A Conceptual Framework for Analyzing How Canadian Physicians are Using Electronic Medical Records in Clinical Care

被引：2

作者：

Paterson, Grace ^{[1
]}

Shaw, Nicola ^{[2
]}

Grant, Andrew ^{[3
]}

Leonard, Kevin ^{[4
]}

Delisle, Elisabeth ^{[3
]}

Mitchell, Shelby ^{[2
]}

McCarrey, Maryan ^{[5
]}

Pascal, Bill ^{[5
]}

Kraetschmer, Nancy ^{[6
]}

机构：

[1] Dalhousie Univ, Med Informat, Halifax, NS, Canada

[2] Univ Alberta, Edmonton, AB, Canada

[3] Univ Sherbrooke, Sherbrooke, PQ, Canada

[4] Univ Toronto, Toronto, ON, Canada

[5] Canadian Med Assoc, Ottawa, ON, Canada

[6] Mt Sinai Hosp, Toronto, ON, Canada

来源：

MEDINFO 2010, PTS I AND II | 2010年 / 160卷

关键词：

Electronic medical records; Case studies; Motivation; Knowledge transfer; Boundary objects;

D O I：

10.3233/978-1-60750-588-4-141

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Our electronic medical record (EMR) case study research pursued a set of questions to provide Canadian physicians with practical information on best practices and lessons learned regarding implementation and use of EMRs in ambulatory clinical care. The study's conceptual framework included an EMR System and Use Assessment Survey, interview guide, transcription codes, observation guide and case study report template. The common message that emerged was that no clinic would return to paper-based charts after experiencing the benefits of EMR. In seeking to corroborate our findings with success factors in an EMR implementation meta-framework, we further investigated the role of information incentives as a key factor in sustainable EMR implementations. The sections of our conceptual framework that best enabled us to capture information incentives were the 12 survey questions about information quality, EMR adoption questions in the interview guide and a subset of 26 items from our transcription coding scheme that were linked to physicians quotations about knowing more about the patient when using the EMR than when using paper.

引用

页码：141 / 145

页数：5

共 10 条

[1]

[Anonymous], 2009, EXPERIENCES FOREFRON

[2]

[Anonymous], 2009, FACT SHEET RX CHANG

[3]

Bowker G. C., 2008, Sorting Things Out: Classification and its Consequences

[4]

Dobrev A., 2008, The Conceptual framework of interoperable electronic health record and ePrescribing systems