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      Barriers for Adopting Electronic Health Records (EHRs) by Physicians

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      Author(s): ,
      Publication date (Electronic):
      Journal: Acta Informatica Medica
      Publisher: AVICENA, d.o.o., Sarajevo
      Keywords: physicians, electronic health record, barrier, adoption

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          Abstract

          CONFLICT OF INTEREST: NONE DECLARED

          Introduction

          Electronic Medical Records (EMRs) are computerized medical information systems that collect, store and display patient information. They are means to create legible and organized recordings and to access clinical information about individual patients. Despite of the positive effects of the EMRs usage in medical practices, the adoption rate of such systems is still low and meets resistance from physicians. The EHRs represent an essential tool for improving both in the safety and quality of health care, though physicians must actively use these systems to accrue the benefits. This study was unsystematic-review.

          Aim

          The aim of this study was to express barriers perceived y physicians to the adoption of the EHRs.

          Method of the study

          This study was non-systematic reviewed which the literature was searched on barriers perceived by physicians to the adoption of Electronic Health Records (EHRs) with the help of library, books, conference proceedings, data bank, and also searches engines available at Google, Google scholar.

          Discussion

          For our searches, we employed the following keywords and their combinations: physicians, electronic medical record, electronic health record, barrier, and adoption in the searching areas of title, keywords, abstract, and full text. In this study, more than 100 articles and reports were collected and 27 of them were selected based on their relevancy. Electronic health record use requires the presence of certain user and system attributes, support from others, and numerous organizational and environment facilitators.

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          Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions

          Albert Boonstra, Manda Broekhuis (2010)
          Background The main objective of this research is to identify, categorize, and analyze barriers perceived by physicians to the adoption of Electronic Medical Records (EMRs) in order to provide implementers with beneficial intervention options. Methods A systematic literature review, based on research papers from 1998 to 2009, concerning barriers to the acceptance of EMRs by physicians was conducted. Four databases, "Science", "EBSCO", "PubMed" and "The Cochrane Library", were used in the literature search. Studies were included in the analysis if they reported on physicians' perceived barriers to implementing and using electronic medical records. Electronic medical records are defined as computerized medical information systems that collect, store and display patient information. Results The study includes twenty-two articles that have considered barriers to EMR as perceived by physicians. Eight main categories of barriers, including a total of 31 sub-categories, were identified. These eight categories are: A) Financial, B) Technical, C) Time, D) Psychological, E) Social, F) Legal, G) Organizational, and H) Change Process. All these categories are interrelated with each other. In particular, Categories G (Organizational) and H (Change Process) seem to be mediating factors on other barriers. By adopting a change management perspective, we develop some barrier-related interventions that could overcome the identified barriers. Conclusions Despite the positive effects of EMR usage in medical practices, the adoption rate of such systems is still low and meets resistance from physicians. This systematic review reveals that physicians may face a range of barriers when they approach EMR implementation. We conclude that the process of EMR implementation should be treated as a change project, and led by implementers or change managers, in medical practices. The quality of change management plays an important role in the success of EMR implementation. The barriers and suggested interventions highlighted in this study are intended to act as a reference for implementers of Electronic Medical Records. A careful diagnosis of the specific situation is required before relevant interventions can be determined.
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            Physicians' use of electronic medical records: barriers and solutions.

            Robert Miller, Ida Sim (2024)
            The electronic medical record (EMR) is an enabling technology that allows physician practices to pursue more powerful quality improvement programs than is possible with paper-based records. However, achieving quality improvement through EMR use is neither low-cost nor easy. Based on a qualitative study of physician practices that had implemented an EMR, we found that quality improvement depends heavily on physicians' use of the EMR-and not paper-for most of their daily tasks. We identified key barriers to physicians' use of EMRs. We then suggest policy interventions to overcome these barriers, including providing work/practice support systems, improving electronic clinical data exchange, and providing financial rewards for quality improvement.
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              Physicians and electronic health records: a statewide survey.

              Brent Volk, Elisabeth Burdick, Rainu Kaushal … (2007)
              Electronic health records (EHRs) allow for a variety of functions, ranging from visit documentation to laboratory test ordering, but little is known about physicians' actual use of these functions. We surveyed a random sample of 1884 physicians in Massachusetts by mail and assessed availability and use of EHR functions, predictors of use, and the relationships between EHR use and physicians' perceptions of medical practice. A total of 1345 physicians responded to the survey (71.4% response rate), and 387 (28.8%) reported that their practice had adopted EHRs. More than 80% of physicians with EHRs reported having the ability to view laboratory reports (84.8%) and document visits electronically (84.0%), but considerably fewer reported being able to order laboratory tests electronically (46.8%) or transmit prescriptions to a pharmacy electronically (44.7%). Fewer than half of the physicians who had systems with clinical decision support, transmittal of electronic prescriptions, and radiology order entry actually used these functions most or all of the time. Compared with physicians who had not adopted EHRs, EHR users reported more positive views of the effects of computers on health care; there were no significant differences in these attitudes between high and low users of EHRs. Overall, about 1 in 4 physicians reported dissatisfaction with medical practice; there was no difference in this measure by EHR adoption or use. There is considerable variability in the functions available in EHRs and in the extent to which physicians use them. Future work should emphasize factors that affect the use of available functions.
              Article 0 comments Cited 37 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Acta Inform Med
                Journal ID (iso-abbrev): Acta Inform Med
                Journal ID (publisher-id): AIM
                Title: Acta Informatica Medica
                Publisher: AVICENA, d.o.o., Sarajevo
                ISSN (Print): 0353-8109
                ISSN (Electronic): 1986-5988
                Publication date (Electronic): June 2013
                Publication date (Print): 2013
                Volume: 21
                Issue: 2
                Pages: 129-134
                Affiliations
                Department of Health Information Technology, Health Management & Economics Research Center, School of Medical Management and Information Sciences, Isfahan University of Medical Sciences , Isfahan, Iran
                Author notes
                Corresponding author: Tayyebe Bagheri-Tadi. School of Medical Management and Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. E-mail: bagheri774@yahoo.com.
                Article
                DOI: 10.5455/aim.2013.21.129-134
                PMC ID: 3766548
                PubMed ID: 24058254
                SO-VID: f98c1b14-2b25-4111-beb5-4e5c592b6641
                Copyright © © 2013 AVICENA
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 15 January 2013
                Date accepted : 26 March 2013
                Page count
                Figures: 0, Tables: 1, Equations: 0, References: 27, Pages: 6
                Categories
                Subject: Original Paper

                ScienceOpen disciplines: Bioinformatics & Computational biology
                Keywords: physicians,electronic health record,barrier,adoption
                Data availability:
                ScienceOpen disciplines: Bioinformatics & Computational biology
                Keywords: physicians, electronic health record, barrier, adoption

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