实施EHR套件:来自挪威配置过程的教训
Adrian Sand1, Morten Hertzum2, Gunnar Ellingsen3
1Norwegian University of Science and Technology, Trondheim, Norway.
Studies in health technology and informatics
|May 13, 2025
概括
在挪威医疗保健中实施电子健康记录 (EHR) 系统面临着挑战. 用户参与输入很难管理,主题专家觉得被困在中间,阻碍了合作.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的信息系统
- 人与计算机的交互
背景情况:
- 电子健康记录 (EHR) 的实施是一个复杂,多方面的过程.
- 配置EHR系统需要仔细与当地医疗保健实践和用户需求保持一致.
- 之前的研究强调了在EHR部署期间用户参与和专家角色的挑战.
研究的目的:
- 在挪威医疗保健实践中调查Epic的EHR套件的配置过程.
- 确定主题专家 (中小企业) 和超级用户在EHR实施过程中所面临的挑战.
- 分析用户参与和中小企业角色对配置结果的影响.
主要方法:
- 定性研究,包括采访主题专家 (中小企业) 和超级用户.
- 专注于在挪威医疗保健机构内配置Epic的EHR系统.
- 分析中小企业的经验及其在弥合用户需求和系统开发中的作用.
主要成果:
- 电子健康规范的实施在管理和处理优先级用户参与的输入方面遇到了困难.
- 主题专家 (中小企业) 在他们的中介角色中遇到了困难.
- 关键问题包括谈判胜过合作,个人专业知识胜过同行代表,专业优化胜过团队合作.
结论:
- 由于中小企业和开发商之间的沟通和协作问题,EHR配置过程受到阻碍.
- 中小企业倾向于依赖个人专业知识,而不是代表用户群体,导致结果不理想.
- 专业化优化阻碍了通过EHR提供综合,以团队为基础的医疗保健服务的潜力.
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