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The Impact of End-user Support on Electronic Medical Record Success in Ontario Primary Care: A Critical Case Study

Although end-user support is an important aspect of EMR implementation, it is not known in
what ways it affects EMR success. To investigate this topic, a case study of end-user support for
an open-source EMR was conducted in an Ontario Family Health Organization using 7 semistructured
interviews based on the DeLone and McLean Model of Information System Success.
Second, documentation for an open-source and proprietary EMR was analyzed using Carroll’s
Minimalism as a theoretical framework. Finally, themes from this thesis were compared and
contrasted with a multiple case study that examined support for a commercial EMR in 4 Ontario
family health teams.
Main findings include the role of informal support, which was important for ensuring that data
are documented consistently, which in turn enabled information retrieval for providing better
preventive care services. Also, formal support was important for mitigating problems of system
quality, which had potential implications for patient safety.

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:OTU.1807/33645
Date28 November 2012
CreatorsDow, Rustam
ContributorsShachak, Aviv
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
Languageen_ca
Detected LanguageEnglish
TypeThesis

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