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Large-Scale EHR Suites and Path-Dependence.

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This summary is machine-generated.

Implementing large electronic health record (EHR) systems restricts future technology choices. This study examines how past EHR decisions in Norway, Denmark, and Finland impacted alternative solutions.

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Area of Science:

  • Health Informatics
  • Information Systems Management

Background:

  • Electronic Health Record (EHR) suites are complex IT systems essential for modern healthcare delivery across various settings.
  • Implementing large-scale EHR systems demands significant time, financial investment, and human resources for planning and execution.

Purpose of the Study:

  • To investigate how prior decisions regarding EHR system implementations influence the availability of future technological alternatives for healthcare organizations.
  • To analyze the impact of large EHR suite adoptions on strategic flexibility in healthcare IT decision-making.

Main Methods:

  • Case study analysis focusing on the Health Platform program in Central Norway.
  • Examination of EHR implementation timelines and vendor choices in Denmark (2016) and Finland (2018) as comparative examples.
  • Qualitative assessment of decision-making processes and technological path dependencies.

Main Results:

  • Past decisions on adopting specific large-scale EHR suites, such as Epic in Norway, have demonstrably narrowed the scope of subsequent technological options.
  • The extensive resources and planning required for EHR implementation create lock-in effects, limiting agility in adopting newer or alternative health IT solutions.
  • Healthcare providers may face challenges in pivoting to different or emerging technologies once a major EHR system is in place.

Conclusions:

  • The selection and implementation of large EHR systems create significant technological path dependencies, constraining future strategic choices in health informatics.
  • Decision-makers must carefully consider the long-term implications of EHR choices on technological flexibility and innovation within healthcare systems.
  • Future research should explore strategies to mitigate lock-in effects and promote adaptability in healthcare IT infrastructure.