The evolution of the market for commercial computerized physician order entry and computerized decision support systems for prescribing

Journal of the American Medical Informatics Association : JAMIA
Hajar MozaffarAziz Sheikh

Abstract

To understand the evolving market of commercial off-the-shelf Computerized Physician Order Entry (CPOE) and Computerized Decision Support (CDS) applications and its effects on their uptake and implementation in English hospitals. Although CPOE and CDS vendors have been quick to enter the English market, uptake has been slow and uneven. To investigate this, the authors undertook qualitative ethnography of vendors and adopters of hospital CPOE/CDS systems in England. The authors collected data from semi-structured interviews with 11 individuals from 4 vendors, including the 2 most entrenched suppliers, and 6 adopter hospitals, and 21 h of ethnographic observation of 2 user groups, and 1 vendor event. The research and analysis was informed by insights from studies of the evolution of technology fields and the emergence of generic COTS enterprise solutions. Four key themes emerged: (1) adoption of systems that had been developed outside of England, (2) vendors' configuration and customization strategies, (3) localized adopter practices vs generic systems, and (4) unrealistic adopter demands. Evidence for our over-arching finding concerning the current immaturity of the market was derived from vendors' strategies, adopters' reaction...Continue Reading

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Citations

May 1, 2016·BMJ Quality & Safety·Kathrin M CresswellAziz Sheikh
Jul 21, 2016·Applied Clinical Informatics·Shailaja MenonDean F Sittig
May 7, 2020·BMJ Quality & Safety·Joanna AbrahamThomas Kannampallil
Dec 24, 2020·Research in Social & Administrative Pharmacy : RSAP·Madaline KinlayMelissa Baysari

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