Background Experience shows that for new health-information-technology (HIT) to be suc-cessful clinicians need to obtain positive clinical benefits while a result of its implementation and joint-ownership of the decisions made during the development process. physicians and administrators have had/possess different perceptions of the purpose of the patient record and they have both struggled to influence this definition. To date, the battle have already been won with the administrators. This points out the conditions offered for the doctors’ participation in cases like this, which resulted in their role getting reduced compared to that of scientific consultants – instead of true participants. Bottom line In HIT-development the passions of and the total amount of power between your different social groupings included are decisive in identifying set up end-users become true individuals in the advancement process. True end-user-participation is vital for the effective outcome of the procedure. By merging and developing existing strategies and ideas, this paper presents a better method to gather more detailed GANT 58 details on social groupings taking part in HIT-development and their connections during the advancement. This allows Strike administration to explore brand-new avenues through the Strike advancement process to be able to support, facilitate and improve true end-user participation. History The key goals for health care services in every counties are high individual safety and top quality of treatment and treatment. An important factor in attaining these goals can be an working details and conversation GANT 58 facilities optimally, which means that the proper information is communicated at the proper place and time for you to the proper persons. Within the last 50 years around, booming health care and technological advancement has meant which the paper-based wellness record, which for many years has supplied the infrastructure inside the health care sector, simply no fits these requirements much longer. Concurrent developments in it (IT) indicate an electronic-based wellness record can deal with many of the problems associated with the paper-based health record, e.g. accessibility and data validity. This has caused many healthcare providers to make great efforts to replace the paper based-health record with an electronic record. Furthermore in Denmark – where the GANT 58 healthcare system is general public and financed by taxation and the five areas1 govern RPS6KA6 the private hospitals – there has been considerable conversation about the EHR in Danish private hospitals. Since 1999, the Danish national strategy for IT in the healthcare sector has required that all Danish counties implement an EHR [1]. In Denmark the concept of “EHR” is defined as a platform with different modules delivered by different vendors. This means that the EHR in the five Danish areas each have their own development strategy and different platforms. The national strategy for IT resulted in the Region of North Jutland (CNJ) developing an overall IT-strategy for the EHR development process [2]. In March 2004, a local EHR operating group was founded with a look at to producing the requirement specifications for the EHR and choosing between four possible systems. Studies have shown that the introduction of new HIT systems GANT 58 – including the EHR – besides solving some problems, often brings with it a number of new problems, including some of an organizational nature [3-15]. However, research has also revealed not only pitfalls to be aware of but also success factors to be met in order for an EHR implementation to be successful [14,16-20], i.e. that the clinicians must obtain positive clinical benefits [14,15,21] as a result of an EHR implementation and joint ownership [4,5,22-24] of the decisions made during the development process. A prerequisite for both is real participation in the EHR development process enabling clinician’s to exert real influence in decision-making [4,5,16,22,24-27]. Mumford classifies user-participation in IT-development.