Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran.
Health and Biomedical Informatics Research Center, Urmia University of Medical Sciences, Urmia, Iran.
BMC Health Serv Res. 2023 Oct 5;23(1):1064. doi: 10.1186/s12913-023-10033-5.
As one of the most important information technologies for storing, managing, and exchanging health information, the electronic health record (EHR) plays a major role in the health system. However, these systems in developing countries have been associated with multidimensional issues. The purpose of the present study was the assessment of nonclinical end-users' points of view on the implementation and utilization of the Iranian electronic health record system.
This was a large qualitative study conducted in 2021 for 7 months from February to August. In this study, data were collected through in-depth semi-structured interviews with 70 non-clinical end-users in 22 public and six private hospitals of West Azerbaijan province in Iran. To analyze the data, the thematic analysis method was used.
The study results indicated that technical, human, cultural, managerial, and financial readiness are the most important factors affecting the implementation of EHRs in Iran. Among the mentioned factors, technical and human readiness were emphasized more by the users. Also, technical, organizational, human, and managerial factors were identified as factors influencing EHRs utilization, and technical and organizational factors had a stronger role in the system utilization.
According to the results, several factors influence EHR implementation and adequate utilization in Iran. To achieve the predetermined goals of this system, implementation issues and problems of using the