Medical Records

Master Thesis

‘’Health Information Technology in the Netherlands: Barriers to the adoption of Electronic Medical Records, a hospital approach’’

Baskouta Maria: 345885

Supervisor: Prof. dr. G. J. Van der Pijl

Second supervisor: MSc. Agapi- Thaleia Fytraki

Preface

The author declares that the text and work presented in this Master Thesis are original and that no sources other than those mentioned in the text and its references have been used in creating Master thesis.

The copyright of the Master Thesis rests with the author. The author is responsible for its content. Erasmus School of Economics is only responsible for the educational coaching and cannot be held liable for the content.

Abstract

This study explores the stage of adoption of information technology (IT) and especially the association among organizational factors, barriers for nationwide EMR(electronic medical records) adoption and facilitators of EHR (electronic health records) implementation in hospitals. Results suggest that most of hospitals here in the Netherlands have adopted a basic system. The most cited barriers in the hospitals with a higher level of adoption are: lack of financial incentives, lack of IT requirements, lack of technical support and lack of IT training. Results also show that hospitals’ IT adoption to be positively associated with hospital size and ownership.

Table of Contents

Chapter 1 6

1.1 Introduction 6

1.2 Research Problem and Motivation 6

1.3 Research Questions and Purpose 8

1.4 Method 8

Chapter 2 10

Introduction 10

2.1 The Dutch Healthcare system 10

2.1.1 Evolution of EHR in Dutch community 10

2.2 Terminology of Clinical Systems 13

2.2.1 Electronic Clinical Records (EMR VS EHR) 13

2.3 Components of an EMR—Overview 14

2.3.1 Administrative System 15

2.3.2 Laboratory System Components 15

2.3.4 Radiology System Components 15

2.3.5 Computerized Physician Order Entry 15

2.3.6 Clinical Documentation 15

2.4 Standards 16...