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1、BehaviorResearchMethods&Instrumentation1981,Vol.13(4),573-580ChangetechnologyandtheimplementationofautomationinmentalhealthcaresettingsELIZABETHBYRNESandJAMESH.JOHNSONIllinoisInstituteofTechnology,Chicago,Illinois60616Theproblemofclinicianresistancetoautomatedsys
2、temsinmentalhealth饵”deliverysettingsisdiscussed.Itisarguedthatthisresistanceisanaturalpartofthechangepr侃ess.anindicatorofaninadequatechangestrategy.Thetheoryofchangeisbrieflyreviewed.Previouseffortstoinstallautomatedsystemsinmentalhealthcaredeliverysettingsaredis
3、cussedintermsofchangetheory.Suggestionsforincorporatingthetechnologyofchangeintotheimplementationprocess町eproposed.Technologicalchangeinmentalhealthcaredeliveryhasbeenstimulatedbytwogoals:improvingpatientcareandreducingcosts.Researchreportsattestthatautomatedsyst
4、emsarecosteffective(Klingler,Johnson,&Williams,1976;Klingler,Miller,Johnson,&Williams,1977)andareacceptedfavorablybypatients(Grossman,Barnett,McGuire,&Swedlow,1971;Klingleretal.,1976).However,despitepositiveevaluationstudiesandstrongrationalarguments,computerssti
5、llhavefailedtogainwideclinicalacceptanceandsupport.Experiencewithclinicalapplicationsofcomputertechnologyhasresultedinnumerousresearchreportsnaming“clinicianacceptance”asacriticalfactorunderlyingsuccessfulimplementation(Brewer,Ameiss,Thompson,&Wood,1972;Dow,1975;
6、Graetz,1966;Grossmanetal.,1971;Hedlund,1974;Johnson,Williams,Giannetti,Klingler,&Nakashima、1978;Leader&Klein,1977;Hedlund,Note1).Becauseclinicalstaffmembershavedifficultyacceptingthesenewapproachestopatientcare,theeffectivenessofnewcomputerapplicationshasbeenlimi
7、ted.Thebasiccontentionsetforthinthispaperisthatthesuccessfulimplementationofcomputersinmentalhealthrequiresafundamentalunderstandingofthefactorsprecedingandsurroundingchange.Inthepast‘psychologistshaveconcentratedtooheavilyonusingcomputerscienceinmentalhealthandh
8、avetoooftenminimizedtheuseofpsychologicalprinciplesinbringingaboutinnovativechange.Theneedfordeliberateplanningforchangeisapparentandwelldocumented[HumanIntera
