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An ethnographic study of electronic ...

University of California, San Francisco., Sociology.

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An ethnographic study of electronic health record (EHR) use in solo/small group primary care practices in the United States.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	An ethnographic study of electronic health record (EHR) use in solo/small group primary care practices in the United States./
作者:	Brown, Tiffany Noelle Martin.
面頁冊數:	488 p.
附註:	Adviser: Carroll L. Estes.
Contained By:	Dissertation Abstracts International68-11A.
標題:	Health Sciences, Health Care Management. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3288930
ISBN:	9780549320906

An ethnographic study of electronic health record (EHR) use in solo/small group primary care practices in the United States.
Brown, Tiffany Noelle Martin.

An ethnographic study of electronic health record (EHR) use in solo/small group primary care practices in the United States. - 488 p.

Adviser: Carroll L. Estes.

Thesis (Ph.D.)--University of California, San Francisco, 2007.

Electronic health records (EHRs) are described as one strategy to: (1) improve health care quality; (2) prevent medical errors; (3) reduce health care costs; (4) increase administrative efficiencies; (5) decrease paperwork; (6) expand access to affordable care; and (7) bring public health benefits through tracking and early detection of disease (Health and Human Services, n.d.). This dissertation uses sociological inquiry to address most of these perceived benefits.

ISBN: 9780549320906Subjects--Topical Terms:

1017922
Health Sciences, Health Care Management.

An ethnographic study of electronic health record (EHR) use in solo/small group primary care practices in the United States.
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245 1 3 $a An ethnographic study of electronic health record (EHR) use in solo/small group primary care practices in the United States.
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500 $a Adviser: Carroll L. Estes.
500 $a Source: Dissertation Abstracts International, Volume: 68-11, Section: A, page: 4880.
502 $a Thesis (Ph.D.)--University of California, San Francisco, 2007.
520 $a Electronic health records (EHRs) are described as one strategy to: (1) improve health care quality; (2) prevent medical errors; (3) reduce health care costs; (4) increase administrative efficiencies; (5) decrease paperwork; (6) expand access to affordable care; and (7) bring public health benefits through tracking and early detection of disease (Health and Human Services, n.d.). This dissertation uses sociological inquiry to address most of these perceived benefits.
520 $a Objective. To better understand the impact EHRs have on the structures, institutions, and practice of primary care as it relates to cost, quality of care, workflow, time, and provider-patient interactions using a grounded approach from both theoretical and practical standpoints. The human factor of this nonhuman technology is explored as is relates to the practice of health care, specifically as it relates to cost and quality and efficiency.
520 $a Research Methods. Ethnographic analysis of 11 Case studies of early-adopter solo and small group primary care practices using an EHR (including ethnographic observations, semi-structured interviews, surveys, and review of practice financial and productivity records) funded by the Commonwealth Foundation and unfunded 5 supplemental in-depth interviews of primary care providers using an EHR in various practice settings.
520 $a Findings. The macro-level findings are, when using an EHR: (1) the biomedical paradigm is reproduced and formalized; (2) provider power and autonomy are reproduced and formalized; and (3) the reimbursement structure is exploited. The mezzo-level findings are, when using an EHR: (1) health care providers' work remains relatively unchanged in type and content; (2) how the EHR is used is more important than that it is used; (3) all members of a practice are critical in the use of the EHR; (4) the EHR is used primarily for profit; (5) the EHR is secondarily used for efficiency; (6) quality-oriented features are often unused. The micro-level findings are, when using an EHR: (1) using the computer during an encounter strains interaction with patients; (2) management of information is the basic use of the EHR; (3) workflow patterns change; and (4) there are increased stages of the medical encounter. Policy implications are discussed.
590 $a School code: 0034.
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650 4 $a Information Science. $3 1017528
650 4 $a Sociology, Organizational. $3 1018023
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710 2 $a University of California, San Francisco. $b Sociology. $3 1029451
773 0 $t Dissertation Abstracts International $g 68-11A.
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790 1 0 $a Estes, Carroll L., $e advisor
790 1 0 $a Fineman, Norman $e committee member
790 1 0 $a Miller, Robert H. $e committee member
791 $a Ph.D.
792 $a 2007
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3288930