Health Information Technology Systems Profoundly Impact Users: A Case Study in a Dental School

Journal of dental education

Heather K. Hill¹  Joan S. Ash¹  Denice C.L. Stewart¹ 

[1] Oregon Health & Science University

关键词: attitude of health personnel;    attitude to computers;    computers;    dentists;    dental informatics;    dentistry;    dental education;    ethnographic studies;    information systems;    dental schools;   

DOI  :  

学科分类：口腔科学

来源: American Dental Education Association

【 摘 要 】

The purpose of this study was to increase our understanding of the impact of Health Information Technology Systems (HITS) on dental school users when the systems are integrated into chair-side patient care. We used qualitative research methods, including interviews, focus groups, and observations, to capture the experiences of HITS users at a single institution. Users included administrators, clinical faculty members, predoctoral students, support staff, and residents. The data were analyzed using a grounded theory approach, and nine themes emerged: 1) HITS benefits were disproportionate among users; 2) communicating about the HITS was challenging; 3) users experienced a range of strong emotions; 4) the instructor persona diminished; 5) there were shifts in the school’s power structure; 6) allocation of end-users’ time shifted; 7) the training and support needs of end-users were significant; 8) perceived lack of HITS usability made documentation cumbersome for clinicians; and 9) clinicians’ workflow was disrupted. HITS integration into patient care impacts the work of all system users, especially end-users. The themes highlight areas of potential concern for implementers and users in integrating a HITS into patient care.

【 授权许可】

Unknown