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Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation.
Ozkaynak, Mustafa; Johnson, Sharon; Shimada, Stephanie; Petrakis, Beth Ann; Tulu, Bengisu; Archambeault, Cliona; Fix, Gemmae; Schwartz, Erin; Woods, Susan.
Afiliação
  • Ozkaynak M; University of Colorado, Aurora, CO.
  • Johnson S; Worcester Polytechnic Institute, Worcester, MA.
  • Shimada S; Center for Healthcare Organization and Implementation Research (CHOIR), Bedford, MA.
  • Petrakis BA; Center for Healthcare Organization and Implementation Research (CHOIR), Bedford, MA.
  • Tulu B; Worcester Polytechnic Institute, Worcester, MA.
  • Archambeault C; New England Veterans Engineering Resource Center, Boston, MA.
  • Fix G; Center for Healthcare Organization and Implementation Research (CHOIR), Bedford, MA.
  • Schwartz E; Portland VA Medical Center, Portland, OR.
  • Woods S; Portland VA Medical Center, Portland, OR.
AMIA Annu Symp Proc ; 2014: 954-62, 2014.
Article em En | MEDLINE | ID: mdl-25954403
Secure messaging (SM) allows patients to communicate with their providers for non-urgent health issues. Like other health information technologies, the design and implementation of SM should account for workflow to avoid suboptimal outcomes. SM may present unique workflow challenges because patients add a layer of complexity, as they are also direct users of the system. This study explores SM implementation at two Veterans Health Administration facilities. We interviewed twenty-nine members of eight primary care teams using semi-structured interviews. Questions addressed staff opinions about the integration of SM with daily practice, and team members' attitudes and experiences with SM. We describe the clinical workflow for SM, examining complexity and variability. We identified eight workflow issues directly related to efficiency and patient satisfaction, based on an exploration of the technology fit with multilevel factors. These findings inform organizational interventions that will accommodate SM implementation and lead to more patient-centered care.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Segurança Computacional / Correio Eletrônico / Registros Eletrônicos de Saúde / Fluxo de Trabalho Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: AMIA Annu Symp Proc Assunto da revista: INFORMATICA MEDICA Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Segurança Computacional / Correio Eletrônico / Registros Eletrônicos de Saúde / Fluxo de Trabalho Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: AMIA Annu Symp Proc Assunto da revista: INFORMATICA MEDICA Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos