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KMID : 1100520190250030141
Healthcare Informatics Research
2019 Volume.25 No. 3 p.141 ~ p.152
Narrative Review for Exploring Barriers to Readiness of Electronic Health Record Implementation in Primary Health Care
Afrizal Sandra Hakiem

Hidayanto Achmad Nizar
Handayani Putu Wuri
Budiharsana Meiwita
Eryando Tris
Abstract
Objectives: The aim of this study is to explore the enabling factors associated with readiness in Electronic Health Record (EHR) implementation and to identify the barriers related to readiness regarding the situation of primary health cares in developed and developing countries.

Methods: A narrative review of open-source literature was conducted using the ProQuest, ScienceDirect, MEDLINE, and PMC databases to identify the enabling factors and barriers to EHR readiness. The keywords applied were ¡®electronic health record¡¯, ¡®readiness¡¯, ¡®primary health care¡¯, and ¡®primary care¡¯.

Results: Some barriers were found that may affect readiness, specifically individual barriers and organizational barriers. In developing countries, organizational barriers such as a lack of skilled manpower, insufficient senior management, and a lack of interaction among team members were the common barriers, while in developed countries individual barriers such as unfamiliarity with new systems and a lack of time to use computers were frequently found as barriers to readiness.

Conclusions: This study summarized the enabling factors and barriers with regard to EHR readiness in developed and developing countries.
KEYWORD
Electronic Health Records, Barrier, Readiness, Primary Health Care, EHR Adoption
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