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Electronic Patient Records Practices by Flemish Pharmacists: A Sociotechnical Analysis

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Abstract:

In this paper, we will discuss current work practices regarding electronic patient records (EPR) by pharmacists in Flanders (region of Belgium) and explore the shaping of future practices. By combining qualitative (semi-structured interviews, N=10) and quantitative (telephonic survey, N=199) methods and considering micro and macro-level aspects, we aimed to provide specific insights for a professional group often overlooked in the growing body of EPR literature. Pharmacists hold a key position in the Flemish healthcare ecosystem, being the fifth largest group of medical professionals (RIZIV, 2008) and uniquely combining economic (retail) and medical (advisory) activities. For this paper, we studied various aspects influencing EPR adoption, such as daily work practices and processes, use of information and communication technology (ICT) and patient data management practices by pharmacists. Employing a sociotechnical approach, we looked beyond this micro-level of pharmacists' daily activities and also focused on contextual aspects by involving all relevant stakeholders that influence the pharmacists' daily activities (professional organizations, wholesalers and software developers). Starting from current practices and contextual aspects, we aimed to generate insights in pharmacists' possible future EPR practices. Results show how Flemish pharmacists currently use ICT intensively in their activities. Their current EPR efforts are highly fragmented, being largely local with little data exchange with other pharmacies and medical professionals, and incomplete registration of over-the-counter products in their EPRs. There appears to be a strong demand for more information on patients for further developing the pharmacist's advisory function, but this data has to be specific, structured and summarized.
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Name: 4S Annual Meeting - Abstract and Session Submissions
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http://www.4sonline.org


Citation:
URL: http://citation.allacademic.com/meta/p518091_index.html
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MLA Citation:

Naessens, Kris. and Jacobs, An. "Electronic Patient Records Practices by Flemish Pharmacists: A Sociotechnical Analysis" Paper presented at the annual meeting of the 4S Annual Meeting - Abstract and Session Submissions, Crowne Plaza Cleveland City Center Hotel, Cleveland, OH, Nov 02, 2011 <Not Available>. 2014-11-25 <http://citation.allacademic.com/meta/p518091_index.html>

APA Citation:

Naessens, K. and Jacobs, A. , 2011-11-02 "Electronic Patient Records Practices by Flemish Pharmacists: A Sociotechnical Analysis" Paper presented at the annual meeting of the 4S Annual Meeting - Abstract and Session Submissions, Crowne Plaza Cleveland City Center Hotel, Cleveland, OH <Not Available>. 2014-11-25 from http://citation.allacademic.com/meta/p518091_index.html

Publication Type: Paper Abstract
Review Method: Peer Reviewed
Abstract: In this paper, we will discuss current work practices regarding electronic patient records (EPR) by pharmacists in Flanders (region of Belgium) and explore the shaping of future practices. By combining qualitative (semi-structured interviews, N=10) and quantitative (telephonic survey, N=199) methods and considering micro and macro-level aspects, we aimed to provide specific insights for a professional group often overlooked in the growing body of EPR literature. Pharmacists hold a key position in the Flemish healthcare ecosystem, being the fifth largest group of medical professionals (RIZIV, 2008) and uniquely combining economic (retail) and medical (advisory) activities. For this paper, we studied various aspects influencing EPR adoption, such as daily work practices and processes, use of information and communication technology (ICT) and patient data management practices by pharmacists. Employing a sociotechnical approach, we looked beyond this micro-level of pharmacists' daily activities and also focused on contextual aspects by involving all relevant stakeholders that influence the pharmacists' daily activities (professional organizations, wholesalers and software developers). Starting from current practices and contextual aspects, we aimed to generate insights in pharmacists' possible future EPR practices. Results show how Flemish pharmacists currently use ICT intensively in their activities. Their current EPR efforts are highly fragmented, being largely local with little data exchange with other pharmacies and medical professionals, and incomplete registration of over-the-counter products in their EPRs. There appears to be a strong demand for more information on patients for further developing the pharmacist's advisory function, but this data has to be specific, structured and summarized.


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Practical and Theoretical Implications of Using Speech Act Theory to Explore an Electronic Health Record Implementation in a Medical Office


 
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