Medical doctors consider data quality management a secondary priority when delivering health care. Medical practitioners find data quality management practices intrusive to their operations. Using Health Management Information System (HMIS) that uses DHIS2 platform, our qualitative case study establishes that isomorphism leads to legitimization of data quality management practices among health practitioners and subsequently data quality. This case study employed the methods of observation, semi structured interviews and review of artefacts to explore how through isomorphic processes data quality management practices are legitimized among the stakeholders. Data was collected from Ministry of Health's (Malawi) HMIS Technical Working Group members in Lilongwe and from medical practitioners and data clerks in Thyolo district. From the findings we noted that mimetic isomorphism led to moral and pragmatic legitimacy while and normative isomorphism led to cognitive legitimacy within the HMIS structure and helped to attain correctness and timeliness of the data and reports respectively. Through this understanding we firstly contribute to literature on organizational issues in IS research. Secondly, we contribute to practice as we motivate health service managers to capitalize on isomorphic forces to help legitimization of data quality management practices among health practitioners.
翻译:医生在提供保健时将数据质量管理视为次要优先事项; 医生在提供保健时将数据质量管理视为次要优先事项; 医务人员发现数据质量管理做法对其业务有侵扰; 利用使用DHIS2平台的保健管理信息系统(HMIS),我们的定性案例研究证明,无形态主义导致保健从业人员数据质量管理做法合法化,随后又导致数据质量; 案例研究采用了观察方法、半结构性访谈和人工制品审查方法,以探索如何通过无形态过程使数据质量管理做法合法化; 从利隆圭卫生部(马拉维)HMIS技术工作组成员和Thyolo地区的医疗从业人员和数据办事员收集的数据; 从我们发现的结果来看,无形态主义导致道德和务实的合法性,而规范的无形态主义则导致在保健从业人员结构内取得认知合法性,帮助分别实现数据和报告的正确性和及时性; 通过这种了解,我们首先为IS研究中组织问题的文献作出了贡献; 第二,我们推动实践,因为我们鼓励保健服务管理人员利用无形态的力量,帮助保健从业人员使数据质量管理做法合法化。