STEP BY STEP Climbing the stairs from the introduction of electronic health records to electronic collaboration
Year: 2011
Type: article
Abstract: Collaboration across organizational borders is often needed.Experiences from some of the electronic collaboration projects that have been initiated in the health sector show that it is challenging to establish solutions that are sustainable and can be deployed in wide scale.The case in this paper is from a medium size hospital in Norway where electronic collaboration related to referrals has been introduced through a stepwise process.The first step was to introduce traditional electronic messaging.The next step was to implement decision support in order to improve the quality of the referral.The following step will probably be a dialogue based support where general practitioners and specialists can communicate about patients, and where the dialogue is kept as a part of the patient's electronic health record.This paper sums up the findings after the introduction of the decision support system.The results from the first steps are promising, but they also show that it is a sociotechnical interplay between the different actors that need to be balanced in order to establish a solution that will be used by all actors.
Authors: Vigdis Heimly, Eric Monteiro
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W585925108