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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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first_indexed 2018-08-02T18:54:11Z
last_indexed 2020-09-04T03:03:03Z
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spelling 2020-09-03T09:23:05.9008969 v2 42224 2018-08-02 Implementing large-scale healthcare information systems: The technological, managerial and behavioral issues. 8f296b1719c88180577cb97aacb3dbef TAGHREED JUSTINIA TAGHREED JUSTINIA true false 2018-08-02 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. E-Thesis Health care management.;Information technology. 31 12 2009 2009-12-31 COLLEGE NANME COLLEGE CODE Swansea University Doctoral Ph.D 2020-09-03T09:23:05.9008969 2018-08-02T16:24:28.4797839 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health TAGHREED JUSTINIA 1 0042224-02082018162437.pdf 10797926.pdf 2018-08-02T16:24:37.8230000 Output 11032436 application/pdf E-Thesis true 2018-08-02T00:00:00.0000000 false
title Implementing large-scale healthcare information systems: The technological, managerial and behavioral issues.
spellingShingle Implementing large-scale healthcare information systems: The technological, managerial and behavioral issues.
TAGHREED JUSTINIA
title_short Implementing large-scale healthcare information systems: The technological, managerial and behavioral issues.
title_full Implementing large-scale healthcare information systems: The technological, managerial and behavioral issues.
title_fullStr Implementing large-scale healthcare information systems: The technological, managerial and behavioral issues.
title_full_unstemmed Implementing large-scale healthcare information systems: The technological, managerial and behavioral issues.
title_sort Implementing large-scale healthcare information systems: The technological, managerial and behavioral issues.
author_id_str_mv 8f296b1719c88180577cb97aacb3dbef
author_id_fullname_str_mv 8f296b1719c88180577cb97aacb3dbef_***_TAGHREED JUSTINIA
author TAGHREED JUSTINIA
author2 TAGHREED JUSTINIA
format E-Thesis
publishDate 2009
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description 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.
published_date 2009-12-31T03:52:33Z
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score 11.016235

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