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STRATEGY, IMPLEMENTATION AND EVALUATION 217<br />

addition, the steps are equally useful as a framework to guide one’s own work. Yet<br />

the overriding requirement in the practice of designing and doing an evaluation,<br />

as in designing and ‘doing’ a PCIS, is the concrete balancing act between limited<br />

resources, ever changing and multidimensional aims, and the changing<br />

environment within which any project takes place.<br />

DISCUSSION QUESTIONS<br />

1 What are the differences between the starting points of evaluation<br />

from a RCT perspective compared to the sociotechnical perspective?<br />

2 What are the strengths of qualitative and quantitative methods and<br />

what is the additional value of integrating them?<br />

3 When you were to evaluate a PCIS implementation you know of,<br />

how would you proceed through steps 1–6?<br />

REFERENCES<br />

Heathfield, H., P.Hudson, S.Kay, L.Mackay, T.Marley, L.Nicholson, V.Peel, R.Roberts<br />

and J.Williams (1999) Issues into multi-disciplinary assessment of healthcare<br />

information systems, <strong>Information</strong> <strong>Technology</strong> & People 12(3): 253–75.<br />

Heathfield, H., S.Clamp and D.Felton (2001) Probe: Project Review and Objective<br />

Evaluation for Electronic Patient and <strong>Health</strong> Record Projects. UK Institute of<br />

<strong>Health</strong> Informatics for the NHS <strong>Information</strong> Authority.<br />

Kaplan, B. (2001) Evaluating informatics applications—clinical decision support systems<br />

literature review, International Journal of Medical Informatics 64:15–37.<br />

Stoop, A.P. and M.Berg (2003) <strong>Integrating</strong> quantitative and qualitative methods in patient<br />

care information system evaluation: guidance for the organizational decision maker,<br />

Methods of <strong>Information</strong> in Medicine 42 (in press).<br />

FURTHER READING<br />

On methods of evaluation in (informatics in) health care<br />

Anderson, J., C.Aydin and S.Jay (eds) (1994) Evaluating <strong>Health</strong> Care <strong>Information</strong> Systems.<br />

California: SAGE Publications.<br />

Friedman C.P. and J.C.Wyatt (1997) Evaluation Methods in Medical Informatics. New<br />

York: Springer-Verlag.<br />

Kaplan, B. and N.T.Shaw (2002) People, organizational, and social issues: evaluation as<br />

an exemplar, Yearbook of Medical Informatics 91–102.<br />

Øvretveit, J. (1998) Evaluating <strong>Health</strong> Interventions. Buckingham: Open University<br />

Press.<br />

Pope, C. (1995) Qualitative research: reaching the parts other methods cannot reach: an<br />

introduction to qualitative methods in health and health services research, British<br />

Medical Journal 311:42–5.

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