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Transfer of data or re-creation of knowledge - Experiences of a shared electronic patient medical records system
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences.
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2013 (English)In: Research in Social and Administrative Pharmacy, ISSN 1551-7411, E-ISSN 1934-8150, Vol. 9, no 6, 965-974 p.Article in journal (Refereed) Published
Abstract [en]

Background: A shared electronic medical record (EMR) can improve communication between primary and secondary care. A consideration of the contents using Data-Information-Knowledge-Wisdom (DIKW) hierarchy could help inform further development of such systems regarding communication about prescribed medication. Objectives: To investigate primary and secondary care doctors' experiences of the shared EMR in Uppsala, Sweden, focusing on the creation, use and cross-sector transfer of data, information, knowledge and wisdom about individual patients' prescribed medication. Method: Nine focus groups were held with hospital doctors, of different grades and medical specialties, working at a single large teaching hospital in Uppsala, Sweden and primary care doctors worked in the same geographical area, in urban and rural primary care centers. The transcribed data were analyzed used the constant comparative method, based on data from the participants and application of the DIKW hierarchy. Results: The doctors were very positive about accessing and using the shared EMR. Data and information in the system were efficiently retrieved and combined with newly collected data and information to create further knowledge. However, they also described a data and information overload, where it was difficult to get a general overview of what had happened over time, coupled with the frequent lack of knowledge being created and shared by other healthcare providers. Doctors were, instead, either explicitly asked or implicitly expected to read and interpret all available data and information and recreate knowledge themselves. Conclusions: This study highlighted the differences between access to data and information and access to knowledge in a shared EMR. In rolling out such a system, an increased availability of data and information should not be at the expense of a reduced availability of knowledge.

Place, publisher, year, edition, pages
2013. Vol. 9, no 6, 965-974 p.
Keyword [en]
Health informatics, Prescribing, Primary care, Secondary care, Electronic medical record
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-213834DOI: 10.1016/j.sapharm.2013.02.004ISI: 000327252400028OAI: oai:DiVA.org:uu-213834DiVA: diva2:683562
Available from: 2014-01-05 Created: 2014-01-04 Last updated: 2017-12-06Bibliographically approved

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Kettis, ÅsaHöglund, Anna T.

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Department of PharmacyCentre for Research Ethics and BioethicsDepartment of Medical SciencesDepartment of Public Health and Caring Sciences
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