June 24, 2008
June 23, 2008
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.
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.
March 20, 2007
IBM researchhas recently published a paper on their Hippocratic database. With reference to their declared interestin applying the methods of Open Source to the domain of healthcare IT-system development, I wonder if IBM could be interested in sharing this resource with the health informatics community. If so, I believe the Hippocratic database would foster the development of a vital health informatics open source community that quickly would add value to the application.
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 7, 2006
The fate of clinical department systems at the dawn of hospital-wide electronic health records in a Norwegian university hospital
This paper has also been accepted for oral presentation at MIE2006. In this study we have identified, and collected characteristics about clinical department systems (CDSs) at St.Olavs hospital in Trondheim, Norway. A CDS is usually a smaller system tailored to the needs of one or a few clinical departments. We find no trend towards decreased need ore use of CDSs as s consequence of inplementation of a hospital-wide Electronic health record. The functions of the EHR and the CDSs seem to be complementary. Read the 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.