Benefits and problems of electronic information exchange as perceived by health care professionals: an interview study
Open accessAbstract
BACKGROUND: Various countries are currently implementing a national electronic patient record (n-EPR). Despite the assumed positive effects of n-EPRs, their overall adoption remains low and meets resistance from health care providers. This study aims to increase our understanding of health care providers' attitude towards the n-EPR, by investigating their perceptions of the benefits and problems of electronic information exchange in health care and the n-EPR in particular. METHODS: The study was conducted in three Dutch health care settings: acute care, diabetes care, and ambulatory mental health care. Two health care organisations were included per setting. Between January and June 2010, interviews were conducted with 17 stakeholders working in these organisations. Relevant themes were deduced by means of thematic qualitative analysis. RESULTS: Health care providers perceived electronic information exchange to promote the efficiency and quality of care. The problems they perceived in electronic information exchange mainly concerned the confidentiality and safety of information exchange and the reliability and quality of patient data. Many problems perceived by health care providers did not specifically apply to the n-EPR, but to electronic information exchange in general. CONCLUSIONS: The implementation of the Dutch n-EPR has mainly followed a top-down approach, thereby neglecting the fact that the perceptions and preferences of its users (health care providers) need to be addressed in order to achieve successful implementation. The results of this study provide valuable suggestions about how to promote health care providers' willingness to adopt electronic information exchange, which can be useful for other countries currently implementing an n-EPR. Apart from providing information about the benefits and usefulness of electronic information exchange, efforts should be focused on minimising the problems as perceived by health care providers. The safety and confidentiality of electronic information exchange can be improved by developing tools to evaluate the legitimacy of access to electronic records, by increasing health care providers' awareness of the need to be careful when using patient data, and by measures to limit access to sensitive patient data. Improving health care providers' recording behaviour is important to improve the reliability and quality of electronically exchanged patient data.
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Other qualitative studies of EHR implementations have mainly focused on implementation barriers, system-wide challenges, or overall benefits and concerns rather than patient safety.
“Other qualitative investigations have analyzed EHR implementations, but primarily focused on barriers to implementation, system-wide challenges, or overall benefits and concerns rather than patient safety . 35 -39”
From Exploring the sociotechnical intersection of patient safety and electronic health record implementation (2014) · cites this paper as [37]
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- Authors
- Zwaanswijk, M., Verheij, R. A., Wiesman, F. J., & Friele, R. D.
- Affiliations
- Netherlands Institute for Health Services Research (NL)
- Amsterdam UMC Location University of Amsterdam (NL)
- Tilburg University (NL)
- Corresponding author
- Zwaanswijk, Marieke
- Venue
- BMC Health Services Research
- Published
- 2011-10-07
- Volume
- 11
- Issue
- 1
- Pages
- 256-256
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC3200179
- OpenAlex
- W2012578357
- Cited by
- 72
- References
- 25
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 4 · 2022: 5 · 2021: 4 · 2020: 4 · 2019: 5 · 2018: 6 · 2017: 3 · 2016: 5 · 2015: 12 · 2014: 6 · 2013: 8 · 2012: 5
- FWCI
- 9.74
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- Research portal (Tilburg University) (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Keywords
- electronic health records, electronic information exchange, clinician attitudes, technology adoption, information confidentiality, data security, patient data quality, top-down implementation, acute care, diabetes management
- MeSH terms
- Attitude of Health Personnel, Cross-Sectional Studies, Delivery of Health Care, Female, Health Personnel, Hospital Information Systems, Humans, Interviews as Topic, Male, Netherlands, Quality of Health Care, Sensitivity and Specificity, Reproducibility of Results, Risk Assessment, Information Dissemination, Electronic Health Records
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