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The Impact of the Implementation of the Electronic Medical Record in an Italian University Hospital

  • Alessandro Zardini
  • Cecilia Rossignoli
  • Bettina Campedelli
Conference paper
Part of the Lecture Notes in Information Systems and Organisation book series (LNISO, volume 13)

Abstract

In the last years the use of the information communication technology (ICT) has become a leading driver of managerial reform in the public sector [1] and in particular in the healthcare system [2]. In particular, the Electronic Medical Record (EMR) is one of the most studied ICT systems in the healthcare management literature. Using the Zaharia et al. model [3], in this study we investigate the implementation of a core element of the EMR, in an university hospital, the deployment of which is expected to spur internal efficiency and pave the way for the development of the principles in other departments and/or hospitals. It then analyses the organizational impacts of EMRs on the healthcare provider’s structure.

Keywords

Electronic medical records Case study Electronic health records EMR impact EHR impact 

References

  1. 1.
    Moon, M.J.: The evolution of e-government among municipalities: rhetoric or reality? Public Adm. Rev. 62(4), 424–433 (2002)CrossRefGoogle Scholar
  2. 2.
    Buntin, M.B., Burke, M.F., Hoaglin, M.C., Blumenthal, D.: The benefits of health information technology: a review of the recent literature shows predominantly positive results. Health Aff. 30(3), 464–471 (2011)CrossRefGoogle Scholar
  3. 3.
    Zakaria, N., Affendi, M., Yusof, S., Zakaria, N.: Managing ICT in healthcare organization: culture, challenges, and issues of technology adoption and implementation. In: Zakaria N., Affendi, S., Zakaria N. (eds.) Managing ICT in Healthcare Organization: Culture, Challenges, and Issues of Technology Adoption and Implementation. pp. 153–168, IGI Global (2010)Google Scholar
  4. 4.
    Adler-Milstein, J., Green, C.E., Bates, D.W.: A survey analysis suggests that electronic health records will yield revenue gains for some practices and losses for many. Health Aff. 32(3), 562–570 (2013)CrossRefGoogle Scholar
  5. 5.
    Moore, K.D., Eyestone, K., Coddington, D.C.: Costs and benefits of EHRs: a broader view. J. Healthc. Financ. Manage. Assoc. 67(4), 126–128 (2013)Google Scholar
  6. 6.
    Dey, A., Sinha, K.K., Thirumalai, S.: IT capability for health care delivery: is more better? J. Serv. Res. 16(3), 326–340 (2013)CrossRefGoogle Scholar
  7. 7.
    Hyman, P.: The day the EHR died. Annu. Intern. Med. 160(8), 576–577 (2014)CrossRefGoogle Scholar
  8. 8.
    Sinsky, C.A., Beasley, J.W., Simmons, G.E., Baron, R.J.: Electronic health records: design, implementation, and policy for higher-value primary care. Ann. Intern. Med. 160(10), 727–728 (2014)CrossRefPubMedGoogle Scholar
  9. 9.
    Frenzel, C., Frenzel, J.: Management of information technology (4th edn), Cengage Learning, Boston, USA (2004)Google Scholar
  10. 10.
    Bekkers, V.: Reinventing government in the information age: international practice in IT-enabled public sector reform. Public Manag. Rev. 5(1), 133–139 (2003)CrossRefGoogle Scholar
  11. 11.
    Braccini, A.M., Federici, T.: IT value in public administrations: a model proposal for E-Procurement. In: D’Atri A., Saccà D. (eds.) Information Systems: People, Organizations, Institutions and Technologies, pp. 121–129. Springer, Berlin (2009)Google Scholar
  12. 12.
    Depaoli, P., Za, S.: Towards the redesign of e-Business maturity models for SMEs. In: Baskerville, R., De Marco, M., Spagnoletti, P. (eds.) Designing Organizational Systems, pp. 285–300. Springer, Berlin (2013)CrossRefGoogle Scholar
  13. 13.
    Smith, A.L., Bradley, R.V., Bichescu, B.C., Tremblay, M.C.: IT governance characteristics, electronic medical records sophistication, and financial performance in U.S. hospitals: an empirical investigation. Decis. Sci. 44(3), 483–516 (2013)CrossRefGoogle Scholar
  14. 14.
    Bardhan, I.R., Thouin, M.F.: Health information technology and its impact on the quality and cost of healthcare delivery. Decis. Support Syst. 55(2), 438–449 (2013)CrossRefGoogle Scholar
  15. 15.
    Hannan, T.J.: Electronic medical records. Health informatics: an overview, Churchill Livingstone, Australia (1996)Google Scholar
  16. 16.
    Shaw, N.: The role of the professional association: a grounded theory study of electronic medical records usage in Ontario, Canada. Int. J. Inf. Manage. 34(2), 200–209 (2014)CrossRefGoogle Scholar
  17. 17.
    Lakshminarayan, K., Rostambeigi, N., Fuller, C.C., Peacock, J.M., Tsai, A.W.: Impact of an electronic medical record-based clinical decision support tool for Dysphagia screening on care quality. Stroke 43(12), 3399–3401 (2012)PubMedCentralCrossRefPubMedGoogle Scholar
  18. 18.
    McDonald, C.J.: The barriers to electronic medical record systems and how to overcome them. J. Am. Med. Inf. Assoc. 4(3), 213–221 (1997)CrossRefGoogle Scholar
  19. 19.
