As of 2007, only one in six US physicians working in ambulatory care have a fully functional EHR system (NEJM). The fact that > 99% of Norwegian ambulatory /primary care physicians (and the numbers in Sweden, Denmark and Holland are almost the same) are using a EHR system might be an illustration of the principle that smaller and less complex organisations are better suited for adapting to new technologies. In Norway, we only have one HMO – the Norwegian goverment. Building and maintaining the component for reimbursement claims is relatively easy. When the EHR system is very good at assisting the physiciains with the numbers, the decision to purchase a system becomes an easy one.
June 23, 2008
My PhD student Berit Brattheim har recently presented “Clinical Processes in an Innovative Vascular Surgeon Community. Implications for Workflow Modeling” (PDF).
January 10, 2008
I am one of the authors of this paper which was published in BMC Medical Informatics and Decision making today. We present data from interviews with physicians that work in hospitals that no longer keep a paper-based medical record. When physicians are relieved from paper-based information routines, they become more willing to adopt to the Electronic medical record system. As with any other set of clinical skills, they learn how to master the system from their peers. What differs is the inversion of roles: The seniors learn from the juniors. Irrespective of age and seniority, neither physician miss the paper-based medical record. Many routines are however the same, or are changing at a rather slow pace. I do not consider this a bad thing and actually believe that the widespread expectations to EMR systems finally are beginning to be met.
May 18, 2007
Please feel free to read our profiles on EU CORDIS partnersearch:
July 24, 2006
“From the front line, report from a near paperless hospital: Mixed reception amongst health care professionals” has been accepted for publication in JAMIA. Read the preprint PDF here.
June 6, 2006
This paper has been accepted for oral presentation at MIE2006. In this study, we have used a questionnaire to collect data on physicians, nurses and medical secretaries’ use of EHR systems in Norwegian hospital departments that have removed the paper-based medical record from clinical workflow. We found large differences in EHR use between hospitals and between health professionals. Some hospitals have made a smooth transition to the paperless record with a positive impact on clinical workflow. Read the PDF here.
May 23, 2006
I am currently attending this course, for the purpose of achieving insight in ontological theories and methods. Lots of interesting people, theories and hypotheses.
January 31, 2006
From Bio-ITworld.com: The National library of medicine (NLM) has decided to create a new user interface to its search engine. Possibly inspired by Google and other search engines that has emerged the last decade, NLM will simplify access to sophisticated functionality that already has been developed but that users seldom use today.
October 1, 2005
September 19, 2005
We presented the COPIM project (COllaborative personal Information Management) at a workshop dedicated to CSCW in healthcare. Apart from Aksel, Terje and me, those who attended were Ellen Balka , Ina Wagner , Gianni Jacuzzi, Victoria Carlsson , Marike Hettinga , Finn Kensing , Nis Johanssen and Jos Aarts. We got to present our project and had a very good discussion.