- Published: November 14, 2022
- Updated: November 14, 2022
- University / College: University of Pennsylvania
- Language: English
- Downloads: 19
The onset of the implementation of Electronic Health Records has had an effect on the professional and physical autonomy of highly trained professional physicians specifically in the healthcare organizations. Electronic Health Records trigger a certain take by HC professionals contributing to observable changes in Healthcare Organizations following a response from the HC professionals. Their response reflects the data collected from the physicians through interviews. The topic raises a controversy to whether the effects are more constraining due to the managers using the Electronic Health Records to exercise more control (McGimpsey, 2011). Some of the many positive effects that come with the implementation of the Electronic Health Records include cost, quality and access objectives, and literature reports bring out chances of Electronic Health Records interfering with the professional autonomy by reducing physicians’ potential as they enable more control over their decision making about the care they deliver and how they deliver it. It has also standardized workflow in the organizations leading to a reduction in the healthcare professional’s ability to decide how they perform various work tasks. This has thus affected individuals’ autonomy.
The need to investigation on the effects of Electronic Health Records on healthcare physicians both on their individual autonomy and their professional autonomy arises and data is collected from individual employees in the context of a Healthcare Organizations. At the same time, it calls for the need by the Healthcare Organizations to investigate the best way in which to fit Electronic Health Records and to what extent to face the threat arising from the literature. The investigation is best handled by focusing on what aspect of autonomy the HC professionals’ value, the effect of the first stage of implementation of Electronic Health Records in Healthcare Organizations on autonomy along these aspects of autonomy and how autonomy will be affected as the Healthcare Organizations moves towards a complete implementation and ensuring meaningful use of the Electronic Health Records. Some data has previously been collected giving a basis to the investigation leaving need for more data so as to investigate how autonomy will be affected as the Healthcare Organizations move in the direction of absolute implementation (McGimpsey, 2011).
B Facts the Author Uses To Support the Idea
The idea revolves around autonomy. The author gives the definition of the word autonomy as the degree to which the job offers substantial freedom, independence, and carefulness to the person in scheduling the work and determining the processes used in carrying it out. He further expounds on the definition in relation to the research stating that autonomy is one of the job characteristics that motivate a person to do well. Davis in 1996summarises the definition as a condition in which the performer rather than someone else determines the sequencing of tasks which comprises the job and how long one performs a given task before another (McGimpsey, 2011). The author also refers to an investigation by (Davis, 1996, Engel, 1970,) where Engel (1970) investigated the question of whether being an employee means having less professional autonomy for physicians and found that those in private group practices had very high autonomy as they made their decisions that are similar to the characteristics of their Healthcare Organizations.
C Discussed Ideas
Time remains crucial for all healthcare givers. Some physicians set their own schedules while others stick to a defined one by the practitioner’s board. Patients can be seen only till 4 o’clock. Past that their appointments get pushed till the next day. A physician’s workload depends on the size of the panel, i. e., the number of patients assigned to that physician. In the case of large practices sites, the organization typically sets a standard panel size that reflects on industry standards, but adjusted by physician productivity (McGimpsey, 2011). Inquiry from physicians at the smaller sites about their panel size, only few knew their panel size or knew whether or not it was increasing.
In our learning, we see that scheduling plays a crucial role. This is consistent with the general inattention to outcome’s measures at most of the local practices. The challenges of Electronic Health Records in the scheduling process make it difficult for physicians to set appointments for their clientele. This inflexible nature does assist by keeping adept records. Tampering and alteration are kept to a minimum. This also applies to misplacing of crucial patient information that may come in handy when it comes to the administration of drugs and other medical procedures.
These negative connotations refer to the laxity in implementation and the inflexibility of the Electronic Health Records. This inflexibility is realized through near impossible scheduling of patients to see their physicians. This undoubtedly leads to a loss in faith in the medical field and frustration by all aggrieved parties.
E New Terms
Professional Autonomy – this implies independent decision making in a professional context. The professional is responsible and accountable for their patient’s wellbeing and information security (McGimpsey, 2011). This autonomy dictates how they operate. Environmental factors determine how they work. The existing legal requirements in the country, as well as the common practices of the people, dictate how a professional exercise his/her autonomy.
Electronic Health Records – abbreviated as EHR are digital versions of a patient’s paper chart. They are real time and achieve instantaneous patient recording. The information lies in more than one site miles apart (McGimpsey, 2011). They contain a patient’s medical history, treatment plans, allergies and laboratory test results. This system automates and streamlines the healthcare service provider workflow.
In this article, McGimpsey lays out an article that expounds on Electronic Health Records and its applications. He delves deeper in putting it to the test to determine its viability. The challenges and setbacks experienced are well documented in the article. Despite there being biased and opinionated ideas, the article summarily captures the essence of this technology in the medical field. The writers try to look at the coin from all angles. The coin here refers to the application of this technology in this particular field and the stakeholders involved; namely the physicians and the patients. In doing so, he manages to bring together these two groups through panels to give not only their opinions, but also their understanding of how this works.
McGimpsey, M., Strong, D. Johnson, S. A., Bar-On, I., and Tulu, B. ” Autonomy and Electronic Health Records: Can We Have Both?” (2011). AMCIS 2011 Proceedings – All Submissions. Paper 326.
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