J Med Syst - Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians.

Tópicos

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Resumo

Electronic health record system (EHRS) is an important healthcare innovation associated with many controversies about the benefits and challenges to different stakeholders. The aim of this study was to investigate the utility of EHRS by outpatient physicians in Macao and to identify, in their opinions, the significance of EHRS on health institutes, patients, and physicians. Semi-structured interviews were conducted with 32 physicians who worked in the outpatient department. The interview data showed that 78% physicians interviewed used EHRS frequently during their daily practice despite individual preferences of documentation methods. They agreed that systemic health record offered by EHRS allowing smooth communication was beneficial to the health institutes, patients and physicians. However, privacy and confidentiality concerned both the health institutes and patients. Inefficiency of the EHRS that only allowed retrieval of limited medical information of the patients hindered physicians' acceptability of EHRS. It was also suggested that the health institutes should take into consideration interests of different stakeholders when designing and implementing EHRS.

Resumo Limpo

electron health record system ehr import healthcar innov associ mani controversi benefit challeng differ stakehold aim studi investig util ehr outpati physician macao identifi opinion signific ehr health institut patient physician semistructur interview conduct physician work outpati depart interview data show physician interview use ehr frequent daili practic despit individu prefer document method agre system health record offer ehr allow smooth communic benefici health institut patient physician howev privaci confidenti concern health institut patient ineffici ehr allow retriev limit medic inform patient hinder physician accept ehr also suggest health institut take consider interest differ stakehold design implement ehr

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