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Shayganmehr, Aref, Malekzadeh, Gholamreza, Trojanowski, Mariusz. (1399). The Impact of Electronic Health Care Record on Physicians' Professional Authority. سامانه مدیریت نشریات علمی, 7(3), 166-169.
Aref Shayganmehr; Gholamreza Malekzadeh; Mariusz Trojanowski. "The Impact of Electronic Health Care Record on Physicians' Professional Authority". سامانه مدیریت نشریات علمی, 7, 3, 1399, 166-169.
Shayganmehr, Aref, Malekzadeh, Gholamreza, Trojanowski, Mariusz. (1399). 'The Impact of Electronic Health Care Record on Physicians' Professional Authority', سامانه مدیریت نشریات علمی, 7(3), pp. 166-169.
Shayganmehr, Aref, Malekzadeh, Gholamreza, Trojanowski, Mariusz. The Impact of Electronic Health Care Record on Physicians' Professional Authority. سامانه مدیریت نشریات علمی, 1399; 7(3): 166-169.

The Impact of Electronic Health Care Record on Physicians' Professional Authority

Health Management & Information Science
مقاله 6، دوره 7، شماره 3، مهر 2020، صفحه 166-169    اصل مقاله (212.86 K)
نوع مقاله: Original Article
نویسندگان
Aref Shayganmehr1؛ Gholamreza Malekzadeh* 2؛ Mariusz Trojanowski3
1Dual Ph.D. student of Ferdowsi University of Mashhad & University of Warsaw, Poland
2Associate professor of Management, Ferdowsi University of Mashhad.Mashahd, Iran
3Associate Professor at Warsaw University. Warsaw, Poland
چکیده
The purpose of the Electronic Healthcare Record is to improve the service quality by reducing medical errors, prevention, monitoring, diagnosis, prioritization, treatment, follow-up, provision of effective ways to communicate and share information between health care providers, and better health information. While benefiting  EHCR, physicians just like to practice medicine. These changes have created a new level of complexity that makes physicians feel frustrated and dissatisfied with medical practice. Therefore, one of the factors that affect EHCR is the physician's authority, which  affects the acceptance or non-acceptance of EHCR.
Objective: The present study aimed to investigate the effect of using electronic health records on physicians’ authority.
Method: Qualitative data collection was performed by a semi-structured interview with eight physicians, three specialists and four psychologists. The data collected show the users’ perceptions of the impact of EHCR on the physicians' careers. All participants experienced the use of EHR in the health care system.
Results: A total of three dimensions were identified to assess the impact of the perceived threat of professional independence on the physician’s acceptance of EHCR, increased managers’ control, loss of professional privacy and professional authority, data trust, and security. When technology negatively affects the job roles, professional status, and independence, resistance is more likely to occur.
Conclusion: The results of the study show that the design and implementation of EHCR should be in a way that does not threaten the autonomy of physicians. If the electronic health record system is designed and implemented without regard to the issue of autonomy, it will be nothing but a "cookbook" for doctors, and they will not welcome it.
 
کلیدواژه‌ها
Electronic Health Records؛ Technology؛ Acceptance؛ Authority؛ Physician
مراجع
1. Dorenfest S. The decade of the’90s. Poor use of IT investment contributes to the growing healthcare crisis. Healthcare informatics: the business magazine for information and communication systems. 2000;17(8):64-7.
2. Venkatraman S, Bala H, Venkatesh V, Bates J. Six strategies for electronic medical records systems. Communications of the ACM. 2008;51(11):140-4. doi: 10.1145/1400214.1400243.
3. Gupta V, Murtaza MB. Approaches to electronic health record implementation. Review of Business Information Systems (RBIS). 2009;13(4). doi: 10.19030/rbis.v13i4.4309.

4. Wilkins MA. Factors influencing acceptance of electronic health records in hospitals. Perspect Health Inf Manag. 2009;6:1f.
5. Wu JH, Shen WS, Lin LM, Greenes RA, Bates DW. Testing the technology acceptance model for evaluating healthcare professionals’ intention to use an adverse event reporting system. Int J Qual Health Care. 2008;20(2):123-9. doi: 10.1093/ intqhc/mzm074.
6. Kowitlawakul Y. The technology acceptance model: predicting nurses’ intention to use telemedicine technology (eICU). Comput Inform Nurs. 2011;29(7):411-8. doi: 10.1097/NCN.0b013e3181f9dd4a.
7. Backer TE, David SL, Soucy G. Reviewing the behavioral science knowledge base on technology transfer. Introduction. NIDA Res Monogr. 1995;155:1-20. doi: 10.1037/e495742006-001.
8. Hsu J, Huang J, Fung V, Robertson N, Jimison H, Frankel R. Health information technology and physician-patient interactions: impact of computers on communication during outpatient primary care visits. J Am Med Inform Assoc. 2005;12(4):474-80. doi: 10.1197/jamia.M1741.
9. Gadd CS, Penrod LE. Dichotomy between physicians’ and patients’ attitudes regarding EMR use during outpatient encounters. Proc AMIA Symp. 2000:275-9.
10. Huber J. Patient acceptance of computerized progress note documentation. Information technology for the practicing physician: Springer; 2001. p. 114-7.
11. Baron RJ, Fabens EL, Schiffman M, Wolf E. Electronic health records: just around the corner? Or over the cliff? Ann Intern Med. 2005;143(3):222-6. doi: 10.7326/0003-4819-143-3- 200508020-00008.
12. Abdekhoda M, Ahmadi M, Gohari M, Noruzi A. The Effects of Organizational Contextual Factors on Physicians’ Attitude toward Adoption of Electronic Medical Records, Based on Technology Acceptance Model. Journal of Payavard Salamat. 2016;10(2):18193.
13. Gadd CS, Penrod LE, editors. Assessing physician attitudes regarding use of an outpatient EMR: a longitudinal, multi-practice study. Proceedings of the AMIA Symposium; 2001: American Medical Informatics Association.
14. Detmer WM, Friedman CP, editors. Academic physicians’ assessment of the effects of computers on health care. Proceedings of the Annual Symposium on Computer Application in Medical Care; 1994: American Medical Informatics Association.

15. Walter Z, Lopez MS. Physician acceptance of information technologies: Role of perceived threat to professional autonomy. Decision Support Systems. 2008;46(1):206-15. doi: 10.1016/j.dss.2008.06.004.
16. Morton ME. Use and acceptance of an electronic health record: factors affecting physician attitudes. 2008.
17. Hamid F, editor Providers’ acceptance factors and their perceived barriers to electronic health record adoption. 141st APHA Annual Meeting (November 2-November 6, 2013); 2013: APHA.
18. Esmaeilzadeh P, Sambasivan M. Healthcare professionals’ adoption of clinical IT in hospital: a view of relationship between healthcare professionals and hospital. Management. 2012;2(5):161-70. doi: 10.5923/j.mm.20120205.04.

19. Terry AL, Thorpe CF, Giles G, Brown JB, Harris SB, Reid GJ, et al. Implementing electronic health records: Key factors in primary care. Canadian Family Physician. 2008;54(5):730-6.
20. 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. 2010;10:231. doi: 10.1186/1472-6963-10-231.
21. de Grood C, Raissi A, Kwon Y, Santana MJ. Adoption of e-health technology by physicians: a scoping review. J Multidiscip Healthc. 2016;9:335-44. doi: 10.2147/JMDH.S103881.

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