The DOI matches its Crossref record; 56 of the 57 references it cites were found in a registry or an index.
Adopting electronic medical records in primary care: Lessons learned from health information systems implementation experience in seven countries
Abstract
The adoption of health information systems is seen world wide as one method to mitigate the widening health care demand and supply gap. The purpose of this review was to identify the current state of knowledge about health information systems adoption in primary care. The goal was to understand factors and influencers affecting implementation outcomes from previous health information systems implementations experiences. A comprehensive systematic literature review of peer reviewed and grey literature was undertaken to identify the current state of knowledge regarding the implementation of health information systems. A total of 6 databases, 27 journal websites, 20 websites from grey sources, 9 websites from medical colleges and professional associations as well as 22 government/commission websites were searched. The searches returned almost 3700 article titles. Eighty-six articles met our inclusion and exclusion criteria. Articles show that systems' graphical user interface design quality, feature functionality, project management, procurement and users' previous experience affect implementation outcomes. Implementers had concerns about factors such as privacy, patient safety, provider/patient relations, staff anxiety, time factors, quality of care, finances, efficiency, and liability. The review showed that implementers can insulate the project from such concerns by establishing strong leadership, using project management techniques, establishing standards and training their staff to ensure such risks do not compromise implementation success. The review revealed the concept of socio-technical factors, or "fit" factors, that complicate health information systems deployment. The socio-technical perspective considers how the technical features of a health information system interact with the social features of a health care work environment. The review showed that quality of care, patient safety and provider/patient relations were not, positively or negatively, affected by systems implementation. The fact that no articles were found reviewing the benefits or drawbacks of health information systems accruing to patients should be concern to adopters, payers and jurisdictions. No studies were found that compared how provider-patient interactions in interviews are effected when providers used electronic health information systems as opposed to the paper equivalent. Very little information was available about privacy and liability.
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“A team-based partnership approach, collaborative efforts and good coordination between stakeholders and organisations were all shown to be important for implementation [34, 41, 55, 77].”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [77]
In the citing paper
“Non-clinical staff often had better knowledge of optimising processes compared to clinicians [77]”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [77]
In the citing paper
“different members of the workforce brought different perspectives and skills to the implementation [77].”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [77]
In the citing paper
“patient values and preferences [3, 33] and concerns about clinician-patient relationships [42, 77] impeded implementation”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [77]
In the citing paper
“Resistance to change caused by disagreement with the evidence, negative beliefs about the usefulness or added value of the intervention or belief that the intervention was not part of their role were commonly described as a barrier to implementation [3, 14, 35, 41, 67–70, 76, 77, 80].”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [77]
In the citing paper
“Previous personal experience in clinical practice or with the information system affected professional attitudes to a new system or intervention [54, 66, 77, 81].”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [77]
In the citing paper
“Effective project management (e.g. using an incremental approach over time according to a strategic plan allowing a transition period between old and new system) was shown to facilitate implementation [77].”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [77]
In the citing paper
“Incentives by government organisations and other external stakeholders may facilitate adoption by healthcare organisations [17, 18, 39, 48, 49].”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [39]
In the citing paper
“Financial incentives include the provision of initial funds to cover upfront costs [49], financial sponsorship [39], reimbursements for adoption [19, 30, 31, 36], and pay-for-performance initiatives [24, 36, 37, 49].”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [39]
In the citing paper
“Providing a period of transition in which end users can become familiar with and learn how to use new systems has been advocated [39, 50].”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [39]
In the citing paper
“Incremental implementation strategies where features are made available to users according to a plan were cited as preferable to ‘big bang’ approaches to implementation within complex organisations [39, 49].”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [39]
In the citing paper
“Our study was UK-based, although the challenge of implementing effective decision support for prescribing, and specifically the problem of alert fatigue, is international.12 24 50”
From ‘Too much, too late’: mixed methods multi-channel video recording study of computerized decision support systems and GP prescribing (2013) · cites this paper as [50]
In the citing paper
“Difficulties in eHealth implementation are international phenomena, with similar problems being widely reported [102-105].”
From Web-Based Interventions for Behavior Change and Self-Management: Potential, Pitfalls, and Progress (2012) · cites this paper as [105]
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Items 101–200 of 666
A framework for analysing learning health systems: Are we removing the most impactful barriers?
