Barriers to the acceptance of electronic medical records from the perspective of physicians and nurses:A scoping review

Abstract

Background: The electronic medical record system is a crucial tool for facilitating health care improvement in quality patient care, patient safety, and cost reduction by providing easy access to medical data. However, healthcare experts' limited adoption comes with considerable caution to ensure effective implementation. The goal of this study was to identify the major obstacles to the acceptance of the electronic medical record system from the perspective of physicians and nurses. Methods: A Scoping review was performed by scientific works of literature available in Pubmed, Scopus, ProQuest, ScienceDirect, and Google Scholar from 2011 to 2020, concerning the obstacles to EMR system acceptance. Results: The scoping review included Twenty-one studies that considered obstructions to the execution of the electronic medical record system by healthcare experts. Seven types of obstacles have been identified: i. Technical ii. Financial iii. Time iv. Legal v. Organizational vi. Psychological, and vii. Social. The most frequently mentioned obstacles were technical, financial, time, and legal. In addition, organizational, psychological, and social obstructions were also identified. Conclusion: The evidence provided by this study may be used as an outline of the obstacles that health experts might meet within the EMR system implementation procedure. It may be important to EMR policymakers and facilitators on its own. Also, the survey demonstrates policymakers have to further awareness of the truth that removing technological, financial, time and legal obstacles is not sufficient to ensure the implementation of the system.

Keywords

• Electronic medical records
• Implementation
• Obstacles
• Physicians
• Nurses
• Electronic Health Records