Eden Rebekah, Burton-Jones Andrew, Staib Andrew, Sullivan Clair
School of Information Systems, Science and Engineering Faculty, Queensland University of Technology, 2 George Street, Brisbane, Qld 4000, Australia; and Corresponding author. Email:
UQ Business School, The University of Queensland, Blair Drive, St Lucia, Qld 4072, Australia. Email:
Aust Health Rev. 2020 Sep;44(5):690-698. doi: 10.1071/AH19157.
Objective This study provides insights into the reported early impacts of the digital transformation of a large Australian hospital and healthcare service (HHS) by surveying staff perceptions of an integrated electronic medical record (ieMR). Methods The information systems success model was used as a tool to evaluate perceptions of system quality, information quality, individual benefits and expected organisational benefits of the ieMR soon after its introduction at the HHS. A questionnaire was distributed to staff in all five hospitals in the HHS immediately after implementation. Overall staff perceptions were examined, in addition to how perceptions differed by site and profession. Results Overall, staff held mildly positive early perceptions of system quality, information quality, individual benefits and expected organisational benefits. These views were largely consistent across sites. In terms of professions, allied health held more positive perceptions, followed by administrative and nursing professionals. Medical professionals held negative perceptions, but were neutral regarding their future expectations. Conclusion On average, staff viewed the ieMR mildly positively immediately after implementation (despite significant changes to work practices), but differences exist across professional groups. What is known about the topic? Hospitals globally are in the midst of a digital transformation. Yet, reported impacts are mixed and there have been few studies of the effects of comprehensive electronic medical record (EMR) implementations. What does this paper add? This paper evaluates a comprehensive EMR immediately after go-live. We found positive early perceptions of system quality, information quality, individual benefits and expected organisational benefits. We also found that perceptions of medical professionals were largely negative, but they were neutral in terms of their future expectations. What are the implications for practitioners? Health services may be unsure of the effect of implementing a comprehensive EMR because of conflicting reports in the literature, some touting major benefits, others stressing major costs. Our results paint a middle-ground picture immediately after implementation. Staff perceptions are mildly positive on average, which is reassuring given the results were obtained during the early disruptive period after implementation.
目的 本研究通过调查员工对集成电子病历（ieMR）的看法，深入了解澳大利亚一家大型医院及医疗服务机构（HHS）数字化转型所报告的早期影响。方法 信息系统成功模型被用作一种工具，以评估在HHS引入ieMR后不久，员工对系统质量、信息质量、个人收益和预期组织收益的看法。在实施后，立即向HHS所有五家医院的员工发放问卷。除了考察总体员工看法外，还研究了不同地点和职业的看法差异。结果 总体而言，员工对系统质量、信息质量、个人收益和预期组织收益的早期看法较为积极。这些观点在各地点基本一致。在职业方面，专职医疗人员的看法更为积极，其次是行政和护理专业人员。医学专业人员看法消极，但对未来期望持中立态度。结论 平均而言，员工在实施后立即对ieMR看法较为积极（尽管工作实践发生了重大变化），但不同专业群体存在差异。关于该主题已知的情况是什么？全球医院正处于数字化转型之中。然而，所报告的影响好坏参半，对全面电子病历（EMR）实施效果的研究很少。本文补充了什么？本文在上线后立即评估了一个全面的EMR。我们发现对系统质量、信息质量、个人收益和预期组织收益的早期看法积极。我们还发现医学专业人员的看法大多消极，但在未来期望方面持中立态度。对从业者有何启示？由于文献中有相互矛盾的报道，一些鼓吹重大收益，另一些强调重大成本，卫生服务机构可能不确定实施全面EMR的效果。我们的结果描绘了实施后不久的中间立场情况。员工看法平均较为积极，鉴于结果是在实施后的早期动荡期获得的，这令人安心。
