Abstract
Purpose: The purpose of this review was to discuss the status of evidence related to the assessment of readiness of healthcare facilities for e-health initiatives implementation, specifically the common Electronic Health Record (EHR) systems. Methods: An integrative review approach was utilized. The databases of Google Scholar, Scopus, Science Direct, PubMed, Medline, CINAHL, Ovid, ProQuest, and EBSCO host were searched for related evidence published between 2000 and 2018. Results: Seventeen studies were included in the current review. In terms of methodological approach, the included studies were 7 correlational studies, 5 review papers, 4 qualitative papers, and one mixed methods study. At the current integrative review, the themes of complex healthcare change, and the main theme of e-health readiness assessment were identified. Conclusion: Assessing and reporting the levels of readiness for EHRs implementation are highly recommended as it has a high impact on the critically-needed adoption and usage of the implemented system. Selecting the right tool for the right audience to address readiness is essential in the assessment process which is recommended to be conducted early at the road map of the project implementation. Future research is recommended to address readiness for e-health initiatives at the different settings and different target populations including communities where the healthcare facilities functions and service receivers’ readiness.
Highlights
The purpose of this review was to discuss the status of evidence related to the assessment of readiness of healthcare facilities for e-health initiatives implementation, the common Electronic Health Record (EHR) systems
The implementation of Electronic Health Record (EHR) systems came into the front as a one of the commonly used solutions to promote healthcare delivery and overcome challenges and the core of any e-health systems [3]
Academicians and continuous education departments at the healthcare facilities are invited to develop educational programs that may lead to the presence of more ready healthcare workers to adopt the EHRs systems focusing on maximizing its benefits realization and overcoming any implementation and usage challenges
Summary
This challenge is concurrent with the steadily increasing demand on healthcare services which is related to the global growth of populations, longer life expectancies, and increased complexity of health conditions, and coupled with an increased attention to provide better quality of healthcare [2]. International Organization for Standardization (ISO) defined EHRs as “a repository of patient data in digital form, stored and exchanged securely, and accessible by multiple authorized users. It contains retrospective, concurrent, and prospective information and its primary purpose is to support continuous, efficient and quality integrated health” [4]
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