2018-12-02

Mea Culpa - Resisters are not Obstructionists

An earlier posting (http://bytesblog.ca/2018/11/25.html) introduced a possible categorization of prescriber responses to clinical information system (CIS) implementation. We wanted to stimulate reflection about how to support change for different CIS-adoption phenotypes, including 'obstructionists', 'minimalists', 'partialists', 'partners' and 'exemplars'.

Some colleagues rightly pointed out that the word 'obstructionist' unfairly brands persons who express genuine concern about how a CIS could affect patient care and professional satisfaction. The scientific literature and popular press abound with reports about negative effects of electronic health records.

A good point is made, and accepted. We will do our best to avoid harm when working with clinician communities to implement Connect Care. However things unfold, some clinicians will (for whatever reason) oppose implementation. Avoidance could be passive or active. The effect is the same.

We have changed the linked backgrounder (and this posting) to refer to "resisters" instead of "obstructionists", as this less judgemental term focuses our attention on the effect of, not the reason for, objecting to CIS implementation.

Please always feel free to comment on postings or linked documents. Connect Care is about learning.

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