Privacy management and information flow in the context of the development of the Extended Choice Network: A socio-technical study

扩展选择网络发展背景下的隐私管理和信息流：社会技术研究

• 批准号: EP/G038759/1
• 负责人: Iain Crinson
• 金额: $ 8.68万
• 依托单位: St George's, University of London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2009
• 资助国家: 英国
• 起止时间: 2009 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=EP%2FG038759%2F1
• 关键词: Privacy; management; information; flow; context

The primary aim of this evaluative socio-technical study is to investigate the management of information flow between public and private healthcare providers participating as partners in the Extended Choice Network (ECN). The ECN is a truly integrated socio-technical policy programme which is affected by both the technological and organisational contexts in which it operates. ECN supports the Choose and Book application and uses both technological and organisational mechanisms to manage information flows and as a result has both technological and social dependencies and combined implications. The ECN is the designated mechanism by through which the process of 'commissioning' services from a range of healthcare providers, public and independent sector, in order to achieve widened patient choice and achieve greater value-for-money can be realised. Since its launch there has been concern in healthcare communities about the costs involved in being a member of ECN. Privacy and consent management are an important part of those costs. The study seeks to draw attention to the importance of an understanding of organisational context in the clinical management of patient information flows, particularly in relation to its privacy and security aspects. Utilising a case study approach deploying a range of qualitative and quantitative data collection methods it focuses upon the clinical management of patient information within one private sector provider. The research will trace patient information flow as it traverses the different organisations participating within the ECN, and will utilize an integrated socio-technical methodology to evaluate the impact of macro-organisational context on the privacy management of patient information flow. While a feature of information systems design is that they have well-formed technological research methodologies, an interdisciplinary research framework has been chosen for the study in order to achieve an integration of the socio-technical dimension of information flows. Privacy management is a socio-technical activity that is dependent both on the technology used to deliver the ECN and upon the organisational structures that interact with the technology. This integrated socio-technical evaluation of ECN information flows examines the following key areas: Information systems compatibility; national programme compliance versus local organisational deployment requirements; and institutional cultural complexities affecting knowledge transfer. In undertaking this evaluation of the ECN as it impacts on an independent sector partner, a realist methodological approach has been adopted which is able to draw attention to the particular context-mechanism-outcome configurations of the programme. That is, which configuration of information system flow, healthcare professional roles, and organisational structure might benefit most from the programme, and which social, technological and cultural resources are necessary to sustain the ECN programme whilst meeting the demands of ensuring patient privacy, consent, and security.

这项评估社会技术研究的主要目的是调查参与扩展选择网络（ECN）合作伙伴的公共和私人医疗保健提供者之间信息流的管理。 ECN是一个真正综合的社会技术政策计划，受其运营的技术和组织环境的影响。 ECN支持选择和预订应用程序，并同时使用技术和组织机制来管理信息流，因此具有技术和社会依赖性和综合含义。 ECN是指定机制，通过该机制，可以实现一系列医疗保健提供者，公共和独立部门的“调试”服务的过程，以实现扩大的患者选择并实现更大的价值福利。自从其推出以来，医疗保健社区一直担心成为ECN成员所涉及的成本。隐私和同意管理是这些费用的重要组成部分。该研究旨在提请人们注意对组织环境在患者信息流的临床管理中的理解的重要性，尤其是在其隐私和安全方面。利用一种案例研究方法部署了一系列定性和定量数据收集方法，其重点是对一个私营部门提供商内患者信息的临床管理。该研究将追踪患者信息流，因为它遍历了参与ECN内的不同组织，并将利用一种综合的社会技术方法来评估宏观组织环境对患者信息流的隐私管理的影响。尽管信息系统设计的特征是它们具有良好的技术研究方法，但为研究选择了跨学科研究框架，以实现信息流的社会技术维度的整合。隐私管理是一种社会技术活动，既取决于用于交付ECN的技术以及与技术相互作用的组织结构。 ECN信息流的综合社会技术评估检查了以下关键领域：信息系统兼容性；国家计划合规性与本地组织部署要求；以及影响知识转移的机构文化复杂性。在对ECN进行评估时，它对独立部门的合作伙伴产生了影响，采用了一种现实主义方法论方法，能够引起人们对程序的特定上下文机械性结果配置的关注。也就是说，哪种信息系统流，医疗保健专业角色和组织结构的配置可能会从该计划中受益最大，并且需要哪些社会，技术和文化资源来维持ECN计划，同时满足确保患者隐私，同意和安全的需求。