This empirical study presents the motivation, planning process, system architecture, diffusion process, performance, and the cost/benefits of a computerized system to automate the ambulatory services of Chang Gung Memorial Hospital in Taiwan.
The technology substitution and diffusion is analysed using both the Fisher-Pry growth model and Gompertz mortality model.
Major issues and the behaviour pattern under the life cycle stages of initiation, growing, stabilizing, and maturity are discussed.
Comparisons of the performances before and after the automation, in terms of charging operation, error rates in medication dispensing, patient's satisfaction level, and patient's waiting time, all indicate significant improvements.
The cost benefit ratio based on the first year tangible benefits only is estimated to be 2.8. Factors accounted for the success include the top level management commitment, cross functional team, training, and promotion, system reliability and availability, and the right conversion strategy.
Mots-clés Pascal : Application, Automatisation, Application informatique, Soin, Hôpital, Gestion, Théorie, Expérience
Mots-clés Pascal anglais : Technology substitution, Application, Automation, Computer applications, Health care, Hospitals, Management, Theory, Experiments
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0072223
Code Inist : 001D01A. Création : 21/05/1997.