The influence of electronic health record use on collaboration among medical specialties

BMC Health Services Research
Janita F.J. VosMarjolein van Offenbeek

Abstract

One of the main objectives of Electronic Health Records (EHRs) is to enhance collaboration among healthcare professionals. However, our knowledge of how EHRs actually affect collaborative practices is limited. This study examines how an EHR facilitates and constrains collaboration in five outpatient clinics. We conducted an embedded case study at five outpatient clinics of a Dutch hospital that had implemented an organization-wide EHR. Data were collected through interviews with representatives of medical specialties, administration, nursing, and management. Documents were analyzed to contextualize these data. We examined the following collaborative affordances of EHRs: (1) portability, (2) co-located access, (3) shared overviews, (4) mutual awareness, (5) messaging, and (6) orchestrating. Our findings demonstrate how an EHR will both facilitate and constrain collaboration among specialties and disciplines. Affordances that were inscribed in the system for collaboration purposes were not fully actualized in the hospital because: (a) The EHR helps health professionals coordinate patient care on an informed basis at any time and in any place but only allows asynchronous patient record use. (b) The comprehensive patient file affor...Continue Reading

References

Mar 3, 2004·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Arlene D HouldinDaniel G Haller
Jan 22, 2005·Health Affairs·Jan WalkerBlackford Middleton
Aug 13, 2005·Journal of Interprofessional Care·Danielle D'AmourMarie-Dominique Beaulieu
Jun 17, 2006·Journal of Interprofessional Care·Melodie LumagueLynne Sinclair
Aug 3, 2007·Australian Health Review : a Publication of the Australian Hospital Association·Rebecca L Jessup
Dec 28, 2007·Nursing Administration Quarterly·Lori Fewster-Thuente, Barbara Velsor-Friedrich
Mar 29, 2008·Journal of General Internal Medicine·Stephanie O ZandiehRainu Kaushal
Nov 19, 2008·BMJ : British Medical Journal·Trisha Greenhalgh
Feb 22, 2011·International Journal of Medical Informatics·Cecily MorrisonAlan Blackwell
Apr 12, 2011·Journal of Palliative Medicine·Jeanie Youngwerth, Martha Twaddle
Mar 16, 2013·Journal of the American Medical Informatics Association : JAMIA·Mindy E FlanaganBradley N Doebbeling
Jan 1, 2011·Applied Clinical Informatics·S A CollinsL Currie
Jan 13, 2015·Annals of Internal Medicine·Thomson KuhnUNKNOWN Medical Informatics Committee of the American College of Physicians
Aug 31, 2016·International Journal of Medical Informatics·Chia-An Chao
Sep 7, 2016·Annals of Internal Medicine·Christine SinskyGeorge Blike
Jan 27, 2017·Health Services Research·Myles LesliePeter Pronovost
Jul 10, 2018·Journal of the American Medical Informatics Association : JAMIA·Raj M RatwaniA Zachary Hettinger

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Citations

Jun 15, 2021·Work : a Journal of Prevention, Assessment, and Rehabilitation·Gee Won ShinJae-Ho Lee

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