Abstract
In the last twenty years, health organizations have started the gradual shift from paper-based information systems to digital systems for recording internal and external communication [1–3]. This is an epochal change, which is going through all the productive systems, yet in the health systems this passage is particularly prolonged and difficult [4], mainly due to the complexity of the clinical and care activities [5], the variety of organizations that produce services [6] and a hyper-regulated institutional context [7]. These three factors typical of the health system have generated a tension on the clinical level between standardization and personalization of care, on the organizational level between autonomy and integration of health providers, at the institutional level between centralization and location of planning and control functions. This tension is reflected in projects and programs for the development and implementation of digital healthcare, which have sometimes failed miserably despite the investments and commitment of key stakeholders [4], due to inconsistencies generated on the clinical, organizational and institutional levels, or open clashes between professionals, managers and policy makers for decision-making power on technological innovation [8].
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Bellandi, T., Luchini, G., Reale, A., Micalizzi, M., Mangione, M. (2019). An Action Research to Study and Support the Transition to a Comprehensive Electronic Patient Record in Acute Care. In: Bagnara, S., Tartaglia, R., Albolino, S., Alexander, T., Fujita, Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol 818. Springer, Cham. https://doi.org/10.1007/978-3-319-96098-2_93
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