ArticleJMIR formative research2026
Physicians' Perceptions of Information Quality and Access in a New Cross-Institutional Electronic Health Record (EHR) System: Mixed Methods Design.
Article in JMIR formative research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Physicians rely on electronic health record (EHR) systems to make informed decisions and deliver high-quality care. Although the introduction of EHR systems has created significant opportunities for improving patient care, it has also introduced challenges related to information overload and increased cognitive demands. Objective: This study aimed to assess physicians' perceptions of a newly implemented cross-institutional EHR system regarding (1) the quality, access, and presentation of patient data and (2) the EHR's effectiveness at supporting cooperation and communication with patients. Methods: This study used a cross-sectional mixed methods descriptive research design. Data were gathered through a closed-ended questionnaire, participant observations, and interviews with physicians at a university hospital in central Norway, which transitioned to a new EHR system in November 2022. Qualitative data were gathered from September 2023 to January 2024 and analyzed using reflexive thematic analysis, while quantitative data were collected from January 2024 to July 2024 and analyzed using descriptive statistics. Results: The quantitative data showed that most surgical and nonsurgical physicians Conclusions: This study revealed a complex landscape regarding physicians' experiences with the newly implemented cross-institutional EHR system. Physicians stressed the need for improved organization and presentation of patient health data while also highlighting the positive impact of a cross-institutional EHR system on enhanced access to data. Although quantitative data showed that most physicians disagreed on whether the new EHR enhances cooperation and communication with patients, some informants in the qualitative part of the study highlighted positive experiences related to the patient health portal in improving communication. Based on qualitative findings, adding a feature that allows users to confirm if the patient has received or read messages could further improve the usefulness of the patient portal. Our qualitative findings also emphasized that enhancing system usability must be accompanied by comprehensive training on EHR use to achieve meaningful use. Future evaluations of the EHR system should focus on examining its long-term effects on access to patient data.
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