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dc.contributor.authorKruse, Clemens S. ( Orcid Icon 0000-0002-7636-1086 )
dc.contributor.authorKristof, Caitlin ( )
dc.contributor.authorJones, Beau ( )
dc.contributor.authorMitchell, Erica ( )
dc.contributor.authorMartinez, Angelica ( )
dc.date.accessioned2020-04-16T16:27:20Z
dc.date.available2020-04-16T16:27:20Z
dc.date.issued2016-10
dc.identifier.citationKruse, C. S., Kristof, C., Jones, B., Mitchell, E., & Martinez, A. (2016). Barriers to electronic health record adoption: A systematic literature review. Journal of Medical Systems, 40(252).en_US
dc.identifier.issn0148-5598
dc.identifier.urihttps://digital.library.txstate.edu/handle/10877/9621
dc.description.abstractFederal efforts and local initiatives to increase adoption and use of electronic health records (EHRs) continue, particularly since the enactment of the Health Information Technology for Economic and Clinical Health (HITECH) Act. Roughly one in four hospitals not adopted even a basic EHR system. A review of the barriers may help in understanding the factors deterring certain healthcare organizations from implementation. We wanted to assemble an updated and comprehensive list of adoption barriers of EHR systems in the United States. Authors searched CINAHL, MEDLINE, and Google Scholar, and accepted only articles relevant to our primary objective. Reviewers independently assessed the works highlighted by our search and selected several for review. Through multiple consensus meetings, authors tapered articles to a final selection most germane to the topic (n = 27). Each article was thoroughly examined by multiple authors in order to achieve greater validity. Authors identified 39 barriers to EHR adoption within the literature selected for the review. These barriers appeared 125 times in the literature; the most frequently mentioned barriers were regarding cost, technical concerns, technical support, and resistance to change. Despite federal and local incentives, the initial cost of adopting an EHR is a common existing barrier. The other most commonly mentioned barriers include technical support, technical concerns, and maintenance/ongoing costs. Policy makers should consider incentives that continue to reduce implementation cost, possibly aimed more directly at organizations that are known to have lower adoption rates, such as small hospitals in rural areas.en_US
dc.formatText
dc.format.extent7 pages
dc.format.medium1 file (.pdf)
dc.language.isoen_USen_US
dc.publisherSpringeren_US
dc.sourceJournal of Medical Systems, 2016, Vol. 40, Issue 252.
dc.subjectAdoptionen_US
dc.subjectImplementation
dc.subjectBarriers
dc.subjectChallenges
dc.subjectElectronic health records
dc.titleBarriers to Electronic Health Record Adoption: A Systematic Literature Reviewen_US
txstate.documenttypeArticle
dc.identifier.doihttps://doi.org/10.1007/s10916-016-0628-9
dc.rights.licenseThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
txstate.departmentHealth Administration


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