Table 1 Micro, meso and macro level dimensions and categories of the Clinical Adoption Framework
Dimension | Category |
|---|---|
Micro level | Health Information System (HIS) quality, which refers to the accuracy, completeness and availability of the clinical information content; features, performance and security of the system; and responsiveness of the support services. |
Usage quality which refers to HIS usage intention/pattern and user satisfaction in terms of usefulness, ease of use and competency. | |
Net benefits, which refer to the change in care quality, access and productivity as a result of HIS adoption by clinicians. Care quality includes patient safety, appropriateness/ effectiveness, and health outcomes. Access refers to provider/patient participation and availability/access to services. Productivity covers care coordination, efficiency and net cost. | |
Meso level | People meaning the individuals/groups involved, their personal characteristics and expectations, and their roles and responsibilities with the HIS. |
Organization which refers to how the HIS fits with the organization’s strategy, culture, structure/processes, info−/infrastructure, and return on value. | |
Implementation which involves the HIS adoption stages, project management approaches and the extent of the HIS’s fit for the practice. | |
Macro level | Healthcare standards in terms of the types of HISs organizational performance and professional practice standards in place. |
Funding and incentives which refer to the added values, remunerations and incentive programs. | |
Legislation/policy and governance in terms of the influence of legislative acts, regulations/policies and governance bodies, such as professional associations/colleges and advocacy groups, and their attitudes toward HIS. | |
Societal, political and economic trends which include public expectations and the overall socio-political and economic climates with regards to technologies healthcare and HIS. |