    Berner, E.S., Detmer, D.E., Simborg, D.: Will the wave finally break? A brief view of the adoption of electronic medical records in the United States. J. Am. Med. Inf. Assoc. 12(1), 3–7 (2005)CrossRefGoogle Scholar
  20. 20.
    Schoen, C., Osborn, R., Doty, M.M., Squires, D., Peugh, J., Applebaum, S.: A survey of primary care physicians in eleven countries, 2009: perspectives on care, costs, and experiences. Health Aff. 28(6), 1171–1183 (2009)CrossRefGoogle Scholar
  21. 21.
    Ajami, S., Bagheri-Tadi, T.: Barriers for adopting electronic health records (EHRs) by physicians. Acta Informatica Med. 21(2), 129–134 (2013)CrossRefGoogle Scholar
  22. 22.
    Häyrinen, K., Saranto, K., Nykänen, P.: Definition, structure, content, use and impacts of electronic health records: a review of the research literature. Int. J. Med. Inf. 77(5), 291–304 (2008)CrossRefGoogle Scholar
  23. 23.
    Boonstra, A., Broekhuis, M.: Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions. BMC Health Serv. Res. 10(231) (2010)Google Scholar
  24. 24.
    Wang, S.J., Middleton, B., Prosser, L.A., Bardon, C.G., Spurr, C.D., Carchidi, P.J., Kittler, A.F., Goldszer, R.C., Fairchild, D.G., Sussman, A.J., Kuperman, G.J., Bates, D.W.: A cost–benefit analysis of electronic medical records in primary care. Am. J. Med. 114(5), 397–403 (2003)CrossRefPubMedGoogle Scholar
  25. 25.
    D’Urso, P., De Giovanni, L., Spagnoletti, P.: A fuzzy taxonomy for e-Health projects. Int. J. Mach. Learn. Cybern. 4(6), 487–504 (2013)CrossRefGoogle Scholar
  26. 26.
    Hunt, D.L., Haynes, R., Hanna, S.E., Smith, K.: Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. J. Am. Med. Assoc. 280(15), 1339–1346 (1998)CrossRefGoogle Scholar
  27. 27.
    Basaglia, S., Caporarello, L., Magni, M., Pennarola, F.: Individual adoption of convergent mobile technologies in Italy. In: D’Atri, A., De Marco, M., Casalino, N. (eds.) Interdisciplinary aspects of Information systems studies: the Italian Association for Information systems, pp. 63–69. Physica-Verlag, Heidelberg (2008)CrossRefGoogle Scholar
  28. 28.
    Caporarello, L., Viachka, A.: Individual readiness for change in the context of enterprise resource planning system implementation. In: Proceedings of the 6th Conference of the Italian Chapter for the Association for Information Systems, pp. 89–96 (2010)Google Scholar
  29. 29.
    Cavaye, A.L.M.: Case study research: a multi-faceted research approach for IS. Inform. Syst. J. 6(3), 227–242 (1996)CrossRefGoogle Scholar
  30. 30.
    Creswell, J.W.: Qualitative Inquiry & Research Design: Choosing Among Five Approaches. Sage Publications, Thousand Oaks (2007)Google Scholar
  31. 31.
    Yin, R.K.: Case Study Research: Design and Methods, 3rd edn. Sage Publications, Los Angeles (2009)Google Scholar
  32. 32.
    Darke, P., Shanks, G., Broadbent, M.: Successfully completing case study research: combining rigour, relevance and pragmatism. Inf. Syst. J. 8(4), 273–289 (1998)CrossRefGoogle Scholar
  33. 33.
    Sorrentino, M.: Interpreting e-government: implementation as the moment of truth. In: Wimmer, M.A., Scholl, J., Grönlund, A. (eds.) Electronic Government, pp. 281–292. Springer, Berlin (2007)CrossRefGoogle Scholar
  34. 34.
    Benbasat, I.: An analysis of research methodologies. In: Warren, F. (ed.) The Information Systems Research Challenge, pp. 47–85. Harward Business School Press, Boston (1984)Google Scholar
  35. 35.
    Arksey, P., Knight, T.: Interviewing for Social Scientists. Sage Publications, London (1999)Google Scholar
  36. 36.
    Kucukyazici, B., Keshavjee, K., Bosomworth, J., Copen, J., and Lai, J.: Best practices for implementing electronic health records and information systems. In: Kushniruk, A.W., Borycki, E.M. (eds.) Human and social aspects of health information systems, IGI Global, Hershey, PA (USA), pp. 120–138 (2008)Google Scholar
  37. 37.
    Heeks, R.: Health information systems: failure, success and improvisation. Int. J. Med. Inf. 75(2), 125–137 (2006)CrossRefGoogle Scholar
  38. 38.
    Castillo, V., Martinez-Garcia, A., Pulido, J.: A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. BMC Med. Inf. Decis. Making 10(1), 60Google Scholar
  39. 39.
    Pennarola, F., and Caporarello, L.: Enhanced Class Replay: Will this turn into better learning?, In: Wankel, C., Blessinger, P. (eds.) Increasing Student Engagement and Retention Using Classroom Technologies: Classroom Response Systems and Mediated Discourse Technologies, pp. 143–162. Emerald Group Publishing Limited, Bingley (2013)Google Scholar
  40. 40.
    Scott, J.T., Rundall, T.G., Vogt, T.M., Hsu, J.: Kaiser Permanente’s experience of implementing an electronic medical record: a qualitative study. Brit. Med. J. 331, 1313–1316 (2005)PubMedCentralCrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Alessandro Zardini
    • 1
    • 2
  • Cecilia Rossignoli
    • 2
  • Bettina Campedelli
    • 2
  1. 1.Business Administration DepartmentUniversity of VeronaVeronaItaly
  2. 2.Department of Business AdministrationUniversity of VeronaVeronaItaly

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