Department of Marketing and International Management, Alpen-Adria-Universität Klagenfurt, Universitätsstraße 65-67, 9020, Klagenfurt am Wörthersee, Austria.
J Med Syst. 2022 Dec 29;47(1):2. doi: 10.1007/s10916-022-01886-0.
In recent years, there has been an increasing interest in electronic health record (EHR) systems and various approaches of encouraging acceptance. Multiple methods of EHR acceptance have been proposed. However, a systematic review of patient's perspectives of their role and challenges in processing EHR remains lacking. Moreover, so far, there has been little discussion about barriers and facilitators of EHR system acceptance and usage from the patients' perspective.
The study was reported according to the PRISMA statement. Six databases were systematically searched using keywords for articles from 2002-2020. We reviewed these data and used an inductive approach to analyse findings.
A total of 36 studies met the inclusion criteria. Our systematic literature review results reveal a wide range of barriers and facilitators assigned to four distinct stages of EHR system usage: awareness, adoption, behaviour and perception, and consequences. Results were described in a narrative synthesis of the included empirical studies.
Results underline the necessity to put a particular emphasis - but not exclusively - on the initial stage of awareness in the future. Further research in the field is therefore strongly recommended in order to develop tailored mediated communication to foster EHR system usage in the long run.
近年来，人们对电子健康记录 (EHR) 系统越来越感兴趣，并提出了各种鼓励接受的方法。已经提出了多种接受 EHR 的方法。然而，系统地审查患者在处理 EHR 中的作用和挑战的文献仍然缺乏。此外，迄今为止，很少从患者的角度讨论 EHR 系统接受和使用的障碍和促进因素。
该研究根据 PRISMA 声明进行报告。使用关键词对 2002 年至 2020 年的文章在六个数据库中进行了系统搜索。我们审查了这些数据，并使用归纳方法对发现进行了分析。
共有 36 项研究符合纳入标准。我们的系统文献综述结果显示，在 EHR 系统使用的四个不同阶段（意识、采用、行为和感知以及后果）中，存在广泛的障碍和促进因素。结果在纳入的实证研究的叙述性综合中进行了描述。
结果强调了在未来特别需要关注（但不仅仅是）意识的初始阶段。因此，强烈建议在该领域进行进一步研究，以便开发定制的中介沟通，以促进 EHR 系统的长期使用。