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“71,109 Early collaboration with clinical users, 53,70 provision of general computer and EHR ‐ specific training, 54,70,71,109 and engaging user champions to drive acceptance and reduce user frustration 70,72,111 were substantial”
BackgroundInfluentialPredicting risk of undiagnosed COPD: development and validation of the TargetCOPD score
Haroon, S. M., Adab, P., Riley, R. D., Fitzmaurice, D. A., & Jordan, R. E. (2017) · European Respiratory Journal · doi:10.1183/13993003.02191-2016 · Cited by 46
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“[13–15] Participants in our study expressed many of these same concerns, particularly the financial challenges associated with purchasing and maintaining e-PCR systems and organizational challenges, including lack of leadership, and operating within complex, bureaucratic organizational structures…”
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“…systems is prevalent (Ford et al., 2009; Ilie et al., 2009; Lee, 2010; Locatelli et al., 2012; ONC, 2008), visible executive management engagement is required to lead the organization through the EHR innovation process (Buntin et al., 2011; Ludwick & Doucette, 2009; Van Der Meijden et al., 2003).”
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Self-citationKujala, S., Ammenwerth, E., Kolanen, H., & Ervast, M. (2020) · Journal of Medical Internet Research · doi:10.2196/17696 · Cited by 38
“In a literature review, Ludwick and Doucette [37] suggested that large organizations should use an incremental approach due to the complexities associated with their size.”
BackgroundThe Interactive Virtual Training for Teachers (IVT-T) to Practice Classroom Behavior Management
Delamarre, A., Shernoff, E. S., Buche, C., Frazier, S., Gabbard, J., & Lisetti, C. L. (2021) · Int. J. Hum. Comput. Stud. · doi:10.1016/j.ijhcs.2021.102646 · Cited by 32
“…that graphical fidelity could be detrimental for learning Brenton et al. (2005); Wages et al. (2004) while others argue that it is necessary for an efficient transfer of learning Bossard et al. (2008); Dalgarno and Lee (2009) and technology adoption Ludwick and Doucette (2009); Whyte et al. (2015).”
BackgroundMethodCresswell, K. M., Bates, D. W., & Sheikh, A. (2013) · Apple Academic Press eBooks · doi:10.1201/b16306-4 · Cited by 42
What Drives People’s Behavioral Intention Toward Telemedicine? An Emerging Economy Perspective
Hossain, M. A., Amin, R., Masud, A. A., Hossain, M. I., Hossen, M. A., & Hossain, M. K. (2023) · SAGE Open · doi:10.1177/21582440231181394 · Cited by 40
Assimilating Healthcare Information Systems in a Malaysian Hospital
Sulaiman, H. B., & Wickramasinghe, N. S. (2014) · Communications of the Association for Information Systems · doi:10.17705/1cais.03477 · Cited by 42
“…information systems (HIS), electronic medical record (EMR) and electronic health record (EHR) has increased tremendously throughout the last decade [Ford, Menachemi, Huerta and Yu, 2010; Heathfield, Pitty and Hanka, 1998; Ludwick and Doucette, 2009; Venkatraman, Bala, Venkatesh and Bates 2008].”
BackgroundSustaining "Meaningful Use" of Health Information Technology in Low-Resource Practices
Green, L. A., Potworowski, G. A., Day, A., May-Gentile, R., Vibbert, D., Maki, B., & Kiesel, L. (2015) · The Annals of Family Medicine · doi:10.1370/afm.1740 · Cited by 40
Syed-Abdul, S., Scholl, J., Chen, C., Santos, M. D. P. S., Jian, W., Liou, D.-M., & Li, Y. (2012) · Journal of Burn Care & Research · doi:10.1097/bcr.0b013e318241b6b7 · Cited by 40
Mukred, M., Yusof, Z. M., Mokhtar, U. A., & Fauzi, F. (2018) · Journal of Information Science · doi:10.1177/0165551518783133 · Cited by 51
Adereti, C. S., & Olaogun, A. A. (2018) · International Journal of Nursing Knowledge · doi:10.1111/2047-3095.12232 · Cited by 47
“To achieve this, the nursing process must be integrated into EHRs using SNTs and SNCPs that will promote effective and better documentation and adherence to clinical guidelines by nurses (Ballantyne, 2016; Ludwick & Doucette, 2009; O’Brien et al., 2015; Pearse, 2009).”
