End-user support for primary care electronic medical records: a qualitative case study of users’ needs, expectations, and realities

Autor: Rustam Dow, Louise Lemieux-Charles, Karen Tu, Catherine Montgomery, Jan Barnsley, Alejandro R. Jadad, Aviv Shachak
Rok vydání: 2013
Předmět:
Zdroj: Health Systems. 2:198-212
ISSN: 2047-6973
2047-6965
DOI: 10.1057/hs.2013.6
Popis: Support is considered an important factor for realizing the benefits of health information technology (HIT) but there is a dearth of research on the topic of support, especially in primary care. We conducted a qualitative multiple case study of 4 family health teams (FHTs) and one family health organization (FHO) in Ontario, Canada in an attempt to gain insight into users’ expectations and needs, and the realities of end-user support for primary care electronic medical records (EMRs). Data were collected by semi-structured interviews, documents review, and observation of training sessions. The analysis highlights the important role of on-site information technology (IT) staff and super-users in liaising with various stakeholders to solve technical problems and providing hardware and functional (‘how to’) support; the local development of data support practices to ensure consistent documentation; and the gaps that exist in users’ and support personnel’s understanding of each other’s work processes.
Databáze: OpenAIRE