Practical Affordance: EMR Use Within Outpatient Consulting on Women’s Health
| Autor: | Ayushi Tandon |
|---|---|
| Přispěvatelé: | Indian Institute of Management Ahmedabad (IIM Ahmedabad), Rajendra K. Bandi, Ranjini C. R., Stefan Klein, Shirin Madon, Eric Monteiro, TC 8, TC 9, WG 8.2, WG 9.1, WG 9.4 |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Health information technology
health care facilities manpower and services [SHS.INFO]Humanities and Social Sciences/Library and information sciences Context (language use) 02 engineering and technology Experiential learning Electronic Medical Record 020204 information systems health services administration Health care 0202 electrical engineering electronic engineering information engineering Information system 0501 psychology and cognitive sciences [INFO]Computer Science [cs] 050107 human factors health care economics and organizations Medical education Consultation business.industry Medical record 05 social sciences Information technology Health Information Technology 3. Good health Affordance Workflow Women health business Psychology |
| Zdroj: | IFIP Advances in Information and Communication Technology IFIP Joint Working Conference on the Future of Digital Work: The Challenge of Inequality (IFIPJWC) IFIP Joint Working Conference on the Future of Digital Work: The Challenge of Inequality (IFIPJWC), Dec 2020, Hyderabad, India. pp.180-193, ⟨10.1007/978-3-030-64697-4_14⟩ IFIP Advances in Information and Communication Technology ISBN: 9783030646967 IFIPJWC |
| DOI: | 10.1007/978-3-030-64697-4_14⟩ |
| Popis: | Part 5: Transforming Healthcare; International audience; We have seen increased adoption of electronic medical records (EMR) to facilitate the monitoring and recording patient trajectories. Information systems and allied discipline researchers have argued that paper persistence post EMR implementation is pervasive because: limitations in the system design and institutional policies lack an understanding of the clinical workflow. I question the doctor focused and clinical workflow-oriented understanding of medical record-keeping that ideates EMR as having a role only within the hospital boundaries. By providing empirical data from two settings: a rural secondary care hospital, and a metropolitan multinational hospital, I unpack situations when patients’ healthcare needs were central to the doctor’s work, instead of using information technologies, i.e., EMR. The projection of EMRs as artefact limited to the hospital setting and only for clinical purposes discounts the role of patients’ life world in clinical interactions, and runs the risk of devaluing the experiential and affective knowledge of both patients and doctors. EMR, I argue, cannot support doctors’ work unless the patient’s role is recognized. I propose that EMR systems be flexible, situated in the patient’s practical context, rather than administrative and clinical work-oriented only. |
| Databáze: | OpenAIRE |
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