Mukred, M., Yusof, Z. M., Mokhtar, U. A., Sadiq, A., Hawash, B., & Ahmed, W. (2021) · KSII Transactions on Internet and Information Systems · doi:10.3837/tiis.2021.01.006 · Cited by 44
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“Conclusions from related empirical studies also confirm that if management is disoriented and fails to implement a complete strategic framework for HIS implementation, then the realistic goals and objectives set for employees may not be fulfilled [87,88].”
BackgroundPerez, G., & Zwicker, R. (2010) · RAM. Revista de Administração Mackenzie · doi:10.1590/s1678-69712010000100008 · Cited by 40
Vuk, J., Anders, M., Mercado, C. C., Kennedy, R. L., Casella, J., & Steelman, S. C. (2015) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2015.02.003 · Cited by 38
“[6] D.”
BackgroundTest result communication in primary care: a survey of current practice
Litchfield, I. J., Bentham, L., Lilford, R. J., McManus, R. J., Hill, A., & Greenfield, S. (2015) · BMJ Quality & Safety · doi:10.1136/bmjqs-2014-003712 · Cited by 38
Banfield, M., Jowsey, T., Parkinson, A., Douglas, K. A., & Dawda, P. (2017) · BMC Family Practice · doi:10.1186/s12875-016-0575-z · Cited by 38
Development of a primary care physician task list to evaluate clinic visit workflow: Table 1
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“HIT showed that the anxiety of health care professionals was a key factor influencing this hesitation.(2) During the introduction of innovative technologies, physicians must more profoundly understand their new roles and learn to adapt to the technologies that affect their work.”
BackgroundThum, M. A., Baldisserotto, J., & Celeste, R. K. (2019) · Cadernos de Saúde Pública · doi:10.1590/0102-311x00029418 · Cited by 37
Mukred, M., Yusof, Z. M., & Alotaibi, F. M. (2019) · IEEE Access · doi:10.1109/access.2019.2927614 · Cited by 33
“Training studies indicated the constructs positive effects on the use and adoption of the system and this was evidenced by the findings reported by Ludwick and Doucette [43], Boonstra and Broekhuis [45] and Huryk [46].”
BackgroundResultMei, Y., Marquard, J. L., Jacelon, C. S., & DeFeo, A. L. (2011) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2011.03.008 · Cited by 36
The Impact of eHealth on the Quality and Safety of Healthcare
Majeed, A., Black, A., Car, J., Anandan, C., Cresswell, K. M., McKinstry, B., Pagliari, C., Procter, R., & Sheikh, A. (2009) · Lecture notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering · doi:10.1007/978-3-642-11284-3_21 · Cited by 35
“An additional 55 supplementary reviews provided context to the findings [68–122], aiding in their interpretation [123].”
BackgroundThe Relationship between Nurses’ Training and Perceptions of Electronic Documentation Systems
Zaman, N., Goldberg, D. M., Kelly, S. E., Russell, R. S., & Drye, S. L. (2021) · Nursing Reports · doi:10.3390/nursrep11010002 · Cited by 41
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“Another objective of our study was to investigate the effect of physicians’ attitude towards health IT on health IT adoption, use of electronic workflow practices and the intention to expand individual health IT use in the future, because a lot of qualitative studies suggested that there exists an association [5,14,16…”
BackgroundWiemann, C. M., Hergenroeder, A. C., Bartley, K. A., Sanchez-Fournier, B. E., Hilliard, M. E., Warren, L. J., & Graham, S. C. (2015) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2015.05.024 · Cited by 37
“…low access to sufficient resources, uncertainty of impact on patient outcomes or alignment with patient preferences, and low confidence about one's own ability to execute them (Cabana, Rand, Becher, & Rubin, 2001; Cabana et al., 1999; Foy et al., 2002; Klein et al., 2010; Ludwick & Doucette, 2009).”
BackgroundHealth professionals’ expectations of a national patient portal for self-management
Kujala, S., Hörhammer, I., Viitanen, J., & Heponiemi, T. (2018) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2018.06.005 · Cited by 33
“Earlier studies recommend that these concerns are proactively addressed as a mean to manage resistance [22].”
