Difference between revisions of "Adopting Electronic Medical Records in Primary Care: Lessons Learned from Health Information Systems Implementation Experience in Seven Countries"

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=== Background ===
 
=== Background ===
  
 
+
Health information systems are being adopted on an international level. The rate of adoption is rising as well. With the promise of decreased errors and increased efficiency the short term problems might undermine these benefits. Shortly after adoption resistance to change by the staff, increased medical errors, and loss of productivity have been all shown to happen. The consensus on previous analyses state that implementation of the system is vital to its success.
  
 
=== Methods ===
 
=== Methods ===
  
 
+
PUBMED and MEDLINE were both used. For articles not yet catalogued in databases, general health informatics and practice journals were used. Relevant authors were also searched. The references of each article found—relevant to the study—were also scanned for relevancy. The final step was using Google.
  
 
=== Results ===
 
=== Results ===
  
 
+
The searches garnered nearly 3700 article titles. After applying the criteria needed to include and exclude due to relevancy, 86 articles were left. The articles were categorized based  on what type of health information system they used (electronic health records, CPOE, etc..)and what health care setting they used (hospitals, general practice, etc..). The articles were studied for factors they thought relevant to implementation of health information systems.
  
 
=== Conclusion ===
 
=== Conclusion ===
  
 +
Physicians will need financial incentives to better make sure these systems are welcomed. Governments may have to educate physicians on leadership training, project management, and product training services.
  
 +
=== Commentary ===
  
=== Commentary ===
+
This article tackles the impending issue when it comes to health information systems; implementation and utilization in the context of an aging population and decreased physician workforce. This study is highly relevant and the implications even more so in the future.
  
  

Revision as of 19:11, 7 October 2015

This is a review for Ludwick, D. A., and Doucette, J.'s Adopting Electronic Medical Records in Primary Care: Lessons Learned from Health Information Systems Implementation Experience in Seven Countries [1]


Background

Health information systems are being adopted on an international level. The rate of adoption is rising as well. With the promise of decreased errors and increased efficiency the short term problems might undermine these benefits. Shortly after adoption resistance to change by the staff, increased medical errors, and loss of productivity have been all shown to happen. The consensus on previous analyses state that implementation of the system is vital to its success.

Methods

PUBMED and MEDLINE were both used. For articles not yet catalogued in databases, general health informatics and practice journals were used. Relevant authors were also searched. The references of each article found—relevant to the study—were also scanned for relevancy. The final step was using Google.

Results

The searches garnered nearly 3700 article titles. After applying the criteria needed to include and exclude due to relevancy, 86 articles were left. The articles were categorized based on what type of health information system they used (electronic health records, CPOE, etc..)and what health care setting they used (hospitals, general practice, etc..). The articles were studied for factors they thought relevant to implementation of health information systems.

Conclusion

Physicians will need financial incentives to better make sure these systems are welcomed. Governments may have to educate physicians on leadership training, project management, and product training services.

Commentary

This article tackles the impending issue when it comes to health information systems; implementation and utilization in the context of an aging population and decreased physician workforce. This study is highly relevant and the implications even more so in the future.


Similar Article Reviews

An electronic medical records system for clinical research and the EMR–EDC interface


References

  1. Ludwick, D. A., & Doucette, J. (2009). Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries. International journal of medical informatics,78(1), 22-31. http://www.researchgate.net/profile/Dave_Ludwick/publication/51418691_Adopting_electronic_medical_records_in_primary_care_lessons_learned_from_health_information_systems_implementation_experience_in_seven_countries/links/53f37d880cf2dd48950ccfa4.pdf