TY - JOUR
T1 - A case study of an EMR system at a large hospital in India
T2 - Challenges and strategies for successful adoption
AU - Scholl, Jeremiah
AU - Syed-Abdul, Shabbir
AU - Ahmed, Luai Awad
N1 - Funding Information:
The authors would like to thank everyone at SN for their cooperation and Per Hasvold for valuable input. This research is supported by the Research Council of Norway, Grant No. 176852/S10.
PY - 2011/12
Y1 - 2011/12
N2 - This paper presents an ethnographically inspired interpretive case study of the Electronic Medical Record (EMR) system at Sankara Nethralaya hospital in India. It presents challenges related to the adoption of the system and methods and strategies that were utilized in order to overcome these challenges and help the system be adopted successfully. One of the more notable challenges at the hospital was a user base that included skeptical users, those lacking computing skills, and that had a history of rejecting designs. Despite these barriers the hospital was able to adopt the EMR system successfully. Notable issues related to the success of the system include the design strategy that was eventually used, and critical technical and social features of the system intended to support skeptical users and those lacking IT skills. The study contributes to overall understanding of the environment at large hospitals in developing countries as it relates to the adoption of EMR systems, and helps inform on methods that can be used to improve the adoption of EMR systems in similar contexts in both developed and developing countries.
AB - This paper presents an ethnographically inspired interpretive case study of the Electronic Medical Record (EMR) system at Sankara Nethralaya hospital in India. It presents challenges related to the adoption of the system and methods and strategies that were utilized in order to overcome these challenges and help the system be adopted successfully. One of the more notable challenges at the hospital was a user base that included skeptical users, those lacking computing skills, and that had a history of rejecting designs. Despite these barriers the hospital was able to adopt the EMR system successfully. Notable issues related to the success of the system include the design strategy that was eventually used, and critical technical and social features of the system intended to support skeptical users and those lacking IT skills. The study contributes to overall understanding of the environment at large hospitals in developing countries as it relates to the adoption of EMR systems, and helps inform on methods that can be used to improve the adoption of EMR systems in similar contexts in both developed and developing countries.
KW - CSCW
KW - Developing countries
KW - Electronic Medical Records
KW - Ethnography
KW - ICT4D
KW - India
KW - Participatory design
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U2 - 10.1016/j.jbi.2011.07.008
DO - 10.1016/j.jbi.2011.07.008
M3 - Article
C2 - 21846508
AN - SCOPUS:84855931739
SN - 1532-0464
VL - 44
SP - 958
EP - 967
JO - Journal of Biomedical Informatics
JF - Journal of Biomedical Informatics
IS - 6
ER -