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Essay / Research Paper Abstract
This 11 page paper considers how electronic health records have been used and the lack of a single national system or model in the UK National Health Service. The paper considers how systems have been implemented, the factors for success or failure and the lessons that can be gained form the pilot projects in the UK, such as those at Hillingdon and Bradford. The bibliography cites 22 sources.
Page Count:
11 pages (~225 words per page)
File: TS14_TEehrimp.rtf
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Unformatted sample text from the term paper:
and success of electronic health records has been mixed, with lessons learnt from pilot areas such as Hillingdon and Bradford, where successes and challenges have been identified. The complexity of
implementing HER is a reflection of the many uses and users which the model will have to satisfy. It has been noted by several commentators that the complete of internal
structures, the division of labour within healthcare and the diverse agendas all create complexity in implementing HER projects (Atkinson, 1995, Blume, 1991, Reiser, 1984). When implementing the systems the
existing information may be held in a number of legacy systems that have evolved and developed autonomously over many years. The assumption that surrounds these system is that they will
remain in place and be integrated within the new systems (Ellingsen, 2002). This is despite the fact many of these systems may hold redundant information and the system was designed
to serve a divergent function (Ellingsen, 2002). If the implementation of the systems only depended on the actual technical aspect of the systems, which was an idea postulated by Pressman
(1993) and Coad and Yourdon (1991), then the interaction of the staff and users would be a mute point. However, as indicated by Actor Network Theory (ANT), therefore, it becomes
not only the technical issue of using and discarding information as well as integrating legacy systems, but more importantly the need to understand and allow for the personal interaction between
the users and the systems so that they can work in harmony (Atkinson, 1995, Blume, 1991, Reiser, 1984). The problems that are emerging in the NHS model, such
as failure to meet targets on time and functionality, are not isolated. In Norway the Medakis project was scheduled to be completed by 2000. This has not occurred the project
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