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Implementing large-scale healthcare information systems: The technological, managerial and behavioral issues. / TAGHREED JUSTINIA

Swansea University Author: TAGHREED JUSTINIA

Abstract

This study investigated the challenges that a national healthcare organisation in Saudi Arabia had to overcome in order to achieve a nationwide large-scale healthcare information system implementation. The study also examined the implications of those issues on the applicability of organisational ch...

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Published: 2009
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
URI: https://cronfa.swan.ac.uk/Record/cronfa42224
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Abstract: This study investigated the challenges that a national healthcare organisation in Saudi Arabia had to overcome in order to achieve a nationwide large-scale healthcare information system implementation. The study also examined the implications of those issues on the applicability of organisational change management models in healthcare systems implementations. The project's focus on the implementation process directed the methodology towards a qualitative approach. Semi-structured, in-depth interviews were used. Thirty-two participants were interviewed. They were members of the organisation who were directly involved with the implementation either as Information Technology executives and managers. Information Technology analysts and implementers, senior hospital executives from clinical areas, and other stakeholders from various departments. The data were systematically analysed using an original 'five-stage analysis framework'; specifically designed for this study. This lead to the inductive identification of forty codes, that were further refined and structured through additional stages of analysis influenced by Grounded Theory. Finally, as observed within the interviews, the most significant challenges were categorised under three broad interconnected themes; Information Technology and Systems (internal and external issues). Managerial Affairs (managing the project and resources), and Behavioural Issues (leadership and change management structures). These three themes were further structured leading to a detailed discussion on the findings. While the collection of data was driven by questions on challenges typically associated with healthcare systems implementations, the findings divulged a set of unique problems for this Saudi healthcare organisation. Some challenges were specific to it because of its nature, resources (financial and human), size, distribution of sites, project scale and its regional setting, and political atmosphere, while others were more generic problems typical of healthcare systems implementations. What has resulted from this implementation was a model for leading change in healthcare systems implementations that could be used to guide IT implementations in healthcare organisations elsewhere.
Keywords: Health care management.;Information technology.
College: Faculty of Medicine, Health and Life Sciences

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