Beyond the boundaries of care: Electronic health records and the changing practices of healthcare

IF 5.7 2区管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Information and Organization Pub Date : 2023-09-01 DOI:10.1016/j.infoandorg.2023.100477

Sean Hansen , A. James Baroody

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Abstract

Healthcare systems across the globe are riding a wave of clinical health IT investment, centered on electronic health records (EHR) systems. Supported by governmental incentives, this build-out has positioned the healthcare system for a period of transformation as EHR functionality has become ingrained in the work routines of healthcare providers and other system participants. We report on a field study of healthcare participants in the United States to explore the influence of EHR use on the boundaries and practices of the field. Our grounded theory analysis reveals the interplay between the field practices of individual communities and the boundary spanning practices that unite them. Through the adoption of a practice perspective, we highlight the changes to both boundary spanning and field practices engendered by enterprise EHR use and propose the complementary mechanisms of reticulation and boundary molding by which those changes emerge. We conclude with a consideration of the positive and potentially negative consequences of EHR use for delivery of healthcare services.

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超越护理的界限:电子健康记录和不断变化的医疗保健实践

全球各地的医疗保健系统正在掀起以电子健康记录（EHR）系统为中心的临床健康IT投资浪潮。在政府激励措施的支持下，随着EHR功能在医疗保健提供者和其他系统参与者的日常工作中根深蒂固，这一构建为医疗保健系统定位了一段转型期。我们报告了一项针对美国医疗保健参与者的实地研究，以探讨EHR的使用对该领域边界和实践的影响。我们的基础理论分析揭示了各个社区的实地实践与将它们结合在一起的跨越边界的实践之间的相互作用。通过采用实践视角，我们强调了企业EHR使用对边界跨越和现场实践的变化，并提出了这些变化产生的网状和边界塑造的互补机制。最后，我们考虑了使用EHR提供医疗服务的积极和潜在负面后果。

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来源期刊

Information and Organization Multiple-

CiteScore

11.20

自引率

1.60%

发文量

期刊介绍： Advances in information and communication technologies are associated with a wide and increasing range of social consequences, which are experienced by individuals, work groups, organizations, interorganizational networks, and societies at large. Information technologies are implicated in all industries and in public as well as private enterprises. Understanding the relationships between information technologies and social organization is an increasingly important and urgent social and scholarly concern in many disciplinary fields.Information and Organization seeks to publish original scholarly articles on the relationships between information technologies and social organization. It seeks a scholarly understanding that is based on empirical research and relevant theory.

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