In certain situations one type of EMR might win over another. For example, if you’re in a place where your internet connectivity is not reliable, then you probably should go with an in house EMR instead of a web based EMR. Many doctors who don’t have formal IT support avoid an in house server and go with a web based hosted EMR to avoid the lack of IT support of the in house server.
http://www.emrandhipaa.com/emr-and-hipaa/2010/08/18/emr-question-and-answer-local-server-emr-vs-web-based-saas-emr
This reminds me of an issue we're going to be debating at AMIA, Customization vs. Standardization to Promote Adoption of EHRs. Local Server = customized, Web Based = standardized.
An EMR system exists to facilitate the storage, retrieval and continuity of the record itself.
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Ability to access the system with the SAS model. The cost of a web-based system is low, but payment is indefinite. To get more information obesity from weight loss pills.
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