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Volume 10
Issue 12
10.3390/life10120327
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Article

Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content

by
Chen Hsi Tsai
1,
Aboozar Eghdam
1,
Nadia Davoody
1,
Graham Wright
2,
Stephen Flowerday
2 and
Sabine Koch
1,*
1
Health Informatics Centre, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, 171 77 Stockholm, Sweden
2
Department of Information Systems, Rhodes University, Grahamstown 6140, South Africa
*
Author to whom correspondence should be addressed.
Life 2020, 10(12), 327; https://doi.org/10.3390/life10120327
Submission received: 4 November 2020 / Revised: 30 November 2020 / Accepted: 1 December 2020 / Published: 4 December 2020
(This article belongs to the Special Issue Advances in eHealth)
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Abstract

Despite the great advances in the field of electronic health records (EHRs) over the past 25 years, implementation and adoption challenges persist, and the benefits realized remain below expectations. This scoping review aimed to present current knowledge about the effects of EHR implementation and the barriers to EHR adoption and use. A literature search was conducted in PubMed, Web of Science, IEEE Xplore Digital Library and ACM Digital Library for studies published between January 2005 and May 2020. In total, 7641 studies were identified of which 142 met the criteria and attained the consensus of all researchers on inclusion. Most studies (n = 91) were published between 2017 and 2019 and 81 studies had the United States as the country of origin. Both positive and negative effects of EHR implementation were identified, relating to clinical work, data and information, patient care and economic impact. Resource constraints, poor/insufficient training and technical/educational support for users, as well as poor literacy and skills in technology were the identified barriers to adoption and use that occurred frequently. Although this review did not conduct a quality analysis of the included papers, the lack of uniformity in the use of EHR definitions and detailed contextual information concerning the study settings could be observed.
Keywords: electronic health record; personal health record; scoping review; implementation; adoption electronic health record; personal health record; scoping review; implementation; adoption

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MDPI and ACS Style

Tsai, C.H.; Eghdam, A.; Davoody, N.; Wright, G.; Flowerday, S.; Koch, S. Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content. Life 2020, 10, 327. https://doi.org/10.3390/life10120327

AMA Style

Tsai CH, Eghdam A, Davoody N, Wright G, Flowerday S, Koch S. Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content. Life. 2020; 10(12):327. https://doi.org/10.3390/life10120327

Chicago/Turabian Style

Tsai, Chen Hsi, Aboozar Eghdam, Nadia Davoody, Graham Wright, Stephen Flowerday, and Sabine Koch. 2020. "Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content" Life 10, no. 12: 327. https://doi.org/10.3390/life10120327

APA Style

Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content. Life, 10(12), 327. https://doi.org/10.3390/life10120327

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