The map is not the territory: the missing patient in the electronic medical record

Abstract

Purpose – This paper aims to, by looking at the electronic medical record (EMR) from three points of view, bring light to the dynamics that are essential and are currently missing in the USA. The traditional paper medical record has worked for physicians, management and patients since the beginning of practice. Yet the development of the EMR did not begin with all the essential elements of the traditional record that were working, but instead shreds out important aspects of the patient. Design/methodology/approach – Triangulation between three studies – medical, information technology and management studies. Findings – An efficient EMR has to take into consideration more than just one area of study. The dynamics between departments and users of the EMR need an integrated process that includes the necessary pieces of all involved. This hole has not been addressed in academic literature. Research limitations/implications – The paper triangulates three areas – medicine, management and information management....