End-users’ perspectives on factors affecting implementation and utilization of the Iranian electronic health record system: a qualitative study in a developing country
Abstract Background As one of the most important information technologies for storing, managing, and exchanging health information, the electronic health record (EHR) plays a major role in the health system. However, these systems in developing countries have been associated with multidimensional is...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-10033-5 |
| _version_ | 1797577186364882944 |
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| author | Hajar Abbasi Bahlol Rahimi Mohamad Jebraeily Aynaz Nourani |
| author_facet | Hajar Abbasi Bahlol Rahimi Mohamad Jebraeily Aynaz Nourani |
| author_sort | Hajar Abbasi |
| collection | DOAJ |
| description | Abstract Background As one of the most important information technologies for storing, managing, and exchanging health information, the electronic health record (EHR) plays a major role in the health system. However, these systems in developing countries have been associated with multidimensional issues. The purpose of the present study was the assessment of nonclinical end-users’ points of view on the implementation and utilization of the Iranian electronic health record system. Methods This was a large qualitative study conducted in 2021 for 7 months from February to August. In this study, data were collected through in-depth semi-structured interviews with 70 non-clinical end-users in 22 public and six private hospitals of West Azerbaijan province in Iran. To analyze the data, the thematic analysis method was used. Results The study results indicated that technical, human, cultural, managerial, and financial readiness are the most important factors affecting the implementation of EHRs in Iran. Among the mentioned factors, technical and human readiness were emphasized more by the users. Also, technical, organizational, human, and managerial factors were identified as factors influencing EHRs utilization, and technical and organizational factors had a stronger role in the system utilization. Conclusions According to the results, several factors influence EHR implementation and adequate utilization in Iran. To achieve the predetermined goals of this system, implementation issues and problems of using the system should be considered and solved. |
| first_indexed | 2024-03-10T22:05:33Z |
| format | Article |
| id | doaj.art-90141ed20d964407946b22144aea77e9 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-10T22:05:33Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-90141ed20d964407946b22144aea77e92023-11-19T12:49:36ZengBMCBMC Health Services Research1472-69632023-10-012311910.1186/s12913-023-10033-5End-users’ perspectives on factors affecting implementation and utilization of the Iranian electronic health record system: a qualitative study in a developing countryHajar Abbasi0Bahlol Rahimi1Mohamad Jebraeily2Aynaz Nourani3Student Research Committee, Urmia University of Medical SciencesHealth and Biomedical Informatics Research Center, Urmia University of Medical SciencesHealth and Biomedical Informatics Research Center, Urmia University of Medical SciencesHealth and Biomedical Informatics Research Center, Urmia University of Medical SciencesAbstract Background As one of the most important information technologies for storing, managing, and exchanging health information, the electronic health record (EHR) plays a major role in the health system. However, these systems in developing countries have been associated with multidimensional issues. The purpose of the present study was the assessment of nonclinical end-users’ points of view on the implementation and utilization of the Iranian electronic health record system. Methods This was a large qualitative study conducted in 2021 for 7 months from February to August. In this study, data were collected through in-depth semi-structured interviews with 70 non-clinical end-users in 22 public and six private hospitals of West Azerbaijan province in Iran. To analyze the data, the thematic analysis method was used. Results The study results indicated that technical, human, cultural, managerial, and financial readiness are the most important factors affecting the implementation of EHRs in Iran. Among the mentioned factors, technical and human readiness were emphasized more by the users. Also, technical, organizational, human, and managerial factors were identified as factors influencing EHRs utilization, and technical and organizational factors had a stronger role in the system utilization. Conclusions According to the results, several factors influence EHR implementation and adequate utilization in Iran. To achieve the predetermined goals of this system, implementation issues and problems of using the system should be considered and solved.https://doi.org/10.1186/s12913-023-10033-5Health information systemEnd-userQualitative studyElectronic Health Records and systemsClinical information system |
| spellingShingle | Hajar Abbasi Bahlol Rahimi Mohamad Jebraeily Aynaz Nourani End-users’ perspectives on factors affecting implementation and utilization of the Iranian electronic health record system: a qualitative study in a developing country BMC Health Services Research Health information system End-user Qualitative study Electronic Health Records and systems Clinical information system |
| title | End-users’ perspectives on factors affecting implementation and utilization of the Iranian electronic health record system: a qualitative study in a developing country |
| title_full | End-users’ perspectives on factors affecting implementation and utilization of the Iranian electronic health record system: a qualitative study in a developing country |
| title_fullStr | End-users’ perspectives on factors affecting implementation and utilization of the Iranian electronic health record system: a qualitative study in a developing country |
| title_full_unstemmed | End-users’ perspectives on factors affecting implementation and utilization of the Iranian electronic health record system: a qualitative study in a developing country |
| title_short | End-users’ perspectives on factors affecting implementation and utilization of the Iranian electronic health record system: a qualitative study in a developing country |
| title_sort | end users perspectives on factors affecting implementation and utilization of the iranian electronic health record system a qualitative study in a developing country |
| topic | Health information system End-user Qualitative study Electronic Health Records and systems Clinical information system |
| url | https://doi.org/10.1186/s12913-023-10033-5 |
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