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Secondary Users Interpretations on Key Concerns for Achieving an Effective and Efficient Region-wide Electronic Patient Record 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.
2013 (English)In: The 21st European Conference on Information Systems (ECIS 2013), AIS Electronic Library , 2013Conference paper, Published paper (Refereed)
Abstract [en]

The paper presents secondary users interpretation of key concerns (KC) for achieving an efficient and effective electronic patient record (EPR) usage. The evaluation is based on twelve interviews with Clinical Directors and IT Directors that are responsible for delivering high quality care, procuring and implementing IT. The participants represented five Swedish county councils who all use a region-wide EPR for all primary and hospital services. The analysis indicated that there were an unresolved conflict regarding what influence the IT should have on how the health professionals performed practice. Either the systems’ usability or the health professionals unwillingness to change, were blamed for the problems. We argue that the conflict is based on the idea that one EPR is going to support all user groups. Using a region-wide EPR must not be a problem. In the studied organisations, however, it became a problem because to achieve “one system that fits all” the fact that different user groups had different needs, roles and responsibilities were neglected. Neglecting the users’ needs is not solving the problems; instead it will increase the conflict. Using the KC will shed light on differences between primary and secondary users interpretations of the aim of the region-wide EPR. 

Place, publisher, year, edition, pages
AIS Electronic Library , 2013.
National Category
Human Computer Interaction
Identifiers
URN: urn:nbn:se:uu:diva-196509OAI: oai:DiVA.org:uu-196509DiVA: diva2:612269
Conference
The 21st European Conference on Information Systems (ECIS 2013)
Available from: 2013-03-20 Created: 2013-03-11 Last updated: 2013-10-02Bibliographically 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: 2014-07-21Bibliographically approved

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Janols, RebeckaGöransson, Bengt

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