Introducing Patient Cards in Clinical Routine: Evaluation of Two Research Projects

C. Birkmann; H. Demski; R. Engelbrecht

doi:10.1055/s-0038-1634040

Methods of Information in Medicine, Table of Contents

Methods Inf Med 2006; 45(01): 73-78
DOI: 10.1055/s-0038-1634040

Original Article

Schattauer GmbH

Introducing Patient Cards in Clinical Routine: Evaluation of Two Research Projects

C. Birkmann

¹Institute for Medical Informatics, GSF – National Research Center for Environment and Health, Germany

,

H. Demski

¹Institute for Medical Informatics, GSF – National Research Center for Environment and Health, Germany

,

R. Engelbrecht

¹Institute for Medical Informatics, GSF – National Research Center for Environment and Health, Germany

› Author Affiliations

Abstract

Summary

Objective: Two research projects were analyzed in order to identify key factors of success and/or failure in introducing patient card-based systems in clinical routine.

Methods: In DIABCARD an evaluation study focussing on user friendliness and user acceptance was conducted. In ByMedCard-HCPP the project’s system was validated and the timeliness of the project’s work analyzed.

Results: User friendliness and user acceptance of the DIABCARD system were fairly high. The ByMedCard-HCPP system was complete in its major components and functionalities; introducing the ByMedCard-HCPP system in clinical routine delayed the project.

Conclusions: A multitude of key factors of success such as utilized technologies, user involvement, and commitment of partners seems to contribute to the success and/or failure of introducing patient card-based systems in healthcare.

Keywords

Patient data card - health professional card - electronic health record - success factors - Internet

Full Text

References

References
1 Engelbrecht R. et al. A chip card for patients with diabetes. Comput Methods Programs Biomed 1994; 45: 33-5.
2 Engelbrecht R. et al. Patient card issues. In: Waegemann P. TEPR – Toward an Electronic Patient Record ’99 Proceedings. Newton, MA:: Medical Records Institute; 1999. 1 688-95.
3 Birkmann C. et al. Klinikarbeitsplatz mit Chipkarte für die Behandlung chronisch Kranker. In: Schweizer B, Großmann C, Meule M, Gaus W. 8. DVMD-Tagung Proceedings. Ulm:: Universitätsverlag; 2004: 133-6.
4 Birkmann C. et al. ByMedCard-HCPP: Elektronischer Arztbrief – Generierung und Kommunikation. In: Jäckel A. Telemedizinführer 2005. Bad Nauheim:: Medizin Forum AG; 2004: 190-6.
5 Dick RS, Steen EB. The computer based patient record. Washington D.C.: National Academy Press; 1991
6 The joint pilot project “HCP-Protocol” for BayNet. URL: http://www.hcp-protokoll.de (04.03.2005).
7 Gulube SM, Wynchank S. Telemedicine in South Africa: success or failure?. J Telemed Telecare 2001; 2: 47-9.
8 Southon G. et al. Lessons from a failed information systems initiative: issues for complex organisations. Int J Med Inform 1999; 55: 33-46.
9 Ammenwerth E. et al. Einflußfaktoren auf die Akzeptanz und Adoption eines Pflegedokumentationssystems. PIK Studie 2002. UMIT-Schriftenreihe – Publication Series Nr. 1 2004. URL:. http://www.elske-ammenwerth.de/Publikationen/r14.pdf (04.03.2005).
10 Lechleitner G. et al. Cerner Millenium: the Innsbruck experience. Methods Inf Med 2003; 42 (01) 8-15.
11 Burkes M. Identifying and relating nurses’ attitudes toward computer use. Comput Nurs 1991; 9 (05) 190-201.