Evidence map›Paper›PMID 32942224›Full record

ArticleInternational journal of medical informatics2020

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

Se Young Jung, Keehyuck Lee, Ho-Young Lee, Hee Hwang

Abstract read
In one paragraph

Article in International journal of medical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Se Young JungOffice of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea; Department of Family Medicine, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea.
Keehyuck LeeOffice of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea; Department of Family Medicine, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea.
Ho-Young LeeOffice of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea; Department of Nuclear Medicine, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea. Electronic address: debobkr@snubh.org.
Hee HwangOffice of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea; Department of Pediatrics, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic health records (EHRs) are transforming and revolutionizing the healthcare industry. However, whereas developed countries have a high EHR penetration rate, adoption of EHRs in developing countries is lagging behind. Recently, the Korean and Russian governments have been pursuing economic cooperation in the Russian Far East. Thus, since 2009, Russia's EHR market and healthcare system have been maturing in tandem.

objectiveTo qualitatively investigate and analyze the current status of EHRs in the Russian Far East and derive implementation plans for nationwide EHRs.

methodsA qualitative analysis based on semi-structured interviews with healthcare professionals and administrative officers in the Russian Far East was conducted to illuminate the current status of EHRs and to collect various perspectives on barriers and facilitators to implementation.

resultsThe analysis revealed six major barriers and five major facilitators for implementation of nationwide EHRs in the Russian Far East. The barriers include lack of communications, an insufficient system development environment, poor adoption of standard terminology, poor infrastructure, resistance to a new system, and poor functionality. Facilitators include strategic government planning, centrally managed systems, health information exchange, willingness to use new functions, and well-established work processes.

conclusionsThis study's results, along with the experiences of developed countries that have already successfully introduced EHRs, will help support successful introduction of EHRs in the Russian Far East.

Indexed as

Delivery of Health CareElectronic Health RecordsAsia, EasternCommunicationRussiaElectronic health recordsPre-implementation analysisQualitative study

Identifiers

PMID32942224
PMCPMC7396132

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.