Darr Asaf, Harrison Michael I, Shakked Leora, Shalom Nira
Department of Sociology and Anthropology, Haifa University, Haifa, Israel.
J Health Organ Manag. 2003;17(5):349-59. doi: 10.1108/14777260310505129.
Aims to understand the managerial implications of the perceptions hospital physicians and nurses hold toward the introduction of electronic medical records (EMRS). In-depth interviews were used with 18 hospital physicians and eight nurses from several different hospital wards at a large government-run, university-affiliated hospital in Israel, where EMRs were gradually introduced over the last 20 years. Physicians identified six different domains of impact. Senior physicians, most of whom held managerial roles, tended to emphasise managerial outcomes and to view these as positively affecting their organisations. Junior doctors emphasised mostly negative occupational effects of the EMR on their work--including limits to professional autonomy, heavier administrative burdens, and reinforcement of existing professional hierarchies. Nurses identified different domains and saw benefits for quality and administration of patient care.
旨在了解医院医生和护士对引入电子病历（EMR）的看法所产生的管理影响。对以色列一家大型政府运营、大学附属医院的18名医院医生和8名护士进行了深入访谈，这些医生和护士来自几个不同的医院病房，在过去20年里该医院逐步引入了电子病历。医生们确定了六个不同的影响领域。大多数担任管理职务的资深医生倾向于强调管理成果，并认为这些成果对他们的组织有积极影响。初级医生主要强调电子病历对他们工作的负面职业影响——包括职业自主权的限制、更重的行政负担以及现有职业等级制度的强化。护士们确定了不同的领域，并认为对患者护理的质量和管理有好处。
