Appl Clin Inform - Diffusion of Electronic Health Records and electronic communication in Norway.

Tópicos

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Resumo

JECTIVE: To assess the diffusion of Electronic Health Record (EHR) systems over time in Norwegian health care.METHODS: This study was based on a retrospective cross-sectional questionnaire survey. Questionnaires for three groups of responders were based on two validated questionnaires from prior studies, which were further customized through workshops. The questionnaires were sent to a random sample of 180 municipalities and 150 general practices in all 26 hospitals in Norway.RESULTS: The diffusion curves for EHR systems from 1980 to 2008 were established and analyzed. The most striking finding was the length of time from the availability of the first adequate EHR systems until full coverage was achieved in general practice and in hospitals. Diffusion of EHRs into nursing homes and maternal and child health centers started ten years later, and the diffusion for these centers has also been slow. In general practice the diffusion seems to follow the classical s-curve of diffusion. Costs and the increasing complexity of EHR systems were regarded by respondents as the most important challenges and concerns for the future. Resistance among health personnel was seen only as a small problem.CONCLUSION: National strategic processes account for the slow diffusion and complexity of EHR systems in the health sector.

Resumo Limpo

jectiv assess diffus electron health record ehr system time norwegian health caremethod studi base retrospect crosssect questionnair survey questionnair three group respond base two valid questionnair prior studi custom workshop questionnair sent random sampl municip general practic hospit norwayresult diffus curv ehr system establish analyz strike find length time avail first adequ ehr system full coverag achiev general practic hospit diffus ehr nurs home matern child health center start ten year later diffus center also slow general practic diffus seem follow classic scurv diffus cost increas complex ehr system regard respond import challeng concern futur resist among health personnel seen small problemconclus nation strateg process account slow diffus complex ehr system health sector

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