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Factors affecting the diffusion of the Computer-Based Patient Record

J S Ash1

  • 1Biomedical Information Communication Center, Oregon Health Sciences University, Portland 97201-3098, USA.

Proceedings : a Conference of the American Medical Informatics Association. AMIA Fall Symposium
|January 1, 1997
PubMed
Summary

Implementing Computer-Based Patient Records (CPR) requires focusing on organizational factors like decision-making and planning for successful adoption. Visibility of the CPR also influences its depth of use.

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Area of Science:

  • Health Informatics
  • Information Systems Research
  • Medical Technology Adoption

Background:

  • The Computer-Based Patient Record (CPR) is crucial for modern healthcare, but its implementation faces challenges.
  • Understanding factors influencing CPR adoption is vital for maximizing its benefits.

Purpose of the Study:

  • To identify key factors influencing the implementation and diffusion of the Computer-Based Patient Record (CPR).
  • To explore the relative importance of innovation, organizational, and boundary-spanning attributes on CPR usage.

Main Methods:

  • A survey of 629 informatics experts from 67 institutions with accredited medical schools was conducted.
  • Multiple regression analysis was used to examine the impact of 15 variables on CPR diffusion (spread) and infusion (depth).

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Main Results:

  • For diffusion, organizational variables 'decision making' and 'planning' showed significant impact (planning had a negative relation).
  • For infusion, the innovation attribute 'visibility' was significant.
  • 144 respondents provided data for the analysis.

Conclusions:

  • Successful CPR implementation hinges on effectively managing organizational aspects.
  • Attention to decision-making processes and strategic planning is essential for widespread CPR adoption.
  • Enhancing the perceived visibility of the CPR can increase its depth of use.