The relationship between usage intention and adoption of electronic health records at primary care clinics

Iqbal, Usman; Ho, Cheng-Hsun; Li, Yu-Chuan; Nguyen, Phung‐Anh; Jian, Wen-Shan; Wen, Hsyien-Chia

doi:10.1016/j.cmpb.2013.09.001

Cited by 30 publications

(29 citation statements)

References 31 publications

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“…While compiling the results into Table 2 , several factors were similar enough to be combined. User perception/perceived usefulness [ 5 , 9 , 27 , 31 ], was combined with user attitude toward information [ 7 , 22 , 23 , 36 ]. Table 2 is organized to rank order each factor that serves as a facilitator for EHR adoption.…”

Section: Resultsmentioning

confidence: 99%

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Adoption Factors of the Electronic Health Record: A Systematic Review

Kruse¹,

Kothman²,

Anerobi³

et al. 2016

JMIR Med Inform

112

103

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BackgroundThe Health Information Technology for Economic and Clinical Health (HITECH) was a significant piece of legislation in America that served as a catalyst for the adoption of health information technology. Following implementation of the HITECH Act, Health Information Technology (HIT) experienced broad adoption of Electronic Health Records (EHR), despite skepticism exhibited by many providers for the transition to an electronic system. A thorough review of EHR adoption facilitator and barriers provides ongoing support for the continuation of EHR implementation across various health care structures, possibly leading to a reduction in associated economic expenditures.ObjectiveThe purpose of this review is to compile a current and comprehensive list of facilitators and barriers to the adoption of the EHR in the United States.MethodsAuthors searched Cumulative Index of Nursing and Allied Health Literature (CINAHL) and MEDLINE, 01/01/2012–09/01/2015, core clinical/academic journals, MEDLINE full text, and evaluated only articles germane to our research objective. Team members selected a final list of articles through consensus meetings (n=31). Multiple research team members thoroughly read each article to confirm applicability and study conclusions, thereby increasing validity.ResultsGroup members identified common facilitators and barriers associated with the EHR adoption process. In total, 25 adoption facilitators were identified in the literature occurring 109 times; the majority of which were efficiency, hospital size, quality, access to data, perceived value, and ability to transfer information. A total of 23 barriers to adoption were identified in the literature, appearing 95 times; the majority of which were cost, time consuming, perception of uselessness, transition of data, facility location, and implementation issues.ConclusionsThe 25 facilitators and 23 barriers to the adoption of the EHR continue to reveal a preoccupation on cost, despite incentives in the HITECH Act. Limited financial backing and outdated technology were also common barriers frequently mentioned during data review. Future public policy should include incentives commensurate with those in the HITECH Act to maintain strong adoption rates.

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Section: Resultsmentioning

confidence: 99%

“…This occurred more often in the barrier table than the facilitator table. Interoperability was combined with no standard protocol for data exchange [ 12 , 22 , 26 , 40 ]. Training was combined with maintenance and upgrades [ 8 , 12 , 21 , 24 ].…”

Section: Resultsmentioning

confidence: 99%

Adoption Factors of the Electronic Health Record: A Systematic Review

Kruse¹,

Kothman²,

Anerobi³

et al. 2016

JMIR Med Inform

112

103

View full text Add to dashboard Cite

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“…The one used by hospitals is the standard version and is capable of storing a hospital's own EMR XML files to be retrieved by other hospitals and clinics; it is also capable of retrieving others hospitals' EMRs. Clinics use the simpler version, called Light Gateway, which is only capable of retrieving EMRs from other hospitals [23].…”

Section: Description Of Method/systemmentioning

confidence: 99%

Building a National Electronic Medical Record Exchange System – Experiences in Taiwan

Yen

Chiu

et al. 2015

Computer Methods and Programs in Biomedicine

Self Cite

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“…the degree to which a person believes that using a particular technology will enhance his or her job performance] [Gagnon et al, 2012;Gagnon et al, 2010] of the HIS are the important factors that facilitate the adoption of HIS. Previous studies have shown that higher perceived usefulness increase adoption of technology by the healthcare providers [21][22][23]. Gaining insight into health care providers' perceptions is vital to understand their attitude towards the HIS.…”

Section: Literature Reviewmentioning

confidence: 99%

Hospital Information Systems (HIS) in the Examination Rooms and Wards: Doctors Perceived Positive Impact on Quality of Care and Patient Safety

Salahuddin¹,

Ismail²,

2018

IJET

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Hospital Information Systems [HIS] is developed to support healthcare organizations in providing efficient, quality, and safe healthcare services. The objective of this study is to identify and describe doctors' perspective on the impact of HIS use in the examination rooms and wards on quality of care and patient safety. Semi-structured interviews were carried out with thirty one doctors from three Malaysian government hospitals. Thematic qualitative analysis was performed by using ATLAS.ti to deduce the relevant themes. HIS were commonly believed to improve quality of care and patient safety in terms of :

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The relationship between usage intention and adoption of electronic health records at primary care clinics

Cited by 30 publications

References 31 publications

Adoption Factors of the Electronic Health Record: A Systematic Review

Adoption Factors of the Electronic Health Record: A Systematic Review

Building a National Electronic Medical Record Exchange System – Experiences in Taiwan

Hospital Information Systems (HIS) in the Examination Rooms and Wards: Doctors Perceived Positive Impact on Quality of Care and Patient Safety

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