Linking macro-level goals to micro-level routines: EHR-enabled transformation of primary care services

Name: Linking macro-level goals to micro-level routines: EHR-enabled transformation of primary care services
Author: Fındıkoğlu, Melike Nur, Watson-Manheim, M. B.

İsim	Linking macro-level goals to micro-level routines: EHR-enabled transformation of primary care services
Yazar	Fındıkoğlu, Melike Nur, Watson-Manheim, M. B.
Basım Tarihi:	2016-12-01
Basım Yeri	- Springer
Konu	Affordances, Developing countries, Electronic health records, ICT-enabled healthcare transformation, ICT4D, Primary care
Tür	Süreli Yayın
Dil	İngilizce
Dijital	Evet
Yazma	Hayır
Kütüphane:	Özyeğin Üniversitesi
Demirbaş Numarası	0268-3962
Kayıt Numarası	8de1e290-9703-4644-85b9-ce99d77d9a8c
Lokasyon	Management Information Systems
Tarih	2016-12-01
Örnek Metin	Information and communication technologies are known to be instrumental in the enhancement of healthcare management capabilities in developing countries. Turkey a developing country has undergone a major healthcare transformation marked by the redesign of primary care delivery and the implementation of a nation-wide Electronic Health Records (EHR) system. In this research, presenting Turkey's case, we investigate the consequences of EHR implementation in developing countries. We argue that to better understand the consequences, we need to link macro-level healthcare goals with micro-level system usage behaviors that actualize the macro-level goals or alternatively result in unintended negative health outcomes. We posit that this linkage is achieved through the meso-level structures, namely the EHR and the organizational context, in which it is embedded. Hence, we examine the EHR's role in this relationship. Our findings indicate that EHR usage both enables and constrains the achievement of clinicians' professional goals in the context of primary care delivery. Moreover, goal alignment between the government agency as the designer of the system and the clinicians influence the outcomes of the EHR-enabled transformation. When the healthcare goals are aligned, the system enables the clinicians to achieve their professional goals and their system usage behaviors converge, contributing to improvements in health outcomes. Contrarily, when the goals are misaligned, the system constrains goal achievement and the clinicians show divergent usage behaviors, including goal abandonment. In turn, goal abandonment may lead to negative consequences and even adversely affect the achievement of population-level healthcare goals in the long run.
DOI	10.1057/s41265-016-0023-5
Cilt	31

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Linking macro-level goals to micro-level routines: EHR-enabled transformation of primary care services

Yazar Fındıkoğlu, Melike Nur, Watson-Manheim, M. B.

Basım Tarihi 2016-12-01

Basım Yeri - Springer

Konu Affordances, Developing countries, Electronic health records, ICT-enabled healthcare transformation, ICT4D, Primary care

Tür Süreli Yayın

Dil İngilizce

Dijital Evet

Yazma Hayır

Kütüphane Özyeğin Üniversitesi

Demirbaş Numarası 0268-3962

Kayıt Numarası 8de1e290-9703-4644-85b9-ce99d77d9a8c

Lokasyon Management Information Systems

Tarih 2016-12-01

Örnek Metin Information and communication technologies are known to be instrumental in the enhancement of healthcare management capabilities in developing countries. Turkey a developing country has undergone a major healthcare transformation marked by the redesign of primary care delivery and the implementation of a nation-wide Electronic Health Records (EHR) system. In this research, presenting Turkey's case, we investigate the consequences of EHR implementation in developing countries. We argue that to better understand the consequences, we need to link macro-level healthcare goals with micro-level system usage behaviors that actualize the macro-level goals or alternatively result in unintended negative health outcomes. We posit that this linkage is achieved through the meso-level structures, namely the EHR and the organizational context, in which it is embedded. Hence, we examine the EHR's role in this relationship. Our findings indicate that EHR usage both enables and constrains the achievement of clinicians' professional goals in the context of primary care delivery. Moreover, goal alignment between the government agency as the designer of the system and the clinicians influence the outcomes of the EHR-enabled transformation. When the healthcare goals are aligned, the system enables the clinicians to achieve their professional goals and their system usage behaviors converge, contributing to improvements in health outcomes. Contrarily, when the goals are misaligned, the system constrains goal achievement and the clinicians show divergent usage behaviors, including goal abandonment. In turn, goal abandonment may lead to negative consequences and even adversely affect the achievement of population-level healthcare goals in the long run.

DOI 10.1057/s41265-016-0023-5

Cilt 31