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Related Experiment Videos

IMASIS computer-based medical record project: dealing with the human factor

M Martín-Baranera1, I Planas, J Palau

  • 1Department of Medical Informatics and Education, Institut Municipal d'Investigació Mèdica (IMIM), Facultat de Medicina, Universitat Autònoma de Barcelona, Dr. Aiguader 80, 08003 Barcelona, Spain.

Medinfo. MEDINFO
|January 1, 1995
PubMed
Summary
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Physician attitudes towards the integrated hospital information system (IMASIS) were negative due to poor communication and system issues. Addressing these through better training and system evaluation is crucial for successful implementation.

Area of Science:

  • Health Informatics
  • Medical Information Systems
  • Healthcare Management

Background:

  • The Institut Municipal d'Assistència Sanitària (IMAS) in Barcelona developed a multicenter integrated hospital information system (IMASIS) since 1984.
  • A second phase focused on clinical information management and the development of an integrated multimedia medical record.
  • Previous HIS projects highlight the importance of addressing behavioral, cultural, and organizational factors to prevent delays or failures.

Purpose of the Study:

  • To analyze physician attitudes towards the IMASIS project, identifying factors influencing their perception.
  • To assess the impact of potential issues on the successful implementation of a new HIS.
  • To inform strategies for improving user adoption and system effectiveness.

Main Methods:

Related Experiment Videos

  • Conducted interviews with hospital service heads and physician groups to gather detailed information and opinions.
  • Distributed questionnaires to clinicians to assess current HIS usage, satisfaction, identified problems, and interest in the IMASIS project.
  • Analyzed survey data to identify key concerns and areas for improvement.

Main Results:

  • Medical staff reported a lack of information about the current HIS, leading to underutilization of system features.
  • Physicians expressed concerns that a computer-based medical record would negatively impact the physician-patient relationship and increase administrative burden.
  • Common issues included user interface design problems and a lack of a common patient identification number, resulting in duplicate records and a general lack of confidence in the system.

Conclusions:

  • Physician distrust in IMASIS stems from insufficient information and system-related problems.
  • Planned measures include personalized training, direct physician-informatician interaction, and a systematic HIS evaluation protocol.
  • Addressing user concerns and improving system usability are essential for the successful long-term adoption of the IMASIS project.