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EHR COMPLEXITIES IN MANAGEMENT: METHODOLOGY

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EHR COMPLEXITIES IN MANAGEMENT: METHODOLOGY

 Chapter 1: Methodology

Australian healthcare and hospitals association is a public organization, which supports healthcare providers and hospitals to ensure a developed technological healthcare system so that Australian citizens can be benefited. This part of the study focuses on the various steps to collect information about the electronic health record complexities in healthcare centers. The research problem along with sub problems is discussed first. Quantitative and qualitative research methods are applied and finally, justified reasons for the chosen methodology is proposed.

1.1: Research problem and collected literatures

1.1.1 Research Problem statement

This research focuses on the Australian Healthcare and Hospitals Association and the complexities it faces during installing EHR in its operations. Various aspects of problems are discussed in this segment because numerous articles and research works are available on this subject. Physicians already have a lot on their plate such as maintaining diagnoses list of coded documents, patient's’ medication list and allergies, fulfilling billing forms, entering orders, initiating referrals, ensuring quality reports and considering population management. The introduction of EHR has made their lives even more complicated as they have to take on more tasks like maintaining searchable notes, generating patient record list for better quality reporting, exchanging summary of these records, performing surveillance on public health reporting, supporting other clinical decisions and keeping contact with other healthcare providers electronically (Denaxas et al. 2017).  It has also created complexity in recording different data of service users.

The problem mainly affects the medical practitioners and hospital staffs. It creates boundaries in the existing workflow and in the interoperable solutions. Starting from the time it got implemented in the hospitals registered under the Australian healthcare and hospitals association, it has been affecting the operating procedures. This subject is creating its impact on all the hospitals and this is important to be fixed so that necessary developments can be taken to ensure proper health management to citizens.

Undoubtedly, Electronic Health Record is a modern technological advanced system so that the citizens of Australia can have better opportunities. However, a question arises on this issue like are all the new systems suitable in every perspective? Early adopters of electronic health record systems struggled a lot with this system because of its challenging workflow structures, unanticipated cost structures and so on. Furthermore, the level of focus got divided between the actual patient care and technological system to support them. These challenges became so severe that many medical organizations paused to use EHR.

Due to the severity of EHR complexities, experts also invented some practical solutions so that dealing with this system becomes easier (Blobel, 2018). The entire existing workflow must be redesigned as the infrastructure of hospitals change parallel with EHR adoption so in that case, patient release system changing, rescheduling of medication renewal and internal-external messaging changes will be very much required. Sufficient training must be provided to the users so that they can be familiar with electronic prescribing and health data exchanging through smart devices. It might be a problem to maintain the interest of these practitioners in this system for long but still this system must be implemented for better health opportunities in the country

 

1.2.1: Contrast and compare between qualitative and quantitative methodologies

 

Quantitative research methods generally present the entire research in form of statistical figures and numbers so that the phenomenon can be understood through variables. It needs parameters like ratio, interval, nominal and ordinal and they originate from objective measurement scales. Numerical inputs will be the primary outcome of quantitative method (Bouamrane, Tao & Sarkar, 2015).

On the contrary, qualitative research method focuses on gathering data through open-ended interviews and market surveys. Behavioral and social science are the main areas of originating aspect of qualitative research. Since, this research stays more descriptive so it becomes easier to understand (de Oliveira, Guimaraes & Jeunon, 2017).

Quantitative methodology stays conclusive whereas qualitative methodology stays exploratory. The research approach of quantitative is objective but qualitative research approach is subjective. The analysis of quantitative method is statistical and qualitative method is non-statistical. The data collection aspect in quantitative method is structured whereas in qualitative method it is unstructured. The determination of which can turn up in quantitative method is the occurrence level but in qualitative method it is the depth of knowledge. Finally, the sample size in quantitative method is large containing representative samples but in qualitative method, it is small containing unrepresentative samples. The result using quantitative method suggests the final action and qualitative method improves the initial understanding.

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