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Transformation numérique de l’administration publique : étude des changements induits à l’échelle individuelle et collective suite à l’usage du Dossier Médical Informatisé (DMI) auprès de la CNAM Tunisie

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  • Slim Hadoussa

    (LEGO - Laboratoire d'Economie et de Gestion de l'Ouest - UBS - Université de Bretagne Sud - UBO EPE - Université de Brest - IMT - Institut Mines-Télécom [Paris] - IBSHS - Institut Brestois des Sciences de l'Homme et de la Société - UBO EPE - Université de Brest - UBL - Université Bretagne Loire - IMT Atlantique - IMT Atlantique - IMT - Institut Mines-Télécom [Paris], ESCE, International Business School, OMNES Education Research Center, ESCE, International Business School - ESCE)

Abstract

For many health care structures, Electronic Health Record (HER) is an enterprise reengineering solution, which has the capacity to better respond to organisational change. Adopting these digital solutions can offer to health and social organizations an integrated management framework. Thus, it is interesting to assess the impact of such solutions on management practices and public servants' work. This research aims particularly at analyzing the consequences of using an EHR in the National Health Insurance Fund of Tunisia. An exploratory quantitative study, based on DeLone and McLean's (1992, 2003) IS success evaluation Model, is conducted on a sample of 137 EHR users. The observed results, following the application of the structural equation modeling, underline the consequences and organizational changes of the implementation of this medical technology at user and group levels.

Suggested Citation

  • Slim Hadoussa, 2022. "Transformation numérique de l’administration publique : étude des changements induits à l’échelle individuelle et collective suite à l’usage du Dossier Médical Informatisé (DMI) auprès de la CNAM Tunisie," Post-Print hal-05602526, HAL.
    • Handle: RePEc:hal:journl:hal-05602526
    DOI: 10.3917/resg.150.0251
    Note: View the original document on HAL open archive server: https://hal.science/hal-05602526v1
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