The six P's of the next step in electronic patient records in the Netherlands

The objective of this study was to evaluate a decade of Electronic Patient Record development. During the study a second question was added: How to take the next step in the Netherlands? This paper describes the developments but the main results create a framework for the future situation. The USE IT method was used, which is derived from DOI and TAM theory but applies it in a qualitative way. The results show six P's that have to be covered to introduce a nation-wide EPR. The first three handle the end users of the EPR: Patients, Professionals and the Public. The latter three show the action types of a nation-wide EPR, namely: Purpose, Process and Prerequisites. In conclusion, the combination of these six P's show that the main purpose for a patient is the quality of health, that the process of the professional has to be smoothed and that the data quality has to be guaranteed as well as privacy. (c) 2015 Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. All rights reserved.