"Why the hell do we need electronic health records?": EHR acceptance among physicians in private practice in Austria: A qualitative study

Methods of Information in Medicine

Volumn 50, Issue 1, 2011, Pages 53-61

  Hackl, Werner ^a   Hoerbst, A ^a   Ammenwerth, E ^a  

^a UNIVERSITY FOR HEALTH SCIENCES   (Austria)

Author keywords

Attitude; Electronic health record (EHR); Organizational innovation; Qualitative research; Risk management

Indexed keywords

ARTICLE; ATTITUDE TO COMPUTERS; AUSTRIA; ELECTRONIC MEDICAL RECORD; HUMAN; MASS COMMUNICATION; PHYSICIAN; PRIVATE PRACTICE; PSYCHOLOGICAL ASPECT; UTILIZATION REVIEW;

ATTITUDE TO COMPUTERS; AUSTRIA; DIFFUSION OF INNOVATION; ELECTRONIC HEALTH RECORDS; HUMANS; PHYSICIANS; PRIVATE PRACTICE;

EID: 79958848493     PISSN: 00261270     EISSN: None     Source Type: Journal    
DOI: 10.3414/ME10-02-0020     Document Type: Article

References (35)

1. Kurzweil R. The singularity is near: when humans transcend biology. New York: Viking; 2005.
2. U.S. National Library of Medicine. Detailed Indexing Statistics: 1965-2008-Number of Citations in Medline. Rockville Pike 2010 (updated 15.06.2009; cited 2010 15.02.2010). Available from: http:// www.nlm.nih.gov/bsd/index_stats_comp.html.
3. Berner ES, Moss J. Informatics challenges for the impending patient information explosion. J Am Med Inform Assoc 2005; 12 (6): 614-617.
4. Winter A, Haux R, Ammenwerth E, Brigl B, Hellrung N, Jahn F. Health Information Systems-Architectures and Strategies. 2nd ed. New York: Springer; 2010.
5. Bisbal J, Berry D. An Analysis Framework for Electronic Health Record Systems. Methods Inf Med (in print). Prepublished 20.11. 2009. doi: 10.3414/ME09-01-0002.
6. Waegemann P. Status Report 2002: Electronic Health Records. Boston: Medical Records Institute; 2002 (cited 2010 12.02.2010). Available from: www.mriint.com/uploadedFiles/MRILibrary/ StatusReport.pdf.
7. ISO-TC 215. ISO/TR 20514 Health informatics-Electronic health record-Definition, scope, and context. Geneva 2005.
8. Sozialversicherungs-Chipkarten Betriebs-und Errichtungsgesellschaft. The Austrian e-card System. (Webpage). Vienna 2010 (cited 2010 01.02.2010). Available from: http://www.chipkarte.at/portal27/ portal/ecardportal/channel_content/cmsWindow? p_tabid=5&p_menuid=52069&action=2.
9. Gesundheitsreformgesetz 2005, 693 d.B. (XXII. GP); 2005.
10. IBM. Machbarkeitsstudie betreffend Einführung der elektronischen Gesundheitsakte (ELGA) im österreichischen Gesundheitswesen (Feasability study for implementing the electronic health record (ELGA) in the Austrian health system)(Report. Wien: ARGE ELGA; 2006 (cited 2010 10.02.2010). Available from: http://www.arge-elga.at/fileadmin/ user_upload/uploads/download_Papers/Arge_ Papers/Machbarkeitsstudie_ELGA_Endbericht_21112006.pdf, English summary at http://www. arge-elga.at/fileadmin/user_upload/uploads/ download_Papers/Arge_Papers/Endbericht_ Folgeauftrag_en.pdf.
11. IBM Österreich GmbH. Ergebnisbericht ELGA Systemkomponenten und Masterplan (Report). Wien: ARGE ELGA; 2007 (cited 2010 10.02.2010). Available from: http://www.arge-elga.at/fileadmin/ user_upload/uploads/download_Papers/Arge_ Papers/Endbericht_Folgeauftrag.pdf.
12. Medical Tribune. Verwaltung der e-Gesundheitsdaten: Ärzte sollen Daten verwalten Medical Tribune (serial on the Internet). 2006; 47. Available from: http://www.medical-tribune.at/dynasite. cfm?dsmid=58936.
13. Medical Tribune. Wechsel im Gesundheitsministerium. Kaum im Amt, schon attackiert. Medical Tribune (serial on the Internet) 2007; (4). Available from: http://www.medical-tribune.at/dynasite. cfm?dssid=4170&dsmid=77523&dspaid=603767.
