ArticleBMC health services research2023
End-users' perspectives on factors affecting implementation and utilization of the Iranian electronic health record system: a qualitative study in a developing country.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Towards Electronic Medical Record (EMR) utilization in developing countries: a conceptual model based on systematic literature review.BMC medical informatics and decision making · 2026Pooled it
- "The emperor's new clothes": a qualitative study of end users' experiences from a failed large-scale implementation of an electronic health record system.BMC health services research · 2026Article
- Does the integrated electronic medical record system have a positive adoption in community hospital settings?BMC medical informatics and decision making · 2025Article
- Healthcare professionals' perceptions of electronic prescription systems in outpatient services: a qualitative study at UNS hospital.Cost effectiveness and resource allocation : C/E · 2025Article
- Stakeholder-Driven Cost Management Approaches in Iranian Hospitals: A Qualitative Thematic Analysis.Medical journal of the Islamic Republic of Iran · 2025Article
- End user experiences of an electronic health records platform in a tertiary hospital system in Kenya.PloS one · 2025Article
- How do opt-in versus opt-out settings nudge patients toward electronic health record adoption? An exploratory study of facilitators and barriers in Austria and France.BMC health services research · 2024Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs one of the most important information technologies for storing, managing, and exchanging health information, the electronic health record (EHR) plays a major role in the health system. However, these systems in developing countries have been associated with multidimensional issues. The purpose of the present study was the assessment of nonclinical end-users' points of view on the implementation and utilization of the Iranian electronic health record system.
methodsThis was a large qualitative study conducted in 2021 for 7 months from February to August. In this study, data were collected through in-depth semi-structured interviews with 70 non-clinical end-users in 22 public and six private hospitals of West Azerbaijan province in Iran. To analyze the data, the thematic analysis method was used.
resultsThe study results indicated that technical, human, cultural, managerial, and financial readiness are the most important factors affecting the implementation of EHRs in Iran. Among the mentioned factors, technical and human readiness were emphasized more by the users. Also, technical, organizational, human, and managerial factors were identified as factors influencing EHRs utilization, and technical and organizational factors had a stronger role in the system utilization.
conclusionsAccording to the results, several factors influence EHR implementation and adequate utilization in Iran. To achieve the predetermined goals of this system, implementation issues and problems of using the system should be considered and solved.
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Registered trials
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