92 Chapter 6 Mensen, nor the University required ethics approval for the type of work conducted in this research. All participants orally and voluntarily agreed to participate in this study. They allowed us to use the data they provided, including quotes, under the condition of confidentiality. RESULTS Eleven hospitals (table 3) agreed to participate in this qualitative study. Three hospitals (one regional and two teaching hospitals) were unwilling or unable to participate. Each participating hospital nominated one medical specialist to be interviewed, representing 10 different specialties and between 5 to 27 years of experience in their current hospital. Six of them were (former) chair of medical staff. Table 3 – Summary participating hospitals and medical specialists Type hospital Number Number of specialists Participants (nr) Age Gender Number of years of experience in hospital UMC 2 732 - 1050 internist (1) anaesthetist (2) 43 -57 1 female 1 male 10 - 13 teaching hospital 4 240 - 377 rheumatologist (3) radiologist (4) internist (5) surgeon (6) 49 – 62 2 male 2 female 11 - 23 local hospital 5 70 - 187 paediatric neurologist (7) vascular surgeon (8) gynaecologist (9) cardiologist (10) pharmacist (11) 42 – 59 5 male 5 - 27 In total, participants made160 observations regarding aspects that influence the relation between the extent of EMR use and the quality of care, 122 observations were characterised as ‘barrier’ and 38 as ‘facilitator’. First, we will discuss the ‘technical aspects’ that are mentioned most often. Next, we will discuss the other aspects of EMRs that influence the quality of care. Not every aspect of the taxonomy was used because some aspects were not mentioned during the interviews. The aspect ‘Legal’, related to information safety, was not mentioned in any of the interviews with medical specialists. The aspect ‘organizational’ (type and size of the hospital) could not be addressed in the analysis because it was not part of the design of the study and out of scope of individual
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