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讨论促进或阻碍信息和通讯技术在卫生机构中推广应用的关键因素.世界各国的经验表明,卫生信息技术的引进是一个需要人员、机构和技术相互沟通、适应、转变的过程.关键的人文因素包括:系统引进者的个人素质、系统使用者对技术的认同和态度:机构因素包括:财务投入、项目领导和管理的能力、系统使用的流程与卫生工作流程的吻合度、对技术引进过程中出现的变化情况的处理和对使用者的期望度的引导、用户培训和支持.只有将管理人员和医务人员都调动起来,参加到需求分析、系统选择和模型建立、开发及应用的全过程中才能建立起友好和高效的系统.“,”The paper discusses critical factors for the successful introduction of information and communication technologies(ICT)into health care organisations．The proven evidence around the world suggests that introducing health ICT is a mutual transformation process that actively involves people, organisation and technology．The key people factors include personal attributes of the change agent, user ownership and positive user attitudes．The organisational facilitators are adequate funding, strong leadership and project management, integration of IT with work practices, managing change and end user expectations, and end user training and support．User friendly and useful systems can be achieved by involving both management and frontline health care workers in requirements analysis, system selection or prototyping, development and implementation．