نوع مقاله : مقاله پژوهشی
نویسندگان
- سید جمال‌الدین طبیبی 1
- علی‌اکبر فرهنگی 2
- امیراشکان نصیری‌پور 3
- رضا برادران کاظم‌زاده 4
- پروین ابراهیمی 5
1 استاد، مدیریت خدمات بهداشتی- درمانی، دانشکده‌ی مدیریت و اقتصاد، دانشگاه آزاد اسلامی، واحد علوم و تحقیقات، تهران، ایران
2 استاد، مدیریت رسانه، دانشکده‌ی مدیریت و اقتصاد، دانشگاه آزاد اسلامی، واحد علوم و تحقیقات، تهران، ایران
3 دانشیار، مدیریت خدمات بهداشتی- درمانی، دانشکده‌ی مدیریت و اقتصاد، دانشگاه آزاد اسلامی، واحد علوم و تحقیقات، تهران، ایران
4 دانشیار، مدیریت بهره‌وری، دانشکده‌ی فنی، دانشگاه تربیت مدرس، تهران، ایران
5 دکتری، مدیریت خدمات بهداشتی- درمانی، دانشکده‌ی مدیریت و اقتصاد، دانشگاه آزاد اسلامی، واحد علوم و تحقیقات، تهران، ایران
چکیده
مقدمه: مفهوم فرهنگ سازمانی به طور معمول، به عنوان عامل تعدیل کننده در استفاده از فن‌آوری اطلاعات تلقی می‌شود. هدف مطالعه‌ی حاضر، شناسایی رابطه‌ی بین گونه‌های فرهنگی بر اساس مدل Harrison با پذیرش سیستم اطلاعات بیمارستانی از سوی کاربران، در بیمارستان‌های غیر آموزشی تحت پوشش دانشگاه علوم پزشکی ایران سابق بود. روش بررسی: این پژوهش از نظر هدف، کاربردی بود و به روش توصیفی و تحلیل همبستگی انجام شد. ابتدا مدل مفهومی پژوهش با استفاده از مطالعه‌ی ادبیات موضوع، تدوین و با نظرسنجی از خبرگان مورد تأیید قرار گرفت. سپس پرسش‌نامه‌ی مربوط بر اساس متغیرهای مدل مورد نظر، مشتمل بر 93 سؤال، طراحی گردید. روایی پرسش‌نامه، با استفاده از نظرات خبرگان و تکنیک نسبت اعتبار محتوا و پایایی این ابزار نیز با محاسبه‌ی Cronbach's alpha بررسی و تأیید شد. سپس داده‌های پژوهش از ابتدای تابستان تا مهرماه 1389 از طریق توزیع حضوری پرسش‌نامه‌ها در میان 400 نفر از کاربران سیستم اطلاعات بیمارستانی، با استفاده از شیوه‌ی نمونه‌گیری طبقه‌ای در بیمارستان‌های مورد مطالعه، گردآوری گردید. آزمون مدل مفهومی و بررسی برازش آن با داده‌های گردآوری شده با استفاده از روش مدل‌سازی معادلات ساختاری و بهره‌گیری از نرم‌افزار LISREL (Linear structural relationships) صورت پذیرفت. یافته‌ها: فرهنگ غالب در بیمارستان‌های مورد بررسی بر اساس گونه شناسی Harrison، فرهنگ مبتنی بر نقش بود. بررسی شاخص Chi-square نرم شده (4/1 = df/2x) نشان داد که مدل این پژوهش با داده‌ها برازش مطلوبی دارد. شاخص‌های نیکویی برازش، برازندگی تطبیقی، برازش تعدیل شده و خطای ریشه‌ی مجذور میانگین تقریب به ترتیب برابر با 990/0، 990/0، 960/0 و 033/0 بودند. بر اساس مدل پژوهش، رابطه‌ی گونه‌ی فرهنگی مبتنی بر وظیفه با متغیر رضایت کاربر از سیستم از جمله متغیرهای پذیرش سیستم اطلاعات بیمارستانی، از نظر آماری معنی‌دار بود و مورد تأیید قرار گرفت. نتیجه‌گیری: با توجه به مطلوب بودن شاخص‌های برازش محاسبه شده در مدل پژوهش، می‌توان نتیجه‌گیری نمود که به کارگیری این مدل، می‌تواند به بهبود فرهنگ سازمانی و پذیرش سیستم اطلاعات بیمارستانی از سوی کاربران در بیمارستان‌های مورد مطالعه کمک نماید. واژه‌های کلیدی: سیستم‌های اطلاعات بیمارستانی؛ فرهنگ سازمانی؛ گونه شناسی Harrison؛ فن‌آوری
عنوان مقاله [English]
Association between Harrison Cultural Typology and Acceptance of Hospital Information System
نویسندگان [English]
- Seyed Jamaledin Tabibi 1
- Ali Akbar Farhangi 2
- Amir Ashkan Nasiripour 3
- Reza Baradaran Kazemzadeh 4
- Parvin Ebrahimi 5
1 Professor, Health Services Management, School of Management and Economics, Science and Research Branch, Islamic Azad University, Tehran, Iran
2 Professor , Media Management, School of Management and Economics, Science and Research Branch, Islamic Azad University, Tehran, Iran
3 Associate Professor, Health Services Management, School of Management and Economics, Science and Research Branch, Islamic Azad University, Tehran, Iran
4 Associate Professor, Productivity Management, School of Engineering, The University of Tarbiat Modares, Tehran, Iran
5 Health Services Management, School of Management and Economics, Science and Research Branch, Islamic Azad University, Tehran, Iran
چکیده [English]
Introduction: The concept of organizational culture usually is considered as a moderating factor in using information technology (IT). The present study aimed to review the association between Harrison cultural typology and the acceptance of hospital information system (HIS) by its users in non-university hospitals of Iran University of Medical Sciences (Tehran, Iran). Methods: This research was applicable and done using descriptive and correlational analysis methods. After the related literature was reviewed, the conceptual model was proposed and confirmed by the experts. A questionnaire with 93 questions was developed based on the variables, and its validity and reliability were tested and confirmed by experts and calculating Cronbach’s alpha. Then the data were delivered and completed between July and September 2010 among 400 users of HIS in the required hospitals that have been selected using stratified sampling method. To test the model and examine its fitness to the collected data, structural equation modeling (SEM) method was used by applying LISREL Software. Results: The dominant culture in the hospitals was role-oriented culture. The results of normed chi-square index (χ2/df = 1.4) showed that the model has fitness with the collected data. The indices included goodness of fit indices (GFI) = 0.99, comparative fit index (CFI) = 0.99, adjusted goodness of fit index (AGFI) = 0.96, and root mean square error approximation (RMSEA) = 0.033. According to the research model, the association between task-oriented culture and user satisfaction statistically was significant and confirmed. Conclusion: According to the fitness of the calculated indices of the research model, it can be concluded that using the model may help to improve organizational culture and HIS user acceptance in hospitals. Keywords: Hospital Information Systems; Organizational Culture; Harrison Typology; Technology
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