Failure of Electronic Medical Records in Canada: A Failure of Policy or a Failure of Technology?

被引:5
作者
Keshavjee, Karim [1 ]
Manji, Anil [1 ]
Singh, Baljit [1 ]
Pairaudeau, Nick [1 ]
机构
[1] InfoClin Inc, Toronto, ON, Canada
来源
ADVANCES IN INFORMATION TECHNOLOGY AND COMMUNICATION IN HEALTH | 2009年 / 143卷
关键词
EMR implementation; policy; implementation frameworks;
D O I
10.3233/978-1-58603-979-0-107
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
This paper utilizes three frameworks described in the literature to better understand the reasons why Canada lags other OECD countries in EMR implementation. First, we use an EMR policy framework to evaluate three provincial EMR implementation programs across Canada. Second, we use an EMR implementation multi-theoretical framework that is predictive of EMR success to evaluate those same programs. Finally, we use a cost-benefit framework developed in the USA to compare the cost-benefits of EMR implementations in Canada compared to those in the USA. We draw conclusions and make recommendations based on our findings.
引用
收藏
页码:107 / +
页数:2
相关论文
共 9 条
[1]  
[Anonymous], HUMAN SOCIAL ASPECTS
[2]  
*COLL FAM PHYS CAN, 2007, 2007 NAT PHYS SURV
[3]  
CONN J, 2007, MOD HEALTHC 1030
[4]  
Keshavjee K., 2007, EMR implementation in Ontario: Position paper to increase the deployment of Electronic Medical Records in Ontario
[5]  
Keshavjee K., 2006, P 11 INT S HLTH INFO, P233
[6]  
KESHAVJEE K, 2001, P EHEALTH, P64
[7]  
KESHAVJEE K, 7 YEARS EMR IMPLEMEN
[8]   On the front lines of care: Primary care doctors' office systems, experiences, and views in seven countries [J].
Schoen, Cathy ;
Osborn, Robin ;
Huynh, Phuong Trang ;
Doty, Michelle ;
Peugh, Jordon ;
Zapert, Kinga .
HEALTH AFFAIRS, 2006, 25 (06) :W555-W571
[9]   A cost-benefit analysis of electronic medical records in primary care [J].
Wang, SJ ;
Middleton, B ;
Prosser, LA ;
Bardon, CG ;
Spurr, CD ;
Carchidi, PJ ;
Kittler, AF ;
Goldszer, RC ;
Fairchild, DG ;
Sussman, AJ ;
Kuperman, GJ ;
Bates, DW .
AMERICAN JOURNAL OF MEDICINE, 2003, 114 (05) :397-403