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Three Key Concerns for a Successful EPR Deployment and Usage
Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
2011 (English)In: User Centred Networked Health Care: Proceedings of MIE 2011 / [ed] Anne Moen, Stig Kjær Andersen, Jos Aarts, Petter Hurlen, 2011, 260-264 p.Conference paper, Published paper (Refereed)
Abstract [en]

The health care environment is unique because of the large and complex organisation with a traditional hierarchic structure that is governed by laws and regulations. This paper examines how a large Swedish health care organisation work with usability issues regarding Electronic Patient Record (EPR) deployment and usage. EPR systems have great impact on work environment and clinical work routines will not be performed in the same way as before. This paper analyse how the EPR management and core business understand their EPR responsibilities and work with usability aspects at different levels in the organisations. The paper reveals that there is a conflict about responsibility between EPR management and core business management. The reasons for the confusion are contradictive understanding of what an EPR system is, an IT system or a tool for the core business to perform better health care work. This leads to that care staff's experience regarding the EPR system's usability, is not being listened to within the organisation. Three key concerns for a successful EPR deployment and usage are identified and further analysed; education, evaluation and support & improvement ideas.

Place, publisher, year, edition, pages
2011. 260-264 p.
Series
Studies in Health Technology and Informatics, ISSN 0926-9630 ; 169
National Category
Human Computer Interaction
Identifiers
URN: urn:nbn:se:uu:diva-163528DOI: 10.3233/978-1-60750-806-9-260ISBN: 978-1-60750-806-9 (print)ISBN: 978-1-60750-805-2 (print)OAI: oai:DiVA.org:uu-163528DiVA: diva2:464237
Conference
MIE 2011 - XXIII International Conference of the European Federation for Medical Informatics, August 28-31, 2011, Oslo, Norway
Available from: 2011-12-15 Created: 2011-12-13 Last updated: 2018-01-12Bibliographically approved
In thesis
1. Evolving Systems – Engaged Users: Key Principles for Improving Region-wide Health IT Adoption
Open this publication in new window or tab >>Evolving Systems – Engaged Users: Key Principles for Improving Region-wide Health IT Adoption
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Many countries have formulated their eHealth visions and billions of dollars have been spent on supporting the eHealth development throughout the world. An important part of the development is the electronic patient record (EPR). To enable sharing and increase cooperation between care providers, most Swedish county councils have decided to use a region-wide EPR. The health professionals often experience numerous problems and consider the region-wide EPR to be too generic and require them to tailor their practices instead of the system evolving towards supporting their needs.

The aim of the PhD research is to gain knowledge of adoption when deploying and using region-wide health IT systems. This is accomplished by studying, analysing and reflecting upon what region-wide health IT systems are and how professionals use them in their practice. In the research a grounded theory method has been used, which means that the empirical data, not theories and hypotheses, have driven the research process. The data-gathering methods have been interviews, observations, participating in meetings, questionnaires, seminars and conducting literature reviews.

In order to be able to improve the adoption, a set of four key principles has been identified: (1) Evolving systems-Engaged users, (2) Treat IT deployment and usage as part of organisational development, (3) Identify, respect and support differences, and (4) Identify what must be customised and what can be centralised.

These four principles challenge the traditional way of developing enterprise-wide IT and emphasise the importance that users must engage in the development, procurement and deployment process to identify their similar and unique needs and procedures. It is crucial that both the similarities and uniqueness are respected and supported. The similarities can be supported by a centralised, standardised solution, while uniqueness requires a customised solution. In order to accomplish that, the IT deployment and usage needs to be treated as an important part of the on-going organisational development, and the IT systems must evolve, i.e., be continuously developed in order to engage the users to participate. 

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2013. 85 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Science and Technology, ISSN 1651-6214 ; 1030
Keyword
HCI, eHealth, EPR, sociotechnical systems, enterprise-wide systems, deployment, change management, usability, health care
National Category
Human Computer Interaction
Research subject
Computer Science with specialization in Human-Computer Interaction
Identifiers
urn:nbn:se:uu:diva-196510 (URN)978-91-554-8623-5 (ISBN)
Public defence
2013-05-24, Auditorium Minus, Museum Gustavianum, Akademigatan 3, Uppsala, 13:30 (Swedish)
Opponent
Supervisors
Available from: 2013-05-02 Created: 2013-03-11 Last updated: 2018-01-11Bibliographically approved

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fulltext(126 kB)301 downloads
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