Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway and Health Informatics Centre, Karolinska Institutet, Stockholm, Sweden.
J Biomed Inform. 2011 Dec;44(6):958-67. doi: 10.1016/j.jbi.2011.07.008. Epub 2011 Aug 9.
This paper presents an ethnographically inspired interpretive case study of the Electronic Medical Record (EMR) system at Sankara Nethralaya hospital in India. It presents challenges related to the adoption of the system and methods and strategies that were utilized in order to overcome these challenges and help the system be adopted successfully. One of the more notable challenges at the hospital was a user base that included skeptical users, those lacking computing skills, and that had a history of rejecting designs. Despite these barriers the hospital was able to adopt the EMR system successfully. Notable issues related to the success of the system include the design strategy that was eventually used, and critical technical and social features of the system intended to support skeptical users and those lacking IT skills. The study contributes to overall understanding of the environment at large hospitals in developing countries as it relates to the adoption of EMR systems, and helps inform on methods that can be used to improve the adoption of EMR systems in similar contexts in both developed and developing countries.
本文对印度 Sankara Nethralaya 医院的电子病历 (EMR) 系统进行了基于民族志的解释性案例研究。它介绍了与系统采用相关的挑战，以及为了克服这些挑战并帮助系统成功采用而采用的方法和策略。该医院面临的一个更显著的挑战是用户群体包括持怀疑态度的用户、缺乏计算技能的用户，以及有拒绝设计历史的用户。尽管存在这些障碍，医院还是成功地采用了电子病历系统。与系统成功相关的显著问题包括最终采用的设计策略，以及旨在支持持怀疑态度的用户和缺乏 IT 技能的用户的系统的关键技术和社会特征。该研究有助于整体了解发展中国家大型医院的环境，因为它涉及到 EMR 系统的采用，并为在发达国家和发展中国家类似背景下改进 EMR 系统的采用方法提供了信息。
