Clemens Scott Kruse|Krysta Kothman|Keshia Anerobi|Lillian Abanaka
Adoption Factors of the Electronic Health Record: A Systematic Review
Texas State University|Texas State University|Texas State University|Texas State University
health information technology economic clinical health hitech significant piece legislation america served catalyst adoption health information technology following implementation hitech act health information technology hit experienced broad adoption electronic health records ehr despite skepticism exhibited many providers transition electronic system thorough review ehr adoption facilitator barriers provides ongoing support continuation ehr implementation across various health care structures possibly leading reduction associated economic expendituresthe purpose review compile current comprehensive list facilitators barriers adoption ehr united statesauthors searched cumulative index nursing allied health literature cinahl medline 0101201209012015 core clinicalacademic journals medline full text evaluated articles germane research objective team members selected final list articles consensus meetings n31 multiple research team members thoroughly read article confirm applicability study conclusions thereby increasing validitygroup members identified common facilitators barriers associated ehr adoption process total 25 adoption facilitators identified literature occurring 109 times majority efficiency hospital size quality access data perceived value ability transfer information total 23 barriers adoption identified literature appearing 95 times majority cost time consuming perception uselessness transition data facility location implementation issuesthe 25 facilitators 23 barriers adoption ehr continue reveal preoccupation cost despite incentives hitech act limited financial backing outdated technology also common barriers frequently mentioned data review future public policy include incentives commensurate hitech act maintain strong adoption rates