BackgroundKrog, M., Nielsen, M. G., Le, J. V., Bro, F., Christensen, K. S., & Mygind, A. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3309-1 · Cited by 34
“activation of patients and better clinical assesments made by GPs) are facilitating components in the implementation of telemedicine in primary care is supported by a range of other studies [17, 18, 24, 25].”
BackgroundResultBoet, S., Etherington, C., Lam, S., Lê, M., Proulx, L., Britton, M., Kenna, J. G., Przybylak‐Brouillard, A., Grimshaw, J., Grantcharov, T., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/15443 · Cited by 34
“Although much work has been done to establish best practices for implementing technology in health care, it has focused on the implementation of medical devices [15,16], electronic patient records [17-20], and simulation-based education technology [21,22].”
BackgroundBundschuh, B. B., Majeed, R. W., Bürkle, T., Kuhn, K. A., Sax, U., Seggewies, C., Vosseler, C., & Röhrig, R. (2011) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-11-69 · Cited by 34
Electronic health records and resident workflow: A time-motion study of otolaryngology residents
Victores, A. J., Coggins, K. G., & Takashima, M. (2014) · The Laryngoscope · doi:10.1002/lary.24848 · Cited by 36
“27 Future changes to the EHR user interface should be directed at simplifying data entry to minimize disruption of physician–patient interaction.”
BackgroundInformation privacy concerns in electronic healthcare records: A systematic literature review
Rahim, F. A., Ismail, Z., & Samy, G. N. (2013) · International Conference on Research and Innovation in Information Systems · doi:10.1109/icriis.2013.6716760 · Cited by 33
“As there is limited application of SLR technique used in conducting information privacy research domain [5], [13], [14], this study attempts to use SLR to investigate the current state of the art of information privacy concerns in healthcare environment.”
MethodSherer, S. A., Meyerhoefer, C. D., Sheinberg, M., & Levick, D. (2015) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2015.05.010 · Cited by 33
Barbarito, F., Pinciroli, F., Barone, A. A., Pizzo, F., Ranza, R., Mason, J., Mazzola, L., Bonacina, S., & Marceglia, S. R. F. (2013) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2013.10.021 · Cited by 32
“EHRs are used by healthcare professionals as planning tools that support the care process, from order entry to results management [6–8].”
MethodSAĞLIK BİLİŞİMİ ve TÜRKİYE’DE HASTANELERİN DİJİTALLEŞMESİ
Vermişli, S., Gıersbergen, M. Y. V., & Biçersoy, G. (2018) · Sağlık Akademisi Kastamonu · doi:10.25279/sak.398078 · Cited by 32
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“Employees will resist these changes if organisations are unable to manage change or encourage their employees to accept changes (Dezdar & Ainin, 2011; Ludwick & Doucette, 2009).”
BackgroundThomas-Francois, K., & Somogyi, S. (2022) · International Review of Retail Distribution & Consumer Research · doi:10.1080/09593969.2022.2051195 · Cited by 34
“In Canadian culture, there seems to be some aversion to adopting new technologies due to concerns over data security and cost (Ludwick and Doucette 2009) or a general lack of knowledge, which makes it difficult to adopt or anticipate habits and behaviours (Schembri 2008).”
BackgroundEffects of Electronic Health Information Technology Implementation on Nursing Home Resident Outcomes
Pillemer, K. A., Meador, R., Teresi, J. A., Chen, E. K., Henderson, C., Lachs, M. S., Boratgis, G. D., Silver, S. A., & Eimicke, J. P. (2011) · Journal of Aging and Health · doi:10.1177/0898264311408899 · Cited by 31
“Most problematic for the long-term care context, given the importance of person-centered care (Tellis-Nayak, 2007), is evidence of changes in the provider–patient relationship, as professionals become more occupied with the computer and less oriented toward the patient (Ludwick & Doucette, 2009).”
