ArticleLife (Basel, Switzerland)2020
Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content.
Article in Life (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 128 papers, 7 of them syntheses that pooled 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.
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.
Who cites it
128 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Electronic health record adaptation and innovation among healthcare professionals in hospitals: an integrative framework based on a systematic review.BMC health services research · 2026Pooled it
- GRADE-Based Clinical Practice Guidelines for Emergency Department Delirium Risk Stratification, Screening, and Brain Imaging in Older Patients With Suspected Delirium.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Guideline
- Systematic review of the use and challenges of electronic health records in physiotherapy practice.BMJ open · 2025Pooled it
- Advancing Health Care With Digital Twins: Meta-Review of Applications and Implementation Challenges.Journal of medical Internet research · 2025Pooled it
- Pooled it
- Pooled it
- Adoption of electronic health record systems to enhance the quality of healthcare in low-income countries: a systematic review.BMJ health & care informatics · 2023Pooled it
- Shoulder-to-shoulder: healthcare professionals' experiences of learning during electronic health record implementation in municipal primary care.Scandinavian journal of primary health care · 2026Article
- Periodontitis Prediction Model Using Linked Electronic Health and Dental Records.JDR clinical and translational research · 2026Article
- Integrating Peer Support Into Medicare-Funded Care: A Qualitative Study of System-Level Insights From Early Implementation.Annals of family medicine · 2026Article
- Early Implementation of a Nationwide Opt-Out Electronic Health Record for Outpatient Care in Germany: Qualitative Semistructured Interview Study.Journal of medical Internet research · 2026Article
- Accessing Germany's Electronic Patient Record Through Health Insurer-Provided Apps: Qualitative Interview Study.JMIR mHealth and uHealth · 2026Article
- Informal Digital Coordination of Nurse Shift Swaps in a Saudi Tertiary Hospital: A Qualitative Descriptive Study.Healthcare (Basel, Switzerland) · 2026Article
- The Global Airways Unit: A Multidisciplinary Strategy for Early Diagnosis and Comorbidity Detection.World journal of otorhinolaryngology - head and neck surgery · 2026Review
- The impact of a national transition of treatment platform on the acceptance of internet-delivered cognitive behavioral therapy: A longitudinal study among Norwegian therapists.Internet interventions · 2026Article
- An exploratory survey of barriers and enablers of AI adoption in rural and urban dental practices in Mecklenburg-Western Pomerania, Germany.Scientific reports · 2026Article
- Electronic Health Record Burden Among Gastroenterology Providers in a Large Tri-state Tertiary Referral Center.Digestive diseases and sciences · 2026Article
- Electronic health records in patient care: strengths, facilitators, challenges, and future directions-a scoping review.BMC health services research · 2026Article
- Family Medicine in Gulf Cooperation Council Countries: Perspectives, Directions, and Future Opportunities; A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Organizational Tensions in the Implementation of Modifiable Off-the-Shelf Technologies in a University Hospital: Qualitative Multimethod Study.JMIR human factors · 2026Article
68 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
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.
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What OpenQuestion holds
Registered trials
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.