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A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review

BACKGROUND: The health care sector is an area of social and economic interest in several countries; therefore, there have been lots of efforts in the use of electronic health records. Nevertheless, there is evidence suggesting that these systems have not been adopted as it was expected, and although...

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Autores principales: Castillo, Víctor H, Martínez-García, Ana I, Pulido, JRG
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2970582/
https://www.ncbi.nlm.nih.gov/pubmed/20950458
http://dx.doi.org/10.1186/1472-6947-10-60
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author Castillo, Víctor H
Martínez-García, Ana I
Pulido, JRG
author_facet Castillo, Víctor H
Martínez-García, Ana I
Pulido, JRG
author_sort Castillo, Víctor H
collection PubMed
description BACKGROUND: The health care sector is an area of social and economic interest in several countries; therefore, there have been lots of efforts in the use of electronic health records. Nevertheless, there is evidence suggesting that these systems have not been adopted as it was expected, and although there are some proposals to support their adoption, the proposed support is not by means of information and communication technology which can provide automatic tools of support. The aim of this study is to identify the critical adoption factors for electronic health records by physicians and to use them as a guide to support their adoption process automatically. METHODS: This paper presents, based on the PRISMA statement, a systematic literature review in electronic databases with adoption studies of electronic health records published in English. Software applications that manage and process the data in the electronic health record have been considered, i.e.: computerized physician prescription, electronic medical records, and electronic capture of clinical data. Our review was conducted with the purpose of obtaining a taxonomy of the physicians main barriers for adopting electronic health records, that can be addressed by means of information and communication technology; in particular with the information technology roles of the knowledge management processes. Which take us to the question that we want to address in this work: "What are the critical adoption factors of electronic health records that can be supported by information and communication technology?". Reports from eight databases covering electronic health records adoption studies in the medical domain, in particular those focused on physicians, were analyzed. RESULTS: The review identifies two main issues: 1) a knowledge-based classification of critical factors for adopting electronic health records by physicians; and 2) the definition of a base for the design of a conceptual framework for supporting the design of knowledge-based systems, to assist the adoption process of electronic health records in an automatic fashion. From our review, six critical adoption factors have been identified: user attitude towards information systems, workflow impact, interoperability, technical support, communication among users, and expert support. The main limitation of the taxonomy is the different impact of the adoption factors of electronic health records reported by some studies depending on the type of practice, setting, or attention level; however, these features are a determinant aspect with regard to the adoption rate for the latter rather than the presence of a specific critical adoption factor. CONCLUSIONS: The critical adoption factors established here provide a sound theoretical basis for research to understand, support, and facilitate the adoption of electronic health records to physicians in benefit of patients.
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spelling pubmed-29705822010-11-03 A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review Castillo, Víctor H Martínez-García, Ana I Pulido, JRG BMC Med Inform Decis Mak Research Article BACKGROUND: The health care sector is an area of social and economic interest in several countries; therefore, there have been lots of efforts in the use of electronic health records. Nevertheless, there is evidence suggesting that these systems have not been adopted as it was expected, and although there are some proposals to support their adoption, the proposed support is not by means of information and communication technology which can provide automatic tools of support. The aim of this study is to identify the critical adoption factors for electronic health records by physicians and to use them as a guide to support their adoption process automatically. METHODS: This paper presents, based on the PRISMA statement, a systematic literature review in electronic databases with adoption studies of electronic health records published in English. Software applications that manage and process the data in the electronic health record have been considered, i.e.: computerized physician prescription, electronic medical records, and electronic capture of clinical data. Our review was conducted with the purpose of obtaining a taxonomy of the physicians main barriers for adopting electronic health records, that can be addressed by means of information and communication technology; in particular with the information technology roles of the knowledge management processes. Which take us to the question that we want to address in this work: "What are the critical adoption factors of electronic health records that can be supported by information and communication technology?". Reports from eight databases covering electronic health records adoption studies in the medical domain, in particular those focused on physicians, were analyzed. RESULTS: The review identifies two main issues: 1) a knowledge-based classification of critical factors for adopting electronic health records by physicians; and 2) the definition of a base for the design of a conceptual framework for supporting the design of knowledge-based systems, to assist the adoption process of electronic health records in an automatic fashion. From our review, six critical adoption factors have been identified: user attitude towards information systems, workflow impact, interoperability, technical support, communication among users, and expert support. The main limitation of the taxonomy is the different impact of the adoption factors of electronic health records reported by some studies depending on the type of practice, setting, or attention level; however, these features are a determinant aspect with regard to the adoption rate for the latter rather than the presence of a specific critical adoption factor. CONCLUSIONS: The critical adoption factors established here provide a sound theoretical basis for research to understand, support, and facilitate the adoption of electronic health records to physicians in benefit of patients. BioMed Central 2010-10-15 /pmc/articles/PMC2970582/ /pubmed/20950458 http://dx.doi.org/10.1186/1472-6947-10-60 Text en Copyright ©2010 Castillo et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Castillo, Víctor H
Martínez-García, Ana I
Pulido, JRG
A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review
title A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review
title_full A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review
title_fullStr A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review
title_full_unstemmed A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review
title_short A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review
title_sort knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2970582/
https://www.ncbi.nlm.nih.gov/pubmed/20950458
http://dx.doi.org/10.1186/1472-6947-10-60
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