Abstract
Background: Electronic Health Record (EHR) utilization has been improved nowadays and it is believed that the adoption of Information Technology (IT) that has been implemented in various setting may also accelerate qualified implementation in health care setting. This study aimed to evaluate EHR utilization in various settings by systemic literature review. Methods: systemic literature research was conducted with keywords “(evaluat* model OR evaluat* framework) AND (health professional* OR health staff*) AND (electronic health record OR EHR) AND (us* OR engagement OR implementation OR adoption) AND hospital”. Result: 833 literatures found at the beginning of literature search, after apply limitations, remove duplicates and exclude of irrelevant literatures, finally total 7 articles were included in the review. Conclusion: there are benefits and drawbacks of EHR utilization among health professional in different healthcare settings in some countries that included in this review. Some health professionals had positive experience of using EHR that its use can improve clinicians’ involvement, better clinicians’ representation and decrease workload. Meanwhile, others had different views that EHR use are ineffectiveness due to inability of the systems to meet users’ need, poor integration with existing workflows, poor IT skills among users and limited resources and training of EHR. Recommendation: Therefore, it is important to improve better design of EHR system with customized functionalities so it could improve the implementation and adoption of EHR by health professionals as end user.
Highlights
Electronic Health Record (EHR) utilization has been improved nowadays and it is believed that the adoption of Information Technology (IT) that has been implemented in various setting may accelerate qualified implementation in health care setting
Health information technology potential to improve efficiency in modern era of health care system (Shu et al 2014). This idea gave opportunity to accelerate the implementation of Electronic Health Record in numerous health care provider worldwide
Some studies found that one of the major challenges for EHR adoption is mainly due to low acceptance among health providers including health professionals and staffs (Boonstra & Broekhuis 2010 cited in Cresswell & Sheikh 2013; Triantafillou 2017)
Summary
Electronic Health Record (EHR) utilization has been improved nowadays and it is believed that the adoption of Information Technology (IT) that has been implemented in various setting may accelerate qualified implementation in health care setting. There are disadvantages of EHR use such as logistical problem, interoperability, lack of training and competence, feelings of imposition, decrease quality of care that perceived by health staffs and heterophily (Narcisse et al 2013) Some of these drawbacks might be considered as the reasons for the slow uptake of EHR adoption by health professionals. Some studies found that one of the major challenges for EHR adoption is mainly due to low acceptance among health providers including health professionals and staffs (Boonstra & Broekhuis 2010 cited in Cresswell & Sheikh 2013; Triantafillou 2017) As consequence, these facts come up with the contradictions regarding IT ability to improve productivity and quality of care and provide efficient health care delivery (Lapointe et al 2011)
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