Informatisation incrémentale ou de rupture ? Le cas du dossier patient hospitalier

Mathias Béjean (), Frédéric Kletz, Jean-Claude Moisdon and Claude Sicotte
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Mathias Béjean: IRG - Institut de Recherche en Gestion - UPEC UP12 - Université Paris-Est Créteil Val-de-Marne - Paris 12 - Université Gustave Eiffel
Frédéric Kletz: CGS i3 - Centre de Gestion Scientifique i3 - Mines Paris - PSL (École nationale supérieure des mines de Paris) - PSL - Université Paris Sciences et Lettres - I3 - Institut interdisciplinaire de l’innovation - CNRS - Centre National de la Recherche Scientifique

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Abstract: At the international level, the computerization of hospital care production develops only slowly. Past research has often used the term "organizational factors" to explain this phenomenon, but without specification so far. This article builds on results from an empirical research led in multiple French hospitals to investigate the organizational evolutions of clinical units due to the implementation of an Electronic Patient Record. It shows that the extant organizational system underwent only few transformations, thanks to local adjustments with the IT tool. Such a situation may be satisfactory for the eyes of the supervising structures which promote the technological innovation, but raises the issue of true organizational value creation.

Keywords: Electronic Patient Record EPR; Dossier patient informatisé (search for similar items in EconPapers)
Date: 2016-06-28
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Published in Journal de gestion et d’économie médicales, 2016, Vol. 33 (7), pp.445-467. ⟨10.3917/jgem.157.0445⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-03626624

DOI: 10.3917/jgem.157.0445

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