BackgroundSilveira, A., Gonçalves, J. J., Sequeira, T., Ribeiro, C., Lopes, C., Monteiro, E. F., & Pimentel, F. L. (2012) · Revista Brasileira de Epidemiologia · doi:10.1590/s1415-790x2012000100004 · Cited by 30
Pearson, O. R., & Segal, L. (2015) · BMC Health Services Research · doi:10.1186/s12913-015-0803-6 · Cited by 30
“Factors of successful implementation of clinical governance have shown to include professional leadership, local relevancy, the ability for staff to review their own performance and readily accessible information on health care practice [37,38].”
BackgroundMining Deviations from Patient Care Pathways via Electronic Medical Record System Audits
Zhang, H., Mehotra, S., Liebovitz, D., Gunter, C. A., & Malin, B. (2013) · ACM Transactions on Management Information Systems · doi:10.1145/2544102 · Cited by 30
“INTRODUCTION Electronic medical record (EMR) systems provide a convenient way for physicians and clinical service providers to interact with, reason over, and contribute to patients health data [Buntin et al. 2010; Ludwick and Doucette 2009].”
BackgroundCresswell, K. M., Worth, A., & Sheikh, A. (2012) · Health Informatics Journal · doi:10.1177/1460458212445399 · Cited by 32
Exploring physicians’ continuous use of clinical decision support systems
Abouzahra, M., Guenter, D., & Tan, J. (2022) · European Journal of Information Systems · doi:10.1080/0960085x.2022.2119172 · Cited by 33
“Prior research has shown that champions could play an important role in encouraging system use and demonstrating system benefits to users in a HIT context (Ash, 1997; Ludwick et al., 2009; Sittig et al., 2010).”
BackgroundSchweitzer, M., & Hoerbst, A. (2015) · Yearbook of Medical Informatics · doi:10.15265/iy-2015-018 · Cited by 29
“It is further stated that detailed planning [28], a strategy [29], clear objectives as well as pilots [30, 31] are important requirements for success.”
BackgroundDesign and Development of EMR Supporting Medical Process Management
Li, J., Xiao-guang, Z., Chu, J., Suzuki, M., & Araki, K. (2010) · Journal of Medical Systems · doi:10.1007/s10916-010-9581-1 · Cited by 28
“include patient information (statistical information, past medical history, medication record, problem lists), prescription, scheduling a physical examination or test and getting the results and images, getting information from other physicians or hospitals, decision support (mainly for pharmacy) [35–51].”
BackgroundElectronic medical record implementation in a large healthcare system from a leadership perspective
Arabi, Y. M., Ghamdi, A. A. A., Al-Moamary, M. S., Mutrafy, A. A., AlHazme, R. H., & Al-Knawy, B. (2022) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-022-01801-0 · Cited by 28
“instead of being a business process transformation, which involves IT components [9, 10].”
BackgroundInfluentialICD9-based Text Mining Approach to Children Epilepsy Classification
Pereira, L. A. M., Rijo, R., Silva, C., & Agostinho, M. (2013) · Procedia Technology · doi:10.1016/j.protcy.2013.12.152 · Cited by 28
“Electronic medical records (EMR) includes patient demographics, summaries, medical history and lab tests, which are important for physicians to know the needs and take care of patients [10].”
BackgroundShernoff, E. S., Schalscha, K. V., Gabbard, J. L., Delmarre, A., Frazier, S. L., Buche, C., & Lisetti, C. (2020) · Educational Technology Research and Development · doi:10.1007/s11423-020-09819-9 · Cited by 32
Implementation of large-scale health information systems
Luz, R., Mussi, C. C., Dutra, A., & Chaves, L. C. (2021) · Revista de Gestão · doi:10.1108/rege-06-2019-0064 · Cited by 30
Gaugler, J. E. (2016) · Handbook of Aging and the Social Sciences · doi:10.1016/b978-0-12-417235-7.00020-2 · Cited by 28
Anikeeva, O., & Bywood, P. (2013) · Australian Journal of Rural Health · doi:10.1111/ajr.12020 · Cited by 27
Development of Hospital Information Systems: User Participation and Factors Affecting It
Rahimi, B., Safdari, R., & Jebraeily, M. (2014) · Acta Informatica Medica · doi:10.5455/aim.2014.22.398-401 · Cited by 30
“Hospital Information System (HIS) is one of the IT tools covering all functions and operations that are done in the process of patient’s care in various wards of hospital (3-5).”
