96 Chapter 6 Table 6 - Limitation of the IT-system - Illustrative quotes from participants Technical aspects of EMRs Quote category Quote Limitation of the IT- system the IT systems can reach their limit, become obsolete and will no longer be useful barrier “Actually, no added value, no decision support” (participant 5) “The hospital world can still learn a lot from, for example, the travel industry. It is madness that you can book a holiday in Thailand within an hour, but that scheduling an operation for a patient with a serious condition causes so many problems” (participant 2). About the use of analytic tools: “Executing the analysis was very time consuming. Analytics have to be carried out by an IT-specialist. This makes it a hopeless affair. These tools should be included in the EMR” (participant 9). facilitator “There is a little bit of decision support for medication (prescriptions)” (participant 5) Complexity EMR results in physicians having to allocate time and effort if they are to master complexity barrier “Reporting of transactions very complicated” (participant 1) facilitator none Reliability the dependability of the IT-system barrier “In case of failure of systems at polyclinic, nothing is available anymore” (participant 7) facilitator “Simple but works well. Very few malfunctions. Much better than paper” (participant 9) Other aspects of EMRs influencing the quality of care In table 7, other aspects of EMRs are summarized. These aspects are mentioned less often by the medical specialists but will also be important influencing factors. These observations are generally consistent with the findings published elsewhere 17,18. One thing that stands out is that medical specialists are sometimes missing the informal contacts of meetings with colleagues that were previously necessary due to the lack of a common digital file. Equally striking is that the aspect ‘financial’ is hardly mentioned. The latter contrasts with findings in other publications 16.
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