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Related Experiment Videos

Professional agendas and computer-based patient records: negotiating for control.

C E Aydin1

  • 1Cedars-Sinai Medical Center, Los Angeles, CA.

Topics in Health Information Management
|July 7, 1994
PubMed
Summary

Pharmacy departments actively controlled order entry system implementation to advance professional goals. This study highlights how professional agendas influence technology adoption negotiations in healthcare settings.

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Area of Science:

  • Health Informatics
  • Healthcare Management
  • Information Systems in Medicine

Background:

  • Professional groups leverage computer implementation for work enhancement and agenda negotiation.
  • Order entry systems represent a key area of technological integration in healthcare.
  • Understanding professional dynamics is crucial for successful health IT adoption.

Purpose of the Study:

  • To compare the professional agendas and negotiation strategies of pharmacy and laboratory departments during order entry system implementation.
  • To analyze the factors influencing professional groups' stances in computer implementation processes.
  • To provide insights for managing negotiations during the adoption of computer-based patient record systems.

Main Methods:

  • Comparative case study analysis of pharmacy and laboratory departments in two institutions.

Related Experiment Videos

  • Examination of professional agendas and negotiating positions related to order entry systems.
  • Qualitative assessment of factors influencing departmental stances.

    • Main Results:

    • Pharmacy departments exhibited a stronger drive to control the order entry process compared to laboratory departments.
    • Both task-related issues and overarching professional agendas shaped the negotiating positions.
    • Significant differences in control assertion were observed between the two professional groups.

    Conclusions:

    • Professional groups, particularly pharmacy, strategically engage in computer implementation to maintain and expand professional control.
    • The interplay between professional agendas and system functionalities significantly impacts negotiation outcomes.
    • Insights gained can inform future implementations of electronic health records and similar health IT systems.