BackgroundXie, F., Lee, J. B., Munoz‐Plaza, C. E., Hahn, E. E., & Chen, W. (2017) · Journal of Pathology Informatics · doi:10.4103/jpi.jpi_55_17 · Cited by 27
“Therefore, an additional list was created, including 14 cancer concepts that were required to occur along with the breast concept [Appendix 2].”
BackgroundImplantação da Estratégia e-SUS Atenção Básica: uma análise fundamentada em dados oficiais
Cielo, A. C., Raiol, T., da Silva, E. N., & Barreto, J. O. M. (2022) · Revista de Saúde Pública · doi:10.11606/s1518-8787.2022056003405 · Cited by 27
“2022056003405 Continuação Implantação parcial 1 (0,4) 9 (4) 58 (26) 73 (32,7) 85 (38,1) 75 (33,6) 84 (37,6) Implantado 0 (0) 3 (1,3) 18 (8) 26 (11,6) 33 (14,7) 51 (22,8) 37 (16,5) PE Não implantado 185 (100) 161 (87) 93 (50,2) 15 (8,1) 3 (1,6) 1 (0,5) 2 (1) Implantação inicial 0 (0) 23 (12,4) 83 (44,8) 131 (70,8) 116…”
Exploring facilitators of the implementation of electronic health records in Saudi Arabia
Alzghaibi, H., & Hutchings, H. A. (2022) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-022-02072-5 · Cited by 30
“Ludwick DA, Doucette J. Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries.”
ResultInfluentialText Mining Applied to Electronic Medical Records
Pereira, L. A. M., Rijo, R., Silva, C., & Martinho, R. (2015) · International Journal of E-Health and Medical Communications · doi:10.4018/ijehmc.2015070101 · Cited by 28
Featherstone, I., & Keen, J. (2011) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2011.09.002 · Cited by 27
“[1] D.”
BackgroundMcAlearney, A. S., Hefner, J. L., Sieck, C. J., Rizer, M. K., & Huerta, T. R. (2014) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2014.04.002 · Cited by 28
“settings has been linked to organizational nd physician level barriers [1,7,9–13].”
BackgroundJetelina, K. K., Woodson, T. T., Gunn, R., Muller, B., Clark, K. D., DeVoe, J. E., Balasubramanian, B. A., & Cohen, D. J. (2018) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2018.05.180041 · Cited by 27
Key Success Factors Behind Electronic Medical Record Adoption in Thailand
Narattharaksa, K. C., Speece, M. W., Newton, C., & Bulyalert, D. (2011) · Journal of Health Organization and Management · doi:10.1108/jhom-10-2014-0180 · Cited by 32
Health information technology in hospitals: current issues and future trends
Cresswell, K. M., & Sheikh, A. (2015) · Future Hospital Journal · doi:10.7861/futurehosp.2-1-50 · Cited by 64
Stephens, A. B., Wynn, C. S., & Stockwell, M. S. (2019) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2019.1611158 · Cited by 27
“114 In settings where there have been demonstrated benefits to EHR use, preference has grown as providers are now more familiar with the benefits such a system provides.”
BackgroundAn Integrated Success Model for an Electronic Health Record: A Case Study of Hakeem Jordan
Nassar, D., Othman, M., Hayajneh, J. A., & Ali, N. B. (2015) · Procedia Economics and Finance · doi:10.1016/s2212-5671(15)00526-2 · Cited by 26
A Review of the Personal Health Records in Selected Countries and Iran
Ahmadi, M., Jeddi, F. R., Gohari, M. R., & Sadoughi, F. (2010) · Journal of Medical Systems · doi:10.1007/s10916-010-9482-3 · Cited by 26
“The successful adoption of this patient-cantered record system as its ancestors— health information systems–is affected by environmental factors including operational, organizational and cultural features of socio-technical perspective [93].”
BackgroundWang, H., Coyte, P. C., Wei-wei, S., Zong, X., & Zhong, R. (2023) · Sustainability · doi:10.3390/su152115414 · Cited by 25
IT ‐based clinical knowledge management in primary health care: A conceptual framework
Raymond, L., Paré, G., & Maillet, É. (2017) · Knowledge and Process Management · doi:10.1002/kpm.1545 · Cited by 25
Makeleni, N., & Cilliers, L. (2021) · South African journal of information management · doi:10.4102/sajim.v23i1.1230 · Cited by 33
“Other additional functionalities of EMRs include decision support, results management and order entry (Ludwick & Doucette 2009).”
