97 Medical Specialists’ Perspectives on the Influence of Electronic Medical Record Use Table 7 - Other aspects of EMRs - Illustrative quotes from participants Other aspects of EMRs Quote category Quote Computer skills of the physician and/or staff technical knowledge and skills to deal with EMR barrier “Doctors are not IT-savvy. Example: radiologist who wants to look at photos at home but uses a home PC that has not been updated and therefore does not work properly” (participant 8) facilitator none Training and support training and support associated with the EMR systems barrier “The systemmay not be used properly by medical specialist ▪ Too little knowledge of the system ▪ Possibilities not known ▪ Defensive Medicine: hedge behaviour” (participant 4) facilitator none Psychological personal issues, knowledge, and perceptions barrier “Check lists: system steers behaviour. Against check lists: action is carried out anyway because I have prescribed it. Medication verification is standard procedure, so why check? “ (participant 5) “There is a contrast between old and young specialists: I think the older ones accept a limited systemmore easily, their demands are less high” (participant 7) facilitator “Enforces a certain treatment and that is positive” (participant 10) Social The relation with the patient and fellow care providers, but also with suppliers, insurers, and politicians. barrier “Medical specialists clearly have ideas about each other. A lot of contradictions. Hard to get on the same page” (participant 2) “Back in the day, photos sometimes disappeared (dangerous), but medical specialists came to radiology because there was only one photo, this meant people knew each other, radiology was the centre, people walked in, it used to run more smoothly, now there is multidisciplinary consultation, but people don’t know each other anymore”. (participant 4) facilitator “Member of medical staff (gynecologist) mans a so-called “wailing wall.” (participant 8) 6
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