The amount of measurable process has been increasing in the recent years (Lazar et al., 2013). The more parts a process has the chance for mistakes increases. The process of care is built up from smaller processes, which has to be delivered appropriately in order to reach the most efficient care according to the evidence and past experience. The fluidity of interaction is important since the fragmentation of the health system is a risk in the care either for the patient or the doctor (WHO, 2003). Likewise, fragmentation can delay …show more content…
health behaviour change), but challenges occur, especially when handling patients with multiple chronic diseases (IOM, 2001). Moreover, patients and non-clinicians may pay less attention to the process of care (Rubin, Pronovost and Diette, 2001). Donabedian (1966) highlighted the role of the medical records and their potential weaknesses in the process of care. The role of EHRs in the process as part of the quality measurement is unclear since it is still a maturing field (Lazar, 2013). Moreover, Kramer and colleagues (1990) suggested the process measurement together with the structure measurement in order to better understand the links and provide a more precise assessment. Without the appropriate process of delivery, the desired outcome of care cannot be reached (Campbell et al., 2000). Thereof, it can be stated, the process is linked to the