BackgroundAlshahrani, S. M., Mohamed, H. B., Mukhtar, M. B., & Mokhtar, U. A. (2022) · International Journal of Information Management Data Insights · doi:10.1016/j.jjimei.2022.100148 · Cited by 30
Return on Investment in Electronic Health Records in Primary Care Practices: A Mixed-Methods Study
Jang, Y., Lortie, M. A., & Sanche, S. (2014) · JMIR Medical Informatics · doi:10.2196/medinform.3631 · Cited by 24
“While there is a growing body of evidence that EHR can be a valuable tool for improving quality of care and patient safety with relatively positive perceptions about EHR benefits [15-17], uncertainty about cost recovery of an EHR investment remains a significant concern in primary care practices [7,8,18,19].”
Development of Nationwide Electronic Health Record (ΝEHR): An international survey
Fragidis, L. L., & Chatzoglou, P. (2017) · Health Policy and Technology · doi:10.1016/j.hlpt.2017.04.004 · Cited by 25
Kleczka, B., Musiega, A., Rabut, G., Wekesa, P., Mwaniki, P., Marx, M., & Kumar, P. A. (2017) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2017.10.014 · Cited by 24
“There are numerous reasons why paper continues to be used as an interface for medical documentation [23,24], and paper-based documentation is almost ubiquitous in LMIC settings.”
BackgroundYoo, S., Kim, S., Lee, S., Lee, K., Baek, R., & Hwang, H. Y. (2012) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2012.08.004 · Cited by 24
“We believe that patient-directed EHR capabilities will become more important as the adoption of EHRs increases.”
BackgroundInfluentialOrganization’s Quality Maturity as a Vehicle for EHR Success
Meidani, Z., Sadoughi, F., Maleki, M. R., Tofighi, S., & Marani, A. B. (2010) · Journal of Medical Systems · doi:10.1007/s10916-010-9584-y · Cited by 24
“and its supporters [52–54, 62–64].”
Electronic health records: A general overview
Sahney, R., & Sharma, M. (2018) · Current Medicine Research and Practice · doi:10.1016/j.cmrp.2018.03.004 · Cited by 24
Consumer Health Informatics: Engaging and Empowering Patients and Families
Nazi, K. M., Hogan, T. P., Woods, S. S., Simon, S. R., & Ralston, J. D. (2015) · Springer eBooks · doi:10.1007/978-3-319-22753-5_19 · Cited by 23
Impact of electronic medical records (EMRs) on hospital productivity in Japan
Kaneko, K., Onozuka, D., Shibuta, H., & Hagihara, A. (2018) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2018.07.008 · Cited by 25
Kujala, S., Hörhammer, I., Heponiemi, T., & Josefsson, K. (2019) · Journal of Medical Internet Research · doi:10.2196/11413 · Cited by 23
“The 9 good implementation practices were identified from the literature [2,6,14,20-23] (see Multimedia Appendix 1).”
Bardoel, A., & Drago, R. (2016) · The International Journal of Human Resource Management · doi:10.1080/09585192.2016.1232293 · Cited by 25
“Many if not all of those functions are provided in commercial software now available in Australia (e.g. bpsoftware.net) or the US (e.g. healthfu-sion.com), although stand-alone billing and scheduling systems are also available (Department of Health and Ageing, 2011).”
BackgroundInfluentialOpportunities and challenges for implementing cost accounting systems in the Kenyan health system
Kihuba, E., Gheorghe, A., Bozzani, F. M., English, M., & Griffiths, U. K. (2016) · Global Health Action · doi:10.3402/gha.v9.30621 · Cited by 22
Renardi, M. B., Kuspriyanto, Basjaruddin, N. C., & Rakhman, E. (2018) · Technology and Health Care · doi:10.3233/thc-171140 · Cited by 22
“Moreover, doctors may examine their patients more quickly since the documents needed are integrated and the time required to obtain the records may be shorter [7–10].”
