Public Health Informatics and Organizational Change

  • Nancy M. Lorenzi
  • Robert T. Riley
Part of the Health Informatics book series (HI)


Effective public health informatics requires a project manager to be as conscious of the attitudes and needs of employees as of technical determinations associated with information technology in a public health organization. Bringing informatics to bear on a public health organization necessarily involves change in the way work gets done, and, in general, the natural tendency of people is not always to welcome change. An implementer of an information system must be aware of the types of change typical in an organization and of the impact of those types on various levels of the organization. In addition, a project manager needs to expect, identify, and deal with resistance to change. To do so, a project manager needs to be conscious of the magnitude of change that a system will create. A knowledge and application of small group theories and field theory can be very useful to a project manager who wants to secure employee commitment to changes resulting from a new or significantly modified system. Finally, a change manager can greatly facilitate the task of guiding employees toward the changes brought about by new systems through involving employees in the changes by the use of practical change management strategies.


Organizational Change Change Management Organizational Climate Negative Force Public Health Organization 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    National Vaccine Advisory Committee. The measles epidemic: The problems, barriers, and recommendations. JAMA 1991;266:1547–1552.CrossRefGoogle Scholar
  2. 2.
    Atkinson WL, Orenstein WA, Krugman S. The resurgence of measles in the United States, 1989–1994. Annu Rev Med 1992;43:451–463.PubMedCrossRefGoogle Scholar
  3. 3.
    National, state, and urban area vaccination coverage levels among children aged 19–35 months—United States, April 1994-March 1995. MMWR Morb Mortal Wkly Rep 1996;45:145–150.Google Scholar
  4. 4a.
    Vaccination coverage of 2-year-old children—United States, January-March, 1994. MMWR Morb Mortal Wkly Rep 1995;44:142–143, 149–150.Google Scholar
  5. 4b.
    Summarized in Gostin LO, Lazzarini P. Childhood immunization registries: A national review of public health information systems and the protection of privacy. JAMA 1995;274:1793–1799.PubMedCrossRefGoogle Scholar
  6. 5.
    Satcher D. Keep up the progress on childhood immunization. Public Health Rep 1994;109:593.PubMedCentralPubMedGoogle Scholar
  7. 6.
    Lorenzi NM, Riley RT. Organizational Aspects of Health Informatics: Managing Technological Change. New York: Springer-Verlag; 1994.Google Scholar
  8. 7.
    Bales RF. In conference. Harvard Business Review. 1954;32:44–50.Google Scholar
  9. 8.
    Deutsch M, Krauss RM. Theories in Social Psychology. New York: Basic Books; 1965.Google Scholar
  10. 9.
    Lorenzi NM, Mantel MI, Riley RT. Preparing your organization for technological change. Healthc Inform 1990;7(12):33–34.PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York, Inc. 2003

Authors and Affiliations

  • Nancy M. Lorenzi
  • Robert T. Riley

There are no affiliations available

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