Exploring physician adoption of EMRs: A multi-case analysis
Exploring physician adoption of EMRs: A multi-case analysis
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DOI：
10.1007/s10916-007-9089-5
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发表时间：
2007-12-01
影响因子：
5.3
通讯作者：
Randeree, Ebrahim
中科院分区：
文献类型：
--
作者：
Randeree, Ebrahim
在医疗保健领域推广采用新技术，作为降低成本、提高效率和提高质量的一种方式。文献记录了有IT技能和资源的大型团体和医院的大量实施失败。鉴于医生的低采用率，小型诊所面临的挑战可能令人生畏。虽然在医生层面探讨了财政和技术障碍，但尚未探讨小团体面临的实际实施挑战。本文提出了一个定性的三个案例分析的医生群体，已采用电子病历和前后采用的见解。结果表明，规划是缺失的关键共同变量；预期的停机时间比预期的要长，工作流程中断和维护成本被低估了。
The adoption of new technology within healthcare has been promoted as a way to reduce costs and increase efficiencies as well as improve quality. The literature has documented a significant number of implementation failures by large groups and hospitals with access to IT skills and resources. Given the low adoption rate among physicians, the challenges facing small practices can be daunting. While financial and technical barriers have been explored at the physician level, the actual implementation challenges facing small groups have not been explored. This paper presents a qualitative three case analysis of physician groups that have employed EMRs and the pre and post adoption insights. Results show that planning was a key common variable missing; the anticipated downtime was longer than expected and the workflow disruption and maintenance costs were underestimated.