A model to adopt Enterprise Resource Planning (ERP) and Business Intelligence (BI) among saudi SMEs
Aldossari, S., & Mokhtar, U. A. (2020) · International Journal of Innovation · doi:10.5585/iji.v8i2.17395 · Cited by 22
Hogaboam, L., Ragel, B. T., & Daim, T. U. (2014) · Portland International Conference on Management of Engineering and Technology (PICMET) · Cited by 22
Critical Issues in EHR Implementation: Provider and Vendor Perspectives
Palvia, P., Jacks, T., & Brown, W. S. (2015) · Communications of the Association for Information Systems · doi:10.17705/1cais.03636 · Cited by 22
Nor, N. A. M., Taib, N. A. M., Saad, M. B., Zaini, H. S. M., Ahmad, Z., Ahmad, Y., & Dhillon, S. K. (2019) · BMC Bioinformatics · doi:10.1186/s12859-018-2406-9 · Cited by 21
Analyzing medical device connectivity and its effect on cyber security in german hospitals
Willing, M., Dresen, C., Haverkamp, U., & Schinzel, S. (2020) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-020-01259-y · Cited by 21
Blockchain-Based Architecture Design for Personal Health Record: Development and Usability Study
Costa, T. B. D. S., Shinoda, L., Moreno, R. A., Krieger, J. E., & Gutierrez, M. A. (2022) · Journal of Medical Internet Research · doi:10.2196/35013 · Cited by 28
“Some examples of these digital repositories are electronic medical record [3,4], electronic patient record [5,6], and the personal health record (PHR).”
BackgroundPersonal health data: A systematic mapping study
Karampela, M., Ouhbi, S., & Isomursu, M. (2018) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2018.08.006 · Cited by 20
“Current digital solutions such as home nursing [3], health monitoring systems [4], mobile applications [5], electronic medical records (EMR) [6], electronic health records (EHR) [7], personal health records (PHRs) [8] and mobile PHRs (mPHRs) [9], can support this argument.”
BackgroundLudwick, D., Lortie, C., Doucette, J., Rao, J., & Samoil-Schelstraete, C. (2010) · Journal of Cutaneous Medicine and Surgery · doi:10.2310/7750.2010.09012 · Cited by 20
Self-citationThe Impact of Quality of Big Data Marketing Analytics (BDMA) on the Market and Financial Performance
Haverila, M., Haverila, K. C., Mohiuddin, M., & Su, Z. (2022) · Journal of Global Information Management · doi:10.4018/jgim.315646 · Cited by 20
“The development process, the ability to organize information, and the alertness to errors will improve with advancing levels of deployment experience with BDMA systems (Ludwick & Doucette, 2009).”
BackgroundBig data analytics in healthcare: current practices, innovations, and future prospects
Shahzad, K., Khan, S. A., Latif, M., Javeed, A. M. D., & Iqbal, A. (2025) · Journal Of Big Data · doi:10.1186/s40537-025-01288-2 · Cited by 27
“Certain challenges are associated with healthcare systems due to various factors including growing ratio of population, increased aging population, and rates of chronic diseases [17, 21, 55].”
Metadata
- Authors
- LUDWICK, D., & DOUCETTE, J.
- Affiliations
- University of Alberta (CA)
- ORCID
- DOUCETTE, J
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2009-01
- Volume
- 78
- Issue
- 1
- Pages
- 22-31
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W2005519248
- Cited by
- 668
- References
- 57
- Citations by year
- 2026: 4 · 2025: 15 · 2024: 21 · 2023: 35 · 2022: 30 · 2021: 38 · 2020: 40 · 2019: 43 · 2018: 55 · 2017: 50 · 2016: 46 · 2015: 56 · 2014: 57 · 2013: 46 · 2012: 41
- FWCI
- 64.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Social Sciences › Business, Management and Accounting › Management Information Systems › Information Systems Theories and Implementation
- Social Sciences › Business, Management and Accounting › Management Information Systems › ERP Systems Implementation and Impact
- Keywords
- electronic health records, health information systems, primary care, implementation outcomes, user interface design, project management, privacy concerns, patient safety, employee training, implementation barriers, cross-national comparison
- MeSH terms
- Humans, Medical Informatics, Primary Health Care, Risk Factors, Medical Records Systems, Computerized, Internationality
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