Vishwanath Arun, Scamurra Susan D
School of Informatics, State University of New York at Buffalo, 333 Baldy Hall, Buffalo, NY 14260-1060, USA.
Health Informatics J. 2007 Jun;13(2):119-34. doi: 10.1177/1460458207076468.
The study attempts to unify prior research and develop a comprehensive, empirically based conceptual model of the barriers to EHR adoption among community physicians. The model uses concept mapping, which taps the shared expertise of a group and provides reliable estimates with relatively small sample sizes. The methodology includes brainstorming of barrier statements and sorting and rating of issue statements. The model illuminates the larger structure of barriers as well as the finer details of constituent issues. Core issues are standardization and interoperability; also important are technical issues and the cost-benefit of adopting EHRs. However, psychosocial issues, the main focus of diffusion research, seem relatively peripheral. We believe the development of this model is an important first step in creating effective and measurable interventions that enhance the adoption of EHRs in healthcare.
该研究试图整合先前的研究成果，构建一个全面的、基于实证的社区医生采用电子健康记录（EHR）障碍的概念模型。该模型采用概念映射法，利用一组人的共同专业知识，并能以相对较小的样本量提供可靠的估计。该方法包括对障碍陈述进行头脑风暴以及对问题陈述进行分类和评级。该模型揭示了障碍的总体结构以及构成问题的更细微细节。核心问题是标准化和互操作性；技术问题以及采用电子健康记录的成本效益也很重要。然而，作为扩散研究主要焦点的社会心理问题似乎相对处于边缘地位。我们认为，该模型的开发是创建有效且可衡量的干预措施以促进医疗保健领域采用电子健康记录的重要第一步。
