Healthc Inform Res.  2019 Jul;25(3):141-152. 10.4258/hir.2019.25.3.141.

Narrative Review for Exploring Barriers to Readiness of Electronic Health Record Implementation in Primary Health Care

• Afrizal SH
• Hidayanto
• Handayani
• Budiharsana M
• Eryando T

• KMID: 2457466
• DOI: http://doi.org/10.4258/hir.2019.25.3.141

Abstract

OBJECTIVES
The aim of this study is to explore the enabling factors associated with readiness in Electronic Health Record (EHR) implementation and to identify the barriers related to readiness regarding the situation of primary health cares in developed and developing countries.
METHODS
A narrative review of open-source literature was conducted using the ProQuest, ScienceDirect, MEDLINE, and PMC databases to identify the enabling factors and barriers to EHR readiness. The keywords applied were "˜electronic health record', "˜readiness', "˜primary health care', and "˜primary care'.
RESULTS
Some barriers were found that may affect readiness, specifically individual barriers and organizational barriers. In developing countries, organizational barriers such as a lack of skilled manpower, insufficient senior management, and a lack of interaction among team members were the common barriers, while in developed countries individual barriers such as unfamiliarity with new systems and a lack of time to use computers were frequently found as barriers to readiness.
CONCLUSIONS
This study summarized the enabling factors and barriers with regard to EHR readiness in developed and developing countries.

Keyword

Electronic Health Records; Barrier; Readiness; Primary Health Care; EHR Adoption

MeSH Terms

Causality
Developed Countries
Developing Countries
Electronic Health Records*
Primary Health Care*

Figure

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  Figure 1 Form of electronic documentation to record the medical data of a patient. PHC: primary health care, EMR: Electronic Medical Record, EHR: Electronic Health Record, PHR: Personalised Health Record.

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  Figure 2 Literature search steps. EHR: Electronic Health Record.

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  Figure 3 Theoretical framework of Electronic Health Record (EHR) implementation success factors.

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  Figure 4 Conceptual framework of readiness in adopting Electronic Health Record (EHR).

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