Physicians' and nurses' reactions to electronic medical records. Managerial and occupational implications.
Physicians' and nurses' reactions to electronic medical records. Managerial and occupational implications.
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DOI：
10.1108/14777260310505129
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发表时间：
2003-01-01
影响因子：
1.4
通讯作者：
Shalom, Nira
中科院分区：
文献类型：
--
作者：
Darr, Asaf;Harrison, Michael I;Shalom, Nira
旨在了解医院医生和护士对引入电子病历 (EMRS) 的看法对管理的影响。我们对以色列一家大型政府运营的大学附属医院的几个不同病房的 18 名医院医生和 8 名护士进行了深入访谈，该医院在过去 20 年中逐渐引入了电子病历。医生确定了六个不同的影响领域。大多数担任管理职务的高级医生倾向于强调管理成果，并认为这些成果会对他们的组织产生积极影响。初级医生主要强调电子病历对其工作产生的负面职业影响，包括专业自主权的限制、行政负担的加重以及现有专业等级制度的强化。护士确定了不同的领域，并看到了患者护理质量和管理的好处。
Aims to understand the managerial implications of the perceptions hospital physicians and nurses hold toward the introduction of electronic medical records (EMRS). In-depth interviews were used with 18 hospital physicians and eight nurses from several different hospital wards at a large government-run, university-affiliated hospital in Israel, where EMRs were gradually introduced over the last 20 years. Physicians identified six different domains of impact. Senior physicians, most of whom held managerial roles, tended to emphasise managerial outcomes and to view these as positively affecting their organisations. Junior doctors emphasised mostly negative occupational effects of the EMR on their work--including limits to professional autonomy, heavier administrative burdens, and reinforcement of existing professional hierarchies. Nurses identified different domains and saw benefits for quality and administration of patient care.