title: Primary health care teams' experience of electronic medical record use after adoption.
abstract: OBJECTIVE
  This study explored the views and perspectives of primary health care providers participating in the DELPHI (Deliver Primary Healthcare Information) project regarding their experiences using electronic medical records (EMRs) in their practices 2 years after adoption. This research was conducted in follow up to a previous qualitative study looking at early EMR implementation experiences.
  
  
  METHODS
  This descriptive qualitative study explored the experiences of 19 participants. Semi-structured interviews were conducted. Both individual and team analyses were performed.
  
  
  RESULTS
  Emergent from the data were five interwoven elements of team behavior when using the EMR. Consistent data entry was imperative to successful EMR utilization. The EMR software was utilized differently depending on the role of the team member. Team members continued to seek out a team champion/problem solver to help overcome obstacles. Communication was enhanced by using the common messaging system within the EMR. Finally, success with certain functions such as communication, champion enthusiasm, and recognition of the value of the EMR encouraged others to learn additional features and advanced the adoption process.
  
  
  CONCLUSIONS
  These findings illuminate important elements of team behavior that promoted EMR adoption and provide insight for primary health care providers moving through the continuum of initial to advanced EMR adoption.
authors: Department of Family Medicine, University of Western Ontario, Canada.
authors: Louisa Bestard
authors: LB
authors: Denomme
authors: Amanda L
authors: AL
authors: Terry
authors: Judith Belle
authors: JB
authors: Brown
authors: Amardeep
authors: A
authors: Thind
authors: Moira
authors: M
authors: Stewart
mesh_terms: D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D003142:Communication; D003299:Cooperative Behavior; D004059:Diffusion of Innovation; D057286:Electronic Health Records; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009936:Organizational Innovation; D010348:Patient Care Team; D011320:Primary Health Care / Q000458:organization & administration*; D036301:Qualitative Research; D011795:Surveys and Questionnaires