Health  Vol.7 No.12 , December 2015
An Investigation on the Barriers and Facilitators of the Implementation of Electronic Health Records (EHR)
ABSTRACT
The application of technology in health care, in the form of electronic health records (EHR), is the most important and necessary issue in order to improve the quality of health care, and studies have shown that, not only is it a way to integrate information and represent the condition of patients, and a dynamic source for health care, however it leads to gain access to clinical information and records, electronic communications, comprehensive training and management, and ultimately enhancing the public health; the aim of this study is to investigate the factors influencing the implementation of EHR, which are known as barriers and facilitators. The research is conducted in the form of a review research, and with the help of the Keywords of EHR; barriers and facilitators, articles, from 2008 to 2013, were searched and studied in the Internet-databases. The results of the studies show that the most effective factors include: efficiency, motivation, management, and the participation of end users. Factors such as technical aspects ease of use, available resources, and human resources, have limited effects. And security and privacy, the expected output, lack of time, and workload have relative effects, and also the relation between the patient and clinical staff, has no effects in the process of implementing EHR.

Cite this paper
Farzianpour, F. , Amirian, S. and Byravan, R. (2015) An Investigation on the Barriers and Facilitators of the Implementation of Electronic Health Records (EHR). Health, 7, 1665-1670. doi: 10.4236/health.2015.712180.
References
[1]   Renner, A.L. and Swart, J.C. (1997) Patient Core Data Set. Standard for a Longitudinal Health/Medical Record. Computers Informatics Nursing, 15, S7-S13.

[2]   International Standards for Business, Government and Society (2006)
http://www.iso.org/iso/search.htm?qt=ISO+18308&searchSubmit=Search&sort=rel&type=simple&published=on/

[3]   Simborg, D.W. (2008) Promoting Electronic Health Record Adoption. Is It the Correct Focus? Journal of the American Medical Informatics Association, 15, 127-129.
http://dx.doi.org/10.1197/jamia.M2573

[4]   Seied Farajollah, S. (2007) Structure Minimum Data Set in Electronic Health Record Presentation. Proceeding of the 2nd Regional Congress about Medical Record, Shiraz, 2007, 23-24.

[5]   Gagnon, N., Shaw, N. and Sicotte, C. (2009) Users’ Perspectives of Barriers and Facilitators to Implementing EHR in Canada: A Study Protocol. Implementation Science, 4, 20.
http://dx.doi.org/10.1186/1748-5908-4-20

[6]   Torabi, M. and Safdari, R. (2004) Electronic Health Record. Behineh Publication, Tehran.

[7]   International Standards Worldwide (1996)
http://www.astm.org/index.shtml/

[8]   International Standards for Business, Government and Society.
http://www.iso.org/iso/page_not_found.htm?errurl=/isotc/catalogue.detail.htm&querystring=csnumber=33397

[9]   Holden, R.J. and Saf, P. (2011) What Stands in the Way of Technology-Mediated Patient Safety Improvements? A Study of Facilitators and Barriers to Physicians’ Use of Electronic Health Records. Journal of Patient Safety, 7, 193- 203.
http://dx.doi.org/10.1097/PTS.0b013e3182388cfa

[10]   Mokhtari, H., Jahanbakhsh, M. and Tavakoli, N. (2011) Challenges of EHR Implementation and Related Guidelines in Isfahan. Procedia Computer Science, 3, 1199-1204.
www.sciencedirect.com

[11]   Boonstra, A. and Broekhuis, M. (2010) Barriers to the Acceptance of Electronic Medical Records by Physicians from Systematic Review to Taxonomy and Interventions. BMC Health Services Research, 10, 231.
http://www.biomedcentral.com/1472-6963/10/231
http://dx.doi.org/10.1186/1472-6963-10-231


[12]   Cotea, C. (2010) Research Coordination Unit, CMVH. Electronic Health Record Adoption: Perceived Barriers and Facilitators Mayne Medical School Herston Road, Herston QLD 4006.

[13]   Barriers and Facilitators to Using the HER.
https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=6&cad=rja&ved=0CFIQFjAF&url

[14]   Reza, M. and Razavi, H. (2013) Electronic Health Records Acceptance and Implementation in Developing Countries: Challenges and Barriers. Razavi International Journal of Medicine, 1, 11-6.
http://dx.doi.org/10.5812/rijm.15077

[15]   (2004) Document Summary Copyright 2005 ASTM International C585-90.
www.shurfitproducts.com/astmc585.pdf/

[16]   Gunter, T.D. and Terry, N.P. (2005) The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions. Journal of Medical Internet Research, 7, e3.
http://dx.doi.org/10.2196/jmir.7.1.e3

[17]   (2007) HL7 EHR System Functional Model: A Major Development towards Consensus on Electronic Health Record System Functionality.
http://www.sanita.forumpa.it/documenti/0/100/140/148/EHR-SWhitePaper.pdf/

[18]   (2005) Open Clinical: Standards: CDA—Clinical Document Architectur.
www.openclinical.org/std_cda.htm/

[19]   Ferranti, J.M., Musser, R.C., Kawamoto, K. and Hammond, W.E. (2006) The Clinical Document Architecture and the Continuity of Care Record: A Critical Analysis. Journal of the American Medical Informatics Association, 13, 245- 252.
http://dx.doi.org/10.1197/jamia.M1963

[20]   (2009) ISO/TC 215 from Wikipedia, the Free Encyclopedia.
http://en.wikipedia.org/wiki/ISO/TC_215/

 
 
Top