Sociotekniska utmaningar och möjligheter med att implementera elektroniska patientjournaler i Bosnien & Hercegovina

Sammanfattning: The implementation of E-health innovations varies between countries. An E-health innovation that has had a big impact on healthcare is the electronic patient medical record. Electronic patient medical records contribute to better communication between caregivers and to a better operation by providing caregivers the right information at the right time. The European Commission writes that digital solutions in healthcare can improve the overall health for European citizens. E-health innovations and the access to Electronic Patient Medical Records differs in Europe. While some countries have fully developed Electronic Patient Medical Records, some have not even started. Bosnia & Herzegovina is striving for EU-membership and is yet under implementation of Electronic patient medical records. The aim of this study is to improve the understanding of what socio-technical challenges and opportunities Bosnia and Herzegovina is facing when implementing electronic patient medical records. The method used to answer the research question is a qualitative method using a purposeful sampling by interviewing healthcare professionals in Bosnia & Herzegovina. Six semi-structured interviews were carried out with the help of a translator. The data was analyzed using an inductive content analysis enabling to distinguish challenges and possibilities with the implementation of electronic patient medical records at the hospital in Bosnia and Herzegovina. The result of the study indicates that Bosnia & Herzegovina are facing challenges such as lack of IT-skills, troubles with accessing the electronic patient medical records during power outs or system crashes and the system not fully supporting the way the doctors want to document. The opportunities listed are a better ability to provide patients with quality care, a greater access to information and the possibility to further implement E-health innovations.