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Adoption of an electronic health record: untangling a deadlock situation in four Dutch academic hospitals

Albers, Ernst F. (2008) Adoption of an electronic health record: untangling a deadlock situation in four Dutch academic hospitals.

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Abstract:This paper presents a model for predicting the likelihood of success of an EHR, based on the dimensions relevance, participation, system quality and external environment. The study of four Dutch academic hospitals and two Dutch EHR suppliers shows that specialties in the hospitals are optimizing their own systems without considering the goals of the hospital in total. Implementing an EHR is limited by a threshold. Before an EHR can achieve its expected improvements in healthcare this threshold needs to be passed. Savings of time and availability of data are found to gain relevance the most. Management involvement is necessary to optimize and standardize workflows. The EHR has to adapt to these optimized workflows. Participation of end-users is higher when using self-made EHR’s compared to EHR’s of external suppliers. Further research is necessary to investigate the service quality of self-made EHR’s. Agreement among healthcare professionals about the data set which need to be shared and standard medical vocabulary, are necessary, before a national wide EHR will succeed
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:85 business administration, organizational science
Programme:Health Sciences MSc (66851)
Link to this item:http://purl.utwente.nl/essays/59235
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