The state of the computer-based patient record

Area of Science:

• Health Informatics
• Medical Technology
• Healthcare Management

Background:

• The computer-based patient record (CPR) has a complex history marked by fluctuating expectations.
• The evolution of CPRs reflects a dynamic interplay of technological advancements and practical implementation challenges.

Purpose of the Study:

• To provide an expert perspective on the historical development of the computer-based patient record (CPR).
• To analyze the factors contributing to the perceived value, promises, and disappointments associated with CPR implementation.
• To offer insights into the future trajectory and potential of CPRs in healthcare.

Main Methods:

• Qualitative analysis of the historical progression of computer-based patient records.
• Expert opinion and industry perspective on CPR development and adoption.
• Review of key milestones, challenges, and successes in CPR implementation.

Main Results:

• The status of CPRs is characterized by a cycle of value, experimentation, unmet promises, and necessary compromises.
• Significant hype surrounded early CPR adoption, often followed by periods of disappointment.
• Ongoing change and adaptation are inherent to the evolution of CPRs.

Conclusions:

• The journey of the computer-based patient record (CPR) is ongoing, shaped by continuous adaptation and learning.
• Understanding the past trajectory of CPRs is crucial for navigating future advancements in health informatics.
• The future of CPRs hinges on addressing past compromises and aligning technological capabilities with clinical needs.