Open this publication in new window or tab >>2014 (English)In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 83, no 6, p. 438-449Article in journal (Refereed) Published
Abstract [en]
BACKGROUND:
In Sweden there are modular region-wide EPR systems that are implemented at various health organisations in the region. The market is dominated by four IT systems that have been procured and deployed in 18 out of 21 regions.
METHODS:
In a 2.5-year research study, deployments of three region-wide EPR modules: a patient administration system, eReferral module and eMedication module were followed and evaluated. Health professionals, EPR maintenance organisation, IT and health care managers were observed, interviewed and responded to questionnaires.
RESULTS:
Although the same deployment process was used during the three deployments, large variations in the units' adoptions were observed. The variations were due to: (1) expectation and attitude, (2) management and steering, (3) end-user involvement, (4) EPR learning, and (5) usability and the possibility of changing and improving the EPR.
CONCLUSIONS:
If changes in work processes are not considered in development and deployment, the potential benefits will not be achieved. It is therefore crucial that EPR deployment is conceived as organisational development. Users must be supported not just before and during the go-live phase, but also in the post-period. A problem often encountered is that it is difficult to make late changes in a region-wide EPR, and it is an open question whether it is possible to talk about a successful deployment if the usability of the introduced system is low.
National Category
Human Computer Interaction
Research subject
Human-Computer Interaction; Medical Informatics
Identifiers
urn:nbn:se:uu:diva-196508 (URN)10.1016/j.ijmedinf.2014.02.003 (DOI)000335903400005 ()24630924 (PubMedID)
2013-03-112013-03-112018-01-11Bibliographically approved