ArticleImplementation science : IS2014
The preferences of users of electronic medical records in hospitals: quantifying the relative importance of barriers and facilitators of an innovation.
Article in Implementation science : IS, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Hospital contextual factors affecting the implementation of health technologies: a systematic review.BMC health services research · 2021Pooled it
- Application of discrete choice experiments to enhance stakeholder engagement as a strategy for advancing implementation: a systematic review.Implementation science : IS · 2017Pooled it
- Multi-view contrastive learning and symptom extraction insights for medical report generation.Scientific reports · 2025Article
- Facilitator and Barrier to Health Information System Use from Health Professionals Perspective: A Scoping Review.Journal of multidisciplinary healthcare · 2025Review
- Health Workers' Acceptance and Satisfaction on the Usability of the Digital Health Goods, in Kono District, Sierra Leone.Journal of multidisciplinary healthcare · 2025Article
- High-dose chemotherapy for patients with stage III breast cancer with homologous recombination deficiency: a discrete choice experiment among healthcare providers.Acta oncologica (Stockholm, Sweden) · 2024Article
- A mixed methods evaluation assessing the feasibility of implementing a PrEP data dashboard in the Southeastern United States.BMC health services research · 2024Article
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- De-implementation of low value castration for men with prostate cancer: protocol for a theory-based, mixed methods approach to minimizing low value androgen deprivation therapy (DeADT).Implementation science : IS · 2018Article
- Electronic Health Records as an Educational Tool: Viewpoint.JMIR medical education · 2018Article
- Anticipating the potential for positive uptake and adaptation in the implementation of a publicly funded online STBBI testing service: a qualitative analysis.BMC health services research · 2018Article
- Virtual Patient Technology: Engaging Primary Care in Quality Improvement Innovations.JMIR medical education · 2017Article
- Use of electronic medical records and quality of patient data: different reaction patterns of doctors and nurses to the hospital organization.BMC medical informatics and decision making · 2017Article
- Connecting Professional Practice and Technology at the Bedside: Nurses' Beliefs about Using an Electronic Health Record and Their Ability to Incorporate Professional and Patient-Centered Nursing Activities in Patient Care.Computers, informatics, nursing : CIN · 2016Article
- Testing of Candidate Icons to Identify Acetaminophen-Containing Medicines.Pharmacy (Basel, Switzerland) · 2016Article
- Article
- Adoption and Barriers to Adoption of Electronic Health Records by Nurses in Three Governmental Hospitals in Eastern Province, Saudi Arabia.Perspectives in health information managemen · 2015Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrently electronic medical records (EMRs) are implemented in hospitals, because of expected benefits for quality and safety of care. However the implementation processes are not unproblematic and are slower than needed. Many of the barriers and facilitators of the adoption of EMRs are identified, but the relative importance of these factors is still undetermined. This paper quantifies the relative importance of known barriers and facilitators of EMR, experienced by the users (i.e., nurses and physicians in hospitals).
methodsA discrete choice experiment (DCE) was conducted among physicians and nurses. Participants answered ten choice sets containing two scenarios. Each scenario included attributes that were based on previously identified barriers in the literature: data entry hardware, technical support, attitude head of department, performance feedback, flexibility of interface, and decision support. Mixed Multinomial Logit analysis was used to determine the relative importance of the attributes.
resultsData on 148 nurses and 150 physicians showed that high flexibility of the interface was the factor with highest relative importance in their preference to use an EMR. For nurses this attribute was followed by support from the head of department, presence of performance feedback from the EMR and presence of decisions support. While for physicians this ordering was different: presence of decision support was relatively more important than performance feedback and support from the head of department.
conclusionConsidering the prominent wish of all the intended users for a flexible interface, currently used EMRs only partially comply with the needs of the users, indicating the need for closer incorporation of user needs during development stages of EMRs. The differences in priorities amongst nurses and physicians show that different users have different needs during the implementation of innovations. Hospital management may use this information to design implementation trajectories to fit the needs of various user groups.
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