![](bg8.png)
addressed by two specific items, PerceivedFit and
PerceivedExploitation, and their influence on
satisfaction was proved to be relevant. Second, to
begin considering analytically how multiple quality
dimensions and appropriation are intertwined, and
discover, for instance, how investments in IT
training and IT skill improvement for GPs could be
reflected in higher exploitation rates, better fit of
EMRs with the GPs’ needs and higher satisfaction.
Last but not least, to detect areas of improvement
(see Figure 4) and to assign priorities and rankings
to features in order to both increase overall user
satisfaction (see the NP score mentioned in Section
2.1) and decide where to focus on to make EMRs
better tools (see Table 1). Notably, our survey also
addresses how relatively new media could impact
practice: to this regard, attempts to include current
social media in medical practice by innovators and
early adopters (10% of the target population) seem
related to growing scepticism and disillusion.
However, GPs seem to still value written interaction
with their patients (cf. the increasing trends for email
actual usage and intention to use), and this could
hint at more communication-oriented models for the
next EMRs to come, as argued in (Cabitza and
Gesso, 2014)
In a period of fast and continuous innovation and
yet urgent spending limits to welfare and primary
healthcare, detecting the most value-adding features
of a class of applications for their reference key
users, and enabling the subsequent prioritization of
interventions to focus on could be a necessary move
to make ehealth a convincing driver for the feasible
progress of the medical profession.
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