14. Kraßnitzer M. E-Health: Private Systeme statt teurer ELGA?. ärztemagazin (serial on the Internet) 2007; (19). Available from: http://www.medicaltribune. at/dynasite.cfm?dssid=4169&dsmid= 80467&dspaid=626659.
15. Hofmarcher M. Electronic Health Record: developments and debates. Health Policy Monitor (serial on the Internet) 2008 (cited 2010 06.02.2010). Available from: http://www.hpm.org/en/Surveys/ IHS_-_Austria/12/Electronic_Health_Record__ developments_and_debates.html.
16. Zimbardo PG. Psychologie. 5th ed. Hoppe-Graff SAK, Barbara, editor. Heidelberg: Springer; 1992.
17. Lorenzi NM, Riley RT. Managing change: an overview. J Am Med Inform Assoc 2000; 7 (2): 116-124.
18. Williams LS. Microchips versus stethoscopes: Calgary hospital, MDs face off over controversial computer system. CMAJ 1992; 147 (10): 1534-1540, 43-44, 47.
19. Heeks R. Health information systems: failure, success and improvisation. Int J Med Inform 2006; 75 (2): 125-137.
20. Ärztekammer für Wien. E-Health: Weniger Staat-Mehr Privat. (Press release). Wien: Ärztekammer Wien; 2007 (cited 2008 01.06). Pressekonferenz. Available from: http://www.aekwien.at/conf_p.py? Page=1&id_press=648&id_press_type=2.
21. Hoerbst A, Kohl CD, Knaup P, Ammenwerth E. Attitudes and behaviors related to the introduction of electronic health records among Austrian and German citizens. Int J Med Inform 2010; 79 (2): 81-89.
22. Corbin JM, Strauss AL. Basics of qualitative research: techniques and procedures for developing grounded theory. 3rd ed. Los Angeles: Sage Publ; 2008.
23. Witzel A. The problem-centered interview. Forum Qualitative Sozialforschung/Forum: Qualitative Social Research (serial on the Internet) 2000; (1 (1). Available from: http://nbn-resolving.de/urn: nbn:de:0114-fqs0001228
24. Bortz J, Döring N. Forschungsmethoden und Evaluation für Human-und Sozialwissenschaftler. Heidelberg: Springer; 2006.
25. Mayring P. Qualitative Content Analysis. Forum Qualitative Sozialforschung/Forum Qualitative Social Research (serial on the Internet) 2000; 1 (2). Available from: http://nbn-resolving.de/urn:nbn: de:0114-fqs0002204
26. ATLAS. ti GmbH. Atlas. ti-the knowledge workbench. 5.2 ed: ATLAS. ti Scientific Software Development GmbH; 2008.
27. Lewin K. Frontiers in group dynamics: Concept, Method and Reality in Social Science, Social Equilibria and Social Change. Human Relations 1947; 1 (1): 5-41.
28. Lorenzi NM, Riley RT, Blyth AJ, Southon G, Dixon BJ. Antecedents of the people and organizational aspects of medical informatics: review of the literature. J Am Med Inform Assoc 1997; 4 (2): 79-93.
29. EFMI Workgroup Assessment of Health Information Systems. Bad Health Informatics Can Kill. Hall in Tirol 2010(cited 2010 01.03.2010). Available from: http://iig.umit.at/efmi/badinformatics.htm.
30. Simon SR, Kaushal R, Cleary PD, Jenter CA, Volk LA, Poon EG, et al. Correlates of electronic health record adoption in office practices: a statewide survey. J Am Med Inform Assoc 2007; 14 (1): 110-117.
31. Stream GR. Trends in adoption of electronic health records by family physicians in Washington State. Inform Prim Care 2009; 17 (3): 145-152.
32. Tang PC, Ash JS, Bates DW, Overhage JM, Sands DZ. Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption. J Am Med Inform Assoc 2006; 13 (2): 121-126.
33. Lorenzi NM, Kouroubali A, Detmer DE, Bloomrosen M. How to successfully select and implement electronic health records (EHR) in small ambulatory practice settings. BMC Med Inform Decis Mak 2009; 9: 15.
34. Poissant L, Pereira J, Tamblyn R, Kawasumi Y. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. J Am Med Inform Assoc 2005; 12 (5): 505-516.
35. Leonard KJ. Critical Success Factors Relating to Healthcare's Adoption of New Technology: A Guide to Increasing the Likelihood of Successful Implementation. ElectronicHealthcare 2004; 2 (4): 72-81.