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Choosing between open and closed platform Electronic Health Records (EHRs) significantly impacts clinical workflows and data accessibility. This study compares EHR platform approaches, offering insights for healthcare IT decisions.

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Area of Science:

  • Health Informatics
  • Clinical Information Systems
  • Healthcare Technology Assessment

Background:

  • Technical platforms are foundational for Health IT systems and Electronic Health Records (EHRs).
  • The choice between open and proprietary standards for information modeling and interoperability affects clinical data handling.
  • Norway utilizes two distinct EHR platforms, one open and one closed, within its specialist healthcare service.

Purpose of the Study:

  • To identify and describe the consequences and implications of open versus closed platform EHR approaches.
  • To analyze these implications from an end-user perspective.
  • To compare findings from European hospitals with the Norwegian context.

Main Methods:

  • A mixed-methods approach including a scoping study, interviews, and questionnaires.
  • Systematic analysis of captured data using established methodologies.
  • Data collection from European hospitals that have recently implemented EHRs.

Main Results:

  • Technical platform choices for health IT, particularly EHRs, have substantial consequences for clinicians and work organization.
  • Closed platform EHRs dominate the market, but open platform approaches are increasing in popularity.
  • The study provides an assessment of consequences related to different EHR platform designs.

Conclusions:

  • The technical approach for EHRs significantly influences clinical and organizational practice.
  • Understanding the implications of open vs. closed platforms is crucial for healthcare IT procurement and implementation.
  • End-user perspectives are vital for evaluating the real-world impact of EHR platform choices.