scholarly journals Barriers and facilitators to implementation of nationwide electronic health records in the Russian Far East: A qualitative analysis

2020 ◽  
Vol 143 ◽  
pp. 104244
Author(s):  
Se Young Jung ◽  
Keehyuck Lee ◽  
Ho-Young Lee ◽  
Hee Hwang
Keyword(s):  
Electronic Health Records ◽  
Qualitative Analysis ◽  
Russian Far East ◽  
Far East ◽  
Barriers And Facilitators ◽  
Health Records ◽  
Electronic Health ◽  
The Russian Far East

scholarly journals Barriers and facilitators to data quality of electronic health records used for clinical research in China: a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029314 ◽  
Author(s):  
Kaiwen Ni ◽  
Hongling Chu ◽  
Lin Zeng ◽  
Nan Li ◽  
Yiming Zhao
Keyword(s):  
Qualitative Study ◽  
Electronic Health Records ◽  
Clinical Research ◽  
Data Quality ◽  
Healthcare Professionals ◽  
Barriers And Facilitators ◽  
Health Records ◽  
Improve Data Quality ◽  
Electronic Health

ObjectivesThere is an increasing trend in the use of electronic health records (EHRs) for clinical research. However, more knowledge is needed on how to assure and improve data quality. This study aimed to explore healthcare professionals’ experiences and perceptions of barriers and facilitators of data quality of EHR-based studies in the Chinese context.SettingFour tertiary hospitals in Beijing, China.ParticipantsNineteen healthcare professionals with experience in using EHR data for clinical research participated in the study.MethodsA qualitative study based on face-to-face semistructured interviews was conducted from March to July 2018. The interviews were audiorecorded and transcribed verbatim. Data analysis was performed using the inductive thematic analysis approach.ResultsThe main themes included factors related to healthcare systems, clinical documentation, EHR systems and researchers. The perceived barriers to data quality included heavy workload, staff rotations, lack of detailed information for specific research, variations in terminology, limited retrieval capabilities, large amounts of unstructured data, challenges with patient identification and matching, problems with data extraction and unfamiliar with data quality assessment. To improve data quality, suggestions from participants included: better staff training, providing monetary incentives, performing daily data verification, improving software functionality and coding structures as well as enhancing multidisciplinary cooperation.ConclusionsThese results provide a basis to begin to address current barriers and ultimately to improve validity and generalisability of research findings in China.

scholarly journals An Investigation on the Barriers and Facilitators of the Implementation of Electronic Health Records (EHR)

Health ◽  
2015 ◽  
Vol 07 (12) ◽  
pp. 1665-1670 ◽  
Author(s):  
Fereshteh Farzianpour ◽  
Sara Amirian ◽  
Raziye Byravan
Keyword(s):  
Electronic Health Records ◽  
Barriers And Facilitators ◽  
Health Records ◽  
Electronic Health

scholarly journals “It’s like texting at the dinner table”: A qualitative analysis of the impact of electronic health records on patient-physician interaction in hospitals

2017 ◽  
Vol 24 (2) ◽  
pp. 216 ◽  
Author(s):  
Kimberly D Pelland ◽  
Rosa R Baier ◽  
Rebekah L Gardner
Keyword(s):  
Electronic Health Records ◽  
Qualitative Analysis ◽  
Rhode Island ◽  
Rank Order ◽  
Health Records ◽  
Patient Interactions ◽  
Inpatient Settings ◽  
Prior Literature ◽  
Electronic Health ◽  
The Impact

Background: Electronic health records (EHRs) may reduce medical errors and improve care, but can complicate clinical encounters.Objective: To describe hospital-based physicians’ perceptions of the impact of EHRs on patient-physician interactions and contrast these findings against office-based physicians’ perceptionsMethods: We performed a qualitative analysis of comments submitted in response to the 2014 Rhode Island Health Information Technology Survey. Office- and hospital-based physicians licensed in Rhode Island, in active practice, and located in Rhode Island or neighboring states completed the survey about their Electronic Health Record use.Results: The survey’s response rate was 68.3% and 2,236 (87.1%) respondents had EHRs. Among survey respondents, 27.3% of hospital-based and 37.8% of office-based physicians with EHRs responded to the question about patient interaction. Five main themes emerged for hospital-based physicians, with respondents generally perceiving EHRs as negatively altering patient interactions. We noted the same five themes among office-based physicians, but the rank-order of the top two responses differed by setting: hospital-based physicians commented most frequently that they spend less time with patients because they have to spend more time on computers; office-based physicians commented most frequently on EHRs worsening the quality of their interactions and relationships with patients.Conclusion: In our analysis of a large sample of physicians, hospital-based physicians generally perceived EHRs as negatively altering patient interactions, although they emphasized different reasons than their office-based counterparts. These findings add to the prior literature, which focuses on outpatient physicians, and can shape interventions to improve how EHRs are used in inpatient settings.

scholarly journals User Perspectives on Barriers and Facilitators to the Implementation of Electronic Health Records in Behavioral Hospitals: Qualitative Study

