| Título: | From Troubleshooting to EMR Optimization: IT Support in a General Practice Setting |
| Autores: |
Tolar, Marianne; Assessment of Technology in Context Design Lab, School of Communication, Simon Fraser University,
Burnaby BC, Canada Balka, Ellen; Assessment of Technology in Context Design Lab, School of Communication, Simon Fraser University, Burnaby BC, Canada Centre for Clinical Epidemiology & Evaluation, Vancouver BC, Canada |
| Fecha: | 2011-08-22 |
| Publicador: | Electronic journal of health informatics |
| Fuente: |
 |
| Tipo: |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| Tema: | Medical Records Systems, Computerized; Community Health Centers; Action Research; Workplace Ethnography; Infrastructure; IT Support |
| Descripción: | In this paper the use of an electronic medical record (EMR) system in a general practice setting is analyzed. The concept of infrastructure helps shed light on its supposed role of invisibly supporting the work practices of medical and administrative personnel. An ethnographic case study at a Canadian Community Health Center has been conducted following an action research approach. The researcher assumed the role of IT support in a situation where the EMR system was displaying technical problems after an update of the software. Her role developed from troubleshooting IT issues to EMR training and IT education, and finally she was also increasingly involved in EMR optimization. Our research provides in depth insights into the researcher’s role as a mediator between the medical work and the technical tool within the larger context of system design, which, we suggest, has implications for design of programs to support the introduction of EMRs. Although these trained in health and medical informatics are aware of this need, research findings presented here suggest that this is often overlooked in funding programs and project implementation. |
| Idioma: | Inglés |
1 Editor's Introduction to this Journal: Advancing Health Informatics and the Use of Information, Knowledge and Communication Technologies in Health Care por Hovenga, Evelyn JS; Health Informatics Research Group, Central Queensland University | 6 Empowering Patients through Personal Health Records: A Survey of Existing Third-Party Web-Based PHR Products por Helmer, Axel; OFFIS,Lipprandt, Myriam,Frenken, Thomas; OFFIS,Eichelberg, Marco; OFFIS,Hein, Andreas; OFFIS, University of Oldenburg |
2 An Encrypted Email Application for Paediatric and Adolescent Mental Health Teleconsultations por Caffery, Liam Joseph; Centre for Online Health, University of Queensland, Brisbane, Australia,Stathis, Stephen; Child and Youth Mental Health Services, Royal Children's Hospital, University of Queensland, Brisbane, Australia,Smith, Anthony C; Centre for Online Health, University of Queensland, Brisbane, Australia | 7 Health Information-seeking Behaviour on the Internet and Health Literacy among Older Australians por Lam, Mary K; The University of Sydney,Lam, Lawrence T; The University of Notre Dame Australia |
3 Videophone Delivery of Medication Management in Community Nursing por Wade, Victoria Anne; Discipline of Public Health, University of Adelaide, South Australia,Izzo, Jo; Royal District Nursing Service of South Australia,Hamlyn, Jeremy; VidCo | 8 Epidemiological data mining of cardiovascular Bayesian networks por Twardy, Charles R; Clayton School of Information Technology, Monash University,Nicholson, Ann E; Clayton School of Information Technology, Monash University,Korb, Kevin B; Clayton School of Information Technology, Monash University,McNeil, John; Department of Epidemiology & Preventive Medicine, Monash University |
4 The use of standard content specifications in a national health interoperability framework por Heard, Sam; University College London | 9 Managing archetypes for sustainable and semantically interoperable electronic health records por Garde, Sebastian; Health Informatics Research Group, Central Queensland University; ACACI Austin Health,Hovenga, Evelyn JS; Health Informatics Research Group, Central Queensland University,Gränz, Jana; Health Informatics Research Group, Central Queensland University; University of Applied Sciences Ulm, Germany,Foozonkhah, Shahla; Health Informatics Research Group, Central Queensland University; Tabriz Medical Sciences University, Tabriz, Iran,Heard, Sam; Health Informatics Research Group, Central Queensland University; Ocean Informatics |
5 A SpatioTemporal Model for Seasonal Influenza por Edlund, Stefan; IBM Almaden Research Center,Bromberg, Michal; Israel Center for Disease Control,Chodick, Gabriel; Maccabi Health Care Services,Douglas, Judith; IBM Almaden Research Center,Ford, Daniel; IBM Almaden Research Center,Kaufman, Zalman; Israel Center for Disease Control,Lessler, Justin; Johns Hopkins School of Public Health,Marom, Rachel; Maccabi Health Care Services,Mesika, Yossi; IBM Haifa Research Center,Ram, Roni; IBM Haifa Research Center,Shalev, Varda; Maccabi Health Care Services,Kaufman, James; IBM Almaden Research Center | 10 Understanding GP Attitudes Towards A Data Amalgamating Health Informatics System por Knight, John; University of South Australia, Adelaide, Australia,Patrickson, Margaret; University of South Australia, Adelaide, Australia,Gurd, Bruce; University of South Australia, Adelaide, Australia |