Abstract

Background Against the background of a steadily increasing degree of digitalization in health care, a professional information management (IM) is required to successfully plan, implement, and evaluate information technology (IT). At its core, IM has to ensure a high quality of health data and health information systems to support patient care.

Objectives The goal of the present study was to define what constitutes professional IM as a construct as well as to propose a reliable and valid measurement instrument.

Methods To develop and validate the construct of professionalism of information management (PIM) and its measurement, a stepwise approach followed an established procedure from information systems and behavioral research. The procedure included an analysis of the pertaining literature and expert rounds on the construct and the instrument, two consecutive and comprehensive surveys at the national and international level, exploratory and confirmatory factor analyses as well as reliability and validity testing.

Results Professionalism of information management was developed as a construct consisting of the three dimensions of strategic, tactical, and operational IM as well as of the regularity and cyclical phases of IM procedures as the two elements of professionalism. The PIM instrument operationalized the construct providing items that incorporated IM procedures along the three dimensions and cyclical phases. These procedures had to be evaluated against their degree of regularity in the instrument. The instrument proved to be reliable and valid in two consecutive measurement phases and across three countries.

Conclusion It can be concluded that professionalism of information management is a meaningful construct that can be operationalized in a scientifically rigorous manner. Both science and practice can benefit from these developments in terms of improved self-assessment, benchmarking capabilities, and eventually, obtaining a better understanding of health IT maturity.

中文翻译：

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卫生保健中信息管理的专业性：结构及其度量的发展和验证。

摘要

背景技术 在医疗保健数字化程度不断提高的背景下，需要专业的信息管理（IM）来成功规划，实施和评估信息技术（IT）。IM的核心是确保高质量的健康数据和健康信息系统以支持患者护理。

目标 本研究的目的是定义构成专业IM的构成以及提出可靠有效的测量工具。

方法 为了发展和验证信息管理专业（PIM）的专业结构及其度量，采用循序渐进的方法，遵循信息系统和行为研究的既定程序。该程序包括对有关结构和仪器的相关文献和专家轮次进行分析，在国家和国际层面进行两次连续和全面的调查，探索性和确认性因素分析以及可靠性和有效性测试。

结果 信息管理专业化发展成为一种结构，包括战略，战术和运营即时消息的三个维度，以及即时消息程序的规律性和周期性阶段作为专业性的两个要素。PIM仪器对结构进行了操作，提供了沿三个维度和循环阶段都包含IM程序的项目。这些程序必须根据其在仪器中的正常程度进行评估。该仪器在两个连续的测量阶段以及在三个国家/地区被证明是可靠且有效的。

结论 可以得出结论，信息管理的专业性是可以以科学严谨的方式进行操作的有意义的结构。在改进的自我评估，基准测试功能以及最终更好地了解卫生IT成熟度方面，科学和实践都可以从这些发展中受益。