Abstract
We were aimed at clarifying it “how about organizational changes of metropolitan hospitals by introduction of electronic medical record systems” and “what kind of effect does it lead to” in this study. As a concrete method, we carried out questionary survey by Web for personnel and analyzed the result by statistical technique. Based on each factor extracted by factor analysis, we examined a factor score every hospital, relations between factors, a factor score every type of job. As a result, “a new function of electronic medical record systems” and “the result that country and Tokyo did not assume” were confirmed as factors, and a process a new function of electronic medical record systems passed through organizational changes, and to reach effects was shown. As for the medical record system, it is suggested that it is technology that an electronic medical record system needs an effort of the staff working at hospitals and organizational changes of hospitals.