IT‐based clinical knowledge management in primary health care: A conceptual framework

Abstract

Primary health care medical practices have made sizable information technology investments in recent years, primarily deploying electronic medical record (EMR) systems as well as Web‐based e‐learning applications. The basic assumption here is that developing information technology‐based knowledge management capabilities may significantly improve the innovation and clinical performance of these organizations. Increasing uncertainty in their environment requires them to develop greater absorptive capacity (ACAP), that is, an organizational learning capability to deal with the external sources of this uncertainty. In applying ACAP theory to primary care settings, this study seeks to answer the following research questions: What are the e‐learning and EMR capabilities developed by primary care medical practices in response to increasing environmental uncertainty? To what extent does the development of an e‐learning capability influence the development of an EMR capability? To what extent does building ACAP contribute to positive outcomes in terms of medical practices' innovation and clinical performance?

Opportunities and challenges of social media for health knowledge management: A narrative review

“…The findings of the present study identified four challenges for health knowledge management in social media, including unwillingness of physicians and health organizations to interact with the public, endangering medical ethics by some nonspecialist users, patients' privacy, and negative patient comments. [ 41 42 43 44 45 ]…”

Enhancing Healthcare Decision-Making Process: Findings from Orthopaedic Field

“…Furthermore, for sure our results confirm that a qualitative cognitive tool, as the Kahneman et al (2011) checklists, could potentially help physicians avoid these errors, but it needs to be integrated in daily practice, also as a more usable electronic version (Raymond et al 2017;Otokiti 2019). For sure this manuscript presents some limitations; most of them are those related to the use of the qualitative method which implies the interpretive role of researchers and limited extension of data.…”

Knowledge management as a driver of performance in ambulatory healthcare – a systematic literature review through an intellectual capital lens

“…With the exception of three publications (Paul, 2006; Cano et al , 2015; Raymond et al , 2017), the technology-focused papers investigate the introduction of a KM tool as a singular intervention.…”

“…All the technology-focused interventions increase the structural capital of the ambulatory healthcare provider by enhancing its IT infrastructure. The distance learning applications featured by Paul (2006) and Raymond et al (2017) also enhance human capital. IT-tools with communication functionalities (Paul, 2006; Chen et al , 2009) as well as patient-centered health trackers (Holbrook et al , 2009; Cano et al , 2015) enhance relational capital in addition to structural capital.…”

“…Process performance is operationalized by counting whether care processes prescribed by guidelines have been performed or not. Beyond diagnosis, prevention and treatment, two authors assess documentation (Ziemer et al , 2006; Raymond et al , 2017) and six overall efficiency (Balas et al , 2004; Apkon et al , 2005; Blazer et al , 2011; Lobach et al , 2012; Houwink et al , 2014a, 2015; Popa and Ştefan, 2019).…”