Int J Med Inform - The implementation of electronic health records: a case study of bush computing the Ngaanyatjarra lands.

Tópicos

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Resumo

JECTIVE: The adoption of Information and Communication Technologies (ICT) in the health sector has often lagged behind adoption in other sectors as there are a number of systemic inhibitors that make the adoption of ICT far more complex. This paper aims to explore and investigate the drivers, facilitators and barriers to electronic health records adoption in the health sector and provide some guidance on how to improve the prospect of successful adoption.METHODS: A case study of the successful development of electronic health records in remote Western Australia is used to identify and highlight the drivers, facilitators and barriers to electronic records adoption. A content analysis was undertaken on the in-depth interviews with participants in the region to identify the key issues and challenges and how they were overcome.RESULTS: The geographically isolated nature of the region had a number of benefits since it meant the electronic health records project was a manageable size and cost, the focus could be on developing a workable system rather than a 'perfect solution', decisions could be made autonomously without considering integration issues with other regions, the transient nature of the patients was a key driver, the patient centred approach elevated the importance of overcoming problems, and the system champions were determined to make the system a workable success.CONCLUSIONS: Complex systemic problems often derail ICT projects. The case study of an isolated region provides a number of lessons and insights to improve electronic records adoption projects. The limited resources and limited choices faced by the region lead to the development of a number of key approaches that revolved around aiming for a workable system rather than a high-end flawless solution. This ethos pervaded the electronic health records project and was underpinned by a patient centred approach and a strong desire to improve the service given to patients.

Resumo Limpo

jectiv adopt inform communic technolog ict health sector often lag behind adopt sector number system inhibitor make adopt ict far complex paper aim explor investig driver facilit barrier electron health record adopt health sector provid guidanc improv prospect success adoptionmethod case studi success develop electron health record remot western australia use identifi highlight driver facilit barrier electron record adopt content analysi undertaken indepth interview particip region identifi key issu challeng overcomeresult geograph isol natur region number benefit sinc meant electron health record project manag size cost focus develop workabl system rather perfect solut decis made autonom without consid integr issu region transient natur patient key driver patient centr approach elev import overcom problem system champion determin make system workabl successconclus complex system problem often derail ict project case studi isol region provid number lesson insight improv electron record adopt project limit resourc limit choic face region lead develop number key approach revolv around aim workabl system rather highend flawless solut etho pervad electron health record project underpin patient centr approach strong desir improv servic given patient

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