Cited by 127Electronic Health Records SystemsMedical Coding and Health InformationTechnology Adoption and User Behaviour

Barriers to the adoption of electronic health records: using concept mapping to develop a comprehensive empirical model

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Vishwanath, Arun, Scamurra, Susan D.·2007·Health Informatics Journal

Abstract

The study attempts to unify prior research and develop a comprehensive, empirically based conceptual model of the barriers to EHR adoption among community physicians. The model uses concept mapping, which taps the shared expertise of a group and provides reliable estimates with relatively small sample sizes. The methodology includes brainstorming of barrier statements and sorting and rating of issue statements. The model illuminates the larger structure of barriers as well as the finer details of constituent issues. Core issues are standardization and interoperability; also important are technical issues and the cost—benefit of adopting EHRs. However, psychosocial issues, the main focus of diffusion research, seem relatively peripheral. We believe the development of this model is an important first step in creating effective and measurable interventions that enhance the adoption of EHRs in healthcare.

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Crossref · 10.1177/1460458207076468

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  • Different eHealth adoption factors reported in studies may have made it difficult for decision makers to understand, measure, and decrease inhibiting factors or enhance facilitating forces.

    “According to the results of these studies, different eHealth adoption factors may have led to difficulty for decision makers to explicitly understand, measure, and decrease inhibiting factors or enhance facilitating forces [9].”
  • A broad spectrum of research methodologies has been used to study eHealth adoption and acceptance factors.

    “A broad spectrum of research methodologies have been used to study eHealth adoption and acceptance factors based on information provided in published studies [9].”

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  1. Lyons S, Tripp-Reimer, T, Sorofman, B A, et al. Information technology for clinical guideline implementation: perceptions of multidisciplinary stakeholders. Journal of the American Medical Informatics Association 2005; 12 (1); 64-71.

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Authors
Vishwanath, A., & Scamurra, S. D.
Affiliations
  • University at Buffalo, State University of New York (US)
  • Western New York Health IT -Community Tracking
Venue
Health Informatics Journal
Published
2007-06
Volume
13
Issue
2
Pages
119-134
ISSN
  • 1355-4743 (ISSN-L)
  • 1460-4582
  • 1741-2811
OpenAlex
W2036991742
Cited by
127
References
25
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 6 · 2022: 4 · 2021: 5 · 2020: 7 · 2019: 12 · 2018: 5 · 2017: 5 · 2016: 4 · 2015: 7 · 2014: 18 · 2013: 14 · 2012: 10
FWCI
13.50
Type
journal article
Language
en
Open access
Locations
  • Health Informatics Journal (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • New York State Department of Health
  • Agency for Healthcare Research and Quality
  • University of California, Santa Barbara
Topics
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
  • Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
Keywords
electronic health records, EHR adoption, barriers to adoption, community physicians, conceptual model, concept mapping, standardization, interoperability, cost-benefit analysis, psychosocial barriers, diffusion of innovations
MeSH terms
Attitude to Computers, Diffusion of Innovation, Group Processes, Humans, Models, Theoretical, New York, Cluster Analysis, Medical Records Systems, Computerized

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