The search for synergy: interrelating medical work and patient care information systems.
OBJECTIVE
This article aims to search for the way patient care information systems can be most fruitfully put to work in health care.


METHODS
Given the calls for improved health care quality, there is a need for IT's coordination capacities in health care. Yet IT's track record in this area is less than many expected. Moreover, many argue that the nature of health care work sets natural limits to the possibilities of IT to revolutionize this work. Starting with an analysis of the paper record, this article explores the way IT and professional work can be interrelated synergistically.


RESULTS
Two principles are discussed: 1) The key to a fruitful operation of IT in health care work lies in the unraveling of the care process, and the redistribution of tasks between professionals and the IT application. 2) Professionals should be given the skills and resources to adapt the IT application's demands to the needs of their work practices.


CONCLUSIONS
IT can bring true process support to health care when taking the two principles discussed here into account.
Berg
M
M
Institute of Health Policy and Management, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands. m.berg@bmg.eur.nl
D003695:Delivery of Health Care; D017598:Efficiency, Organizational; D007256:Information Systems / Q000458:organization & administration*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D009426:Netherlands; D011787:Quality of Health Care; D018511:Systems Integration