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This is exactly where the problem usually starts.
There are a number of reports published which revealed that even the physicians are not so keen into attending more seminars and trainings to learn the new systems (Ball, 1992). Physicians are expectedly always busy. They sometimes work from hospital to hospital. They are always on call hence they really find it hard to squeeze in their thigh schedule the time for further training and semi-are regarding the system. At some point in time, physicians will also worry about their income that will be affected if they will get a time off just to attend the training.
In the same manner, most of the administrators, who will manage the new systems for the hospitals, also show signs of hesitance regarding the training. It must be noted that the being considered as a 'wired hospital' the institution must have uniform data standards (Aspden et al. 2003). Such standards are hard to maintain. It requires expertise and patience among the facilitators. It requires good communication within the administrators, the patients and the physicians and nurses. This are the very reason why the facilitators need to adapt themselves with the system, hence it will not work properly.
On Hospitals' Finance Performance
Medical efficacy, patient safety and trust have been put to good use since information technology penetrated most of the hospitals. However, hospitals who have adopted the information technology systems do not benefit fully when it comes to financial outcomes.
Upgrading the system or utilizing information technology as part of the hospital procedures requires good sum of money. Needless to say, the management needs to have high investment costs of information technology and this is the biggest barrier preventing good financial outcome of the hospital (Blair and Hilts 2003; Erstad 2003; Johnson 2001).
Installing the new systems and training all the possible users plus providing all the gadgets and maintaining them are just part of being 'wired' and considered as a highly-technological hospital. But these all require money and investment. Despite the high investment cost, most 'wired' hospitals do not achieve good return on investment. It has always been a problem that the money consumed in being a 'wired' hospital is always greater than what the hospital has been actually earning.
Being tagged as "100's Most Wired Hospital" has its ups and downs. When it comes to maintaining quality patient care and establishing a good name of the hospital as an institution, unquestionable, maintaining an integrated it system is the best course of action. However, when it comes to financial aspects and compliance among the intended users, the hospital itself could be facing a tremendous setback. But in the end, what matters most is how the hospital lived up to its goal of taking care of the sick.
Aspden, P., J.M. Corrigan, J. Wolcott, and S.M. Erickson. 2003. Patient Safety: Achieving a New Standard for Care. Washington, DC: National Academies Press.
Ball, M. 1992. "Computer-Based Patient Records: The Push Gains Momentum." Health Informatics 9 (1): 36-38.
Bates, D.W., J.M. Teich, J. Lee, D. Seger, G.J. Kuperman, N. Ma'Luf, D. Boyle, and L. Leape. 1999. "The Impact of Computerized Physician Order Entry on Medication Error Prevention." Journal of the American Medical Informatics Association 6 (4): 313-21.
Benefits of it to Medical Profession http://www.cica.org.uk/bre-cica_survey/ranking_of_it_benefits.htm. September 25, 2006
Blair, R., and M. Hilts. 2003. "At the Crossroads of Change and Constancy." Health Management Technology [Online information; retrieved 11/21/05.] www.healthmgttech.com.
Erstad, T.L. 2003. "Analyzing Computer-Based Patient Records: A Review of Literature." Journal of Healthcare Information Management 17 (4): 51-57.
Informaition technology. http://www.atis.org/tg2k/_information_technology.html. September 25, 2006
Johnson, K. 2001. "Barriers that Impede the Adoption of Pediatric Information Technology." Archives of Pediatrics & Adolescent Medicine 155 (12): 1374-79.
Medical Errors. http://www.ahrq.gov/qual/errback.htm. September 25, 2006[continue]
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