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Electronic Health Records: Cure-all or Chronic Condition?

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  • Chris Kimble

    (Euromed Marseille - École de management - Association Euromed Management - Marseille, MRM - Montpellier Research in Management - UM1 - Université Montpellier 1 - UPVM - Université Paul-Valéry - Montpellier 3 - UM2 - Université Montpellier 2 - Sciences et Techniques - UPVD - Université de Perpignan Via Domitia - Groupe Sup de Co Montpellier (GSCM) - Montpellier Business School)

Abstract

Computer-based information systems feature in almost every aspect of our lives, and yet most of us receive handwritten prescriptions when we visit our doctors and rely on paper-based medical records in our healthcare. Although electronic health record (EHR) systems have long been promoted as a cost-effective and efficient alternative to this situation, clear-cut evidence of their success has not been forthcoming. An examination of some of the underlying problems that prevent EHR systems from delivering the benefits that their proponents tout identifies four broad objectives - reducing cost, reducing errors, improving coordination and improving adherence to standards - and shows that they are not always met. The three possible causes for this failure to deliver involve problems with the codification of knowledge, group and tacit knowledge, and coordination and communication. There is, however, reason to be optimistic that EHR systems can fulfil a healthy part, if not all, of their potential.

Suggested Citation

  • Chris Kimble, 2014. "Electronic Health Records: Cure-all or Chronic Condition?," Post-Print hal-00985175, HAL.
    • Handle: RePEc:hal:journl:hal-00985175
    DOI: 10.1002/joe.21554
    Note: View the original document on HAL open archive server: https://hal.science/hal-00985175v1
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    References listed on IDEAS

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    1. Richard J. Boland & Ramkrishnan V. Tenkasi, 1995. "Perspective Making and Perspective Taking in Communities of Knowing," Organization Science, INFORMS, vol. 6(4), pages 350-372, August.
    2. Paul Hildreth & Chris Kimble, 2002. "The Duality of Knowledge," Post-Print halshs-00492437, HAL.
    3. Chris Kimble, 2013. "Knowledge management, codification and tacit knowledge," Post-Print halshs-00826911, HAL.
    4. Chris Kimble, 2010. "Building effective virtual teams: How to overcome the problems of trust and identity in virtual teams," Post-Print halshs-00550219, HAL.
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    6. Chris Kimble, 2013. "What Cost Knowledge Management? The Example of Infosys," Post-Print halshs-00826906, HAL.
    7. Saario, Sirpa & Hall, Christopher & Peckover, Sue, 2012. "Inter-professional electronic documents and child health: A study of persisting non-electronic communication in the use of electronic documents," Social Science & Medicine, Elsevier, vol. 75(12), pages 2207-2214.
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    Cited by:

    1. Chris Kimble, 2015. "Business Models for E-Health: Evidence From Ten Case Studies," Post-Print halshs-01159742, HAL.

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    More about this item

    Keywords

    EHR; Electronic Health Records; Electronic Medical Records; Electronic Patient Records; Healthcare; Information Systems; Knowledge Management;
    All these keywords.

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