![]() Other similar expressions exist albeit with a sometimes slightly restricted focus. In contrast, EMRs store individual patient clinical information electronically and enable instant availability of this information to all providers in the healthcare chain and so should assist in providing coherent and consistent care.Įlectronic Medical Records (EMRs) and Electronic Health Records (EHRs) are viewed as interchangeable synonyms in most health informatics. Patient records have been stored in paper form for centuries and, over this period of time, they have consumed increasing space and notably delayed access to efficient medical care. Further, EMRs are intended to replace existing (often paper based) medical records which are already familiar to practitioners. They are a means to create legible and organized recordings and to access clinical information about individual patients. A careful diagnosis of the specific situation is required before relevant interventions can be determined.Įlectronic Medical Records (EMRs) are computerized medical information systems that collect, store and display patient information. The barriers and suggested interventions highlighted in this study are intended to act as a reference for implementers of Electronic Medical Records. ![]() The quality of change management plays an important role in the success of 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. This systematic review reveals that physicians may face a range of barriers when they approach EMR implementation. Conclusionsĭespite the positive effects of EMR usage in medical practices, the adoption rate of such systems is still low and meets resistance from physicians. By adopting a change management perspective, we develop some barrier-related interventions that could overcome the identified barriers. In particular, Categories G (Organizational) and H (Change Process) seem to be mediating factors on other barriers. All these categories are interrelated with each other. These eight categories are: A) Financial, B) Technical, C) Time, D) Psychological, E) Social, F) Legal, G) Organizational, and H) Change Process. Eight main categories of barriers, including a total of 31 sub-categories, were identified. ![]() The study includes twenty-two articles that have considered barriers to EMR as perceived by physicians. Electronic medical records are defined as computerized medical information systems that collect, store and display patient information. Studies were included in the analysis if they reported on physicians' perceived barriers to implementing and using electronic medical records. Four databases, "Science", "EBSCO", "PubMed" and "The Cochrane Library", were used in the literature search. MethodsĪ systematic literature review, based on research papers from 1998 to 2009, concerning barriers to the acceptance of EMRs by physicians was conducted. 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.
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