I'm in the late stages of writing up a PhD on this topic (nursing documentation in a community setting). The major problems are:
1. EHR technology is sold to managers, not clinicians.
2. The leadership of introducing the EHR is fragmented and highly dependent on local conditions such that success in one location does not guarantee success in another location. Likewise with failure.
3. Researchers have a tendency to treat evaluation of health technology as epistemologically equivalent to evaluation of pharmaceutical technology even though a cursory examination of the logic underpinning this assumption clearly demonstrates that this is not the case.
(point 3 makes my job very difficult and political. Fortunately this work[1] and the very few others like it, generally from the same research group lends my work instant legitimacy. Without it, getting my thesis through the committie would I fear be impossible).
Hi mate,
I am a Doctor in the startup space for eHR in Australia. I would love the opportunity to further discuss what you have found during your thesis.
If you have any interest at reaching out, my contact details are in my profile.
Cheers,
Rob
my other problem is that I've turned into a moderately successful software developer and the phd is no longer necessary for my career. along with the politics, that creates big motivations problems for me ;)
Comments
I'm in the late stages of writing up a PhD on this topic (nursing documentation in a community setting). The major problems are:
1. EHR technology is sold to managers, not clinicians.
2. The leadership of introducing the EHR is fragmented and highly dependent on local conditions such that success in one location does not guarantee success in another location. Likewise with failure.
3. Researchers have a tendency to treat evaluation of health technology as epistemologically equivalent to evaluation of pharmaceutical technology even though a cursory examination of the logic underpinning this assumption clearly demonstrates that this is not the case.
(point 3 makes my job very difficult and political. Fortunately this work[1] and the very few others like it, generally from the same research group lends my work instant legitimacy. Without it, getting my thesis through the committie would I fear be impossible).
[1] http://www.ncbi.nlm.nih.gov/pubmed/22188347
Hi mate, I am a Doctor in the startup space for eHR in Australia. I would love the opportunity to further discuss what you have found during your thesis. If you have any interest at reaching out, my contact details are in my profile. Cheers, Rob
singingfish well outlined! would like to see more of the thesis. good luck!
my other problem is that I've turned into a moderately successful software developer and the phd is no longer necessary for my career. along with the politics, that creates big motivations problems for me ;)