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Barriers to the adoption of electronic health records: using concept mapping to develop a comprehensive empirical model
Open accessAbstract
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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“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].”
From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [9]
In the citing paper
“A broad spectrum of research methodologies have been used to study eHealth adoption and acceptance factors based on information provided in published studies [9].”
From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [9]
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Metadata
- 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
- Publisher
- SAGE Publications
- 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
- bronze
- doi.org
- 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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