10.2196/18764 ◽  
2021 ◽  
Vol 5 (4) ◽  
pp. e18764
Author(s):  
Se Young Jung ◽  
Hee Hwang ◽  
Keehyuck Lee ◽  
Donghyun Lee ◽  
Sooyoung Yoo ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Qualitative Study ◽  
Electronic Health Records ◽  
Mental Health Care ◽  
Mental Health Professionals ◽  
The United States ◽  
Barriers And Facilitators ◽  
Health Records ◽  
Electronic Health

Background Despite the rapid adoption of electronic health records (EHRs) resulting from the reimbursement program of the US government, EHR adoption in behavioral hospitals is still slow, and there remains a lack of evidence regarding barriers and facilitators to the implementation of mental health care EHRs. Objective The aim of this study is to analyze the experience of mental health professionals to explore the perceived barriers, facilitators, and critical ideas influencing the implementation and usability of a mental health care EHR. Methods In this phenomenological qualitative study, we interviewed physicians, nurses, pharmacists, mental health clinicians, and administrative professionals separately at 4 behavioral hospitals in the United States. We conducted semistructured interviews (N=43) from behavioral hospitals involved in the adoption of the mental health care EHR. Purposeful sampling was used to maximize the diversity. Transcripts were coded and analyzed for emergent domains. An exploratory data analysis was conducted. Results Content analyses revealed 7 barriers and 4 facilitators. The most important barriers to implementing the mental health care EHR were the low levels of computer proficiency among nurses, complexity of the system, alert fatigue, and resistance because of legacy systems. This led to poor usability, low acceptability, and distrust toward the system. The major facilitators to implementing the mental health care EHR were well-executed training programs, improved productivity, better quality of care, and the good usability of the mental health care EHR. Conclusions Health care professionals expected to enhance their work productivity and interprofessional collaboration by introducing the mental health care EHR. Routine education for end users is an essential starting point for the successful implementation of mental health care EHR electronic decision support. When adopting the mental health care EHR, managers need to focus on common practices in behavioral hospitals, such as documenting structured data in their organizations and adopting a seamless workflow of mental health care into the system.

scholarly journals Implementation and adoption of nationwide electronic health records in secondary care in England: qualitative analysis of interim results from a prospective national evaluation

BMJ ◽  
2010 ◽  
Vol 341 (sep01 3) ◽  
pp. c4564-c4564 ◽  
Author(s):  
A. Robertson ◽  
K. Cresswell ◽  
A. Takian ◽  
D. Petrakaki ◽  
S. Crowe ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Qualitative Analysis ◽  
Secondary Care ◽  
Health Records ◽  
Electronic Health

scholarly journals Finding Meaning in Medication Reconciliation Using Electronic Health Records: Qualitative Analysis in Safety Net Primary and Specialty Care

10.2196/10167 ◽  
2018 ◽  
Vol 6 (2) ◽  
pp. e10167 ◽  
Author(s):  
George Yaccoub Matta ◽  
Elaine C Khoong ◽  
Courtney R Lyles ◽  
Dean Schillinger ◽  
Neda Ratanawongsa
Keyword(s):  
Electronic Health Records ◽  
Qualitative Analysis ◽  
Medication Reconciliation ◽  
Safety Net ◽  
Specialty Care ◽  
Health Records ◽  
Finding Meaning ◽  
Electronic Health

scholarly journals Factors Influencing Development and Implementation of Patients' Access to Electronic Health Records—A Comparative Study of Sweden and the Netherlands

2021 ◽  
Vol 9 ◽  
Author(s):  
Charlotte D. Cijvat ◽  
Ronald Cornet ◽  
Maria Hägglund
Keyword(s):  
Content Analysis ◽  
The Netherlands ◽  
Electronic Health Records ◽  
Patient Involvement ◽  
Healthcare Professionals ◽  
Barriers And Facilitators ◽  
Success Factor ◽  
Structured Interviews ◽  
Health Records ◽  
Electronic Health

Background: Patient-accessible electronic health records (PAEHRs) and associated national policies have increasingly been set up over the past two decades. Still little is known about the most effective strategy for developing and implementing PAEHRs. There are many stakeholders to take into account, and previous research focuses on the viewpoints of patients and healthcare professionals. Many known barriers and challenges could be solved by involving end-users in the development and implementation process. This study therefore compares barriers and facilitators for PAEHR development and implementation, both general and specific for patient involvement, that were present in Sweden and the Netherlands.Methods: There were a total of 14 semi-structured interviews with 16 key informants from both countries, on which content analysis was performed. The Consolidated Framework for Implementation Research was used to guide both the construction of the interview guides and the content analysis.Outcomes: The main barriers present in both countries are resistance from healthcare professionals and technical barriers regarding electronic health record systems and vendors. Facilitators varied across the two contexts, where the national infrastructure and program management were highlighted as facilitators in Sweden and stakeholder engagement (including patients and healthcare professionals) was described as a facilitator in both contexts. Strong leadership was also described as a critical success factor, especially when faced with healthcare professional resistance.Conclusion: Most of the major barriers and facilitators from both countries are covered in existing literature. This study, however, identified factors that can be seen as more practical and that would not have arisen from interviews with patients or physicians. Recommendations for policymakers include keeping the mentioned barriers in mind from the start of development and paving the way for facilitators, mainly strict policies, learning from peer implementers, and patient involvement, when possible. Implementers should focus on strong decision-making and project management and on preparing the healthcare organization for the PAEHR.

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