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Involving the User in Configuring a Large-Scale Electronic Health Record.

Pieter Jelle Toussaint1, Christoffer Uhlin Røkke1

  • 1Norwegian University of Science and Technology, Norway.

Studies in Health Technology and Informatics
|May 23, 2026
PubMed
Summary
This summary is machine-generated.

User participation in health information technology (HIT) implementation is crucial. This study found user involvement in a Norwegian HIT system fell short of transformative participation, potentially explaining implementation criticism.

Keywords:
Implementationelectronic health recorduser participation

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Area of Science:

  • Health Informatics
  • Human-Computer Interaction
  • Information Systems Implementation

Background:

  • User participation is vital for successful health information technology (HIT) implementation.
  • Participation levels vary from nominal (no influence) to transformative (ownership and influence).
  • Understanding user perceptions of their involvement is key to evaluating HIT projects.

Purpose of the Study:

  • To assess user perceptions of their participation level during a large-scale HIT system implementation in Norway.
  • To determine if user involvement met the criteria for transformative participation.

Main Methods:

  • Conducted semi-structured interviews with eight user participants involved in the HIT system's configuration and implementation.
  • Analyzed qualitative data to understand user experiences and assess their perceived level of influence.

Main Results:

  • User participants reported their involvement did not reach the level of transformative participation.
  • The observed participation was less influential than desired by the users.
  • This gap between expected and actual participation may explain negative feedback on the implementation.

Conclusions:

  • The study highlights a disconnect between the ideal of user ownership and the reality of user involvement in HIT implementation.
  • Ensuring genuine user influence is critical for mitigating criticism and improving HIT system adoption.
  • Future HIT projects should focus on fostering transformative participation to enhance implementation success.