Explore the Key Organizational Barriers and Provide Facilitates to Implement EHR Systems: A Systematic Approach

Abstract

The main objective is to determine the principal organisational barriers and appropriate facilitates activities for the adoption of the Electronic Health Record (EHR) systems. The Primary and secondary data are collected from the peer-reviewed journals from the period of January, 2000 to May, several databases such as ‘EBSCO’, ‘PubMed’, ‘BioMed’, ‘CINHAL’, ‘Cochrane library’ and ‘Web of Science’, were used to search for the systematic literature. We extracted papers from the above databases through PRISMA guideline and synthesised findings through thematic analysis. The data are collected by using the systematic process and we have extracted roughly (n=2,097) journals which were mainly focused of EHR implementation process and techniques. Finally, we have included 13 articles through rigorous screening process. The study includes thirteen articles that have been considered different organisational barriers perceived by the physicians such as organisational structure, technical, social, attitudinal, psychological, legal and financial. Along barriers, some prospective change management activities are considered to overcome some barrier related interventions. Finally, our findings has revealed some fundamental organisational barriers and some change management activities which helped to overcome the typical problems and provided the effective EHR implementation strategies for hospitals.