title: Electronic exchange of discharge summaries between hospital and municipal care from health personnel's perspectives.
abstract: BACKGROUND
  Information and communication technologies (ICT) are seen as potentially powerful tools that may promote integration of care across organisational boundaries. Here, we present findings from a study of a Norwegian project where an electronic interdisciplinary discharge summary was implemented to improve communication and information exchange between the municipal care service and the associated hospital.
  
  
  OBJECTIVE
  To investigate the implications of introduction and use of the electronic discharge summary for health staff, and relate it to the potential for promoting integration of care across the hospital-municipality boundary.
  
  
  METHODS
  We conducted semi-structured interviews with 49 health care providers. The material was analysed using a three-step process to identify the main themes and categories.
  
  
  RESULTS
  The study showed that the electronic discharge summary contributed to changes in health staff's work processes as well as increased legibility of summaries, and enabled municipal care staff to be better prepared for receiving patients, even though the information content mostly remained unaltered and was not always accurate.
  
  
  CONCLUSIONS
  Introduction of electronic discharge summaries did not result in a significant increase in integration of care. However, the project was a catalyst for the collaborating participants to address their interaction from new perspectives.
authors.affiliation: Norwegian University of Science and Technology, Norwegian Centre for Electronic Patient Record Research, Trondheim, Norway. line.melby@ntnu.no <line.melby@ntnu.no>
authors.forename: Line
authors.initials: L
authors.lastname: Melby
authors.forename: Ragnhild
authors.initials: R
authors.lastname: Hellesø