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Next Generation EHRs - What Problems Are These Systems Aiming to Solve?
Thomas Schmidt1, Christian Nøhr1, Søren Vingtoft1
1The Maersk Mc-Kinney Moller Institute, University of Southern Denmark.
Studies in Health Technology and Informatics
|February 12, 2019
Summary
Electronic Health Records (EHRs) present complex challenges. Future EHRs should be shaped to actively solve desired problems, focusing on socio-technical aspects rather than just technology.
Area of Science:
- Health Informatics
- Socio-technical Systems Analysis
- Information Technology in Healthcare
Background:
- Electronic Health Records (EHRs) are widely expected to benefit patients, clinicians, and society.
- Despite aspirations, EHRs face challenges in design, implementation, and evaluation, with limited evidence of sustained impact.
- A socio-technical perspective reveals EHRs as complex 'wicked problems' requiring nuanced solutions.
Purpose of the Study:
- To critically examine the history and impact of EHRs.
- To propose perspectives on essential features for next-generation EHRs.
- To guide the development of EHRs towards solving desired future problems.
Main Methods:
- Socio-technical analysis of EHR challenges.
- Historical reflection on EHR implementation and impact.
- Conceptual exploration of future EHR capabilities and problem-solving potential.
Main Results:
- EHRs are characterized by socio-technical complexities rather than simple technical issues.
- Limited evidence exists to support the broad beneficial impacts often claimed for EHRs.
- Next-generation EHRs require a focus on actively shaping desired future outcomes.
Conclusions:
- EHR development should move beyond techno-centric visions to address complex socio-technical realities.
- Future EHRs need to be intentionally designed to solve specific, negotiated problems.
- Actively shaping the future role of EHRs is crucial for realizing their potential benefits.
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