The Impacts Mechanism of Controlling System in Hospital on Quality of Care: From Process and Outcome Perspectives

摘要

Considering complex environment of hospital, the implementation of information systems occurs lots of obstacles which impairs its effectiveness and efficiency in medical process. In other words, there exists lots of poor interactions between human and information system use, such as the overload work volume and medical errors resulting from inappropriate behavior with new technology. Thus, we use quality control system, an augmented system of electronic medical records, to explore the complementary impacts of information system to enhance the effectiveness of information system us. Our study extracted physicians' scores evaluated by the controlling system automatically at a large urban hospital in China. To examine relationship between controlling system and healthcare organizational outcomes, we construct the fixed effect model. Our results reveal an interesting progression over time in how process standardization forming from controlling system affects physician performance and patient benefits. Our findings contribute to both theoretical and practical Implications, in particular the new insight of behavior change in healthcare and policy directions.