End-users’ perspectives on factors affecting implementation and utilization of the Iranian electronic health record system: a qualitative study in a developing country

Autor: Hajar Abbasi, Bahlol Rahimi, Mohamad Jebraeily, Aynaz Nourani
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Health Services Research, Vol 23, Iss 1, Pp 1-9 (2023)
Druh dokumentu: article
ISSN: 1472-6963
DOI: 10.1186/s12913-023-10033-5
Popis: 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.
Databáze: Directory of Open Access Journals
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