavitt.
Organizational change; Radiology information system; PACS (radiology); Evaluation studies; Aalborg University
[1] Høstgaard AM; Nøhr C. Metodehåndbog i undersøgelse af
forandringsparathed - i forbindelse med udvikling og
implementering af nye it-systemer inden for sundhedsvæsenet. Aalborg: EPJ-Observatoriet; Aalborg
Universitet; 2004.
[2] Bowling A. Research Methods in Health - Investigating
Health and Health Services. Buckingham: Open University
Press; 1997.
[3] Zuboff S. In the Age of the Smart Machine - the Future of
Work and Power. USA: Basic Books Inc.; 1988 1988.
[4] Lorenzi NM; Riley RT. Managing Change: An Overwiev.
Journal of the American Medical Informatics Association;
2000(7):116-24.
[5] Lorenzi NM; Riley RT. Organizational issues = change.
International Journal of Medical Informatics;
2003(69):197-203.
[6] Berg M. Introduction. In: Berg M; editor. Health
information management - Integrating Information
Technology in Health Care Work. Routledge Health
Management. London: Routledge; 2004. p. 1-8.
[7] Ball MJ; Douglas JV. Human Factors: Changing Systems;
Changing Behaviors. In: Demetriades JE; Christophersen
GA; Kolodner RM; editors. Person-Centered HealthRecords. Health Informatics Series. New York: Springer;
2005. pp. 60-70.
[8] Lorenzi NM; Riley RT. Knowledge and Change in Health
Care Organizations. In: Information Technology Strategies
from the United States and the European Union.
Transferring Research to Practice for Health Care
Improvement. Amsterdam: IOS Press; 2000. p. 63-70
[9] Bakka JF; Fivelsdal E. Organisationsteori. Struktur; kultur;
processer. 5 ed. København: Handelshøjskolens Forlag;
2010 2010.
[10]Jacobsen DI; Thorsvik J. Hvordan organisationer fungerer
- en indføring i organisation og ledelse. 2 ed. København:
Hans Reitzels Forlag a/s; 2008 2008.
[11]Regioner D. Strukturreform København: Danske
Regioner; 2014 [cited 2014 22/5-2014]. Available from:
http://www.regioner.dk/Om+Regionerne/Strukturreform.aspx.
[12]Bendix HW; Digmann A; Jørgensen P; Pedersen KM.
Hospitalsledelse - Organisatorisk fænomen og faglig
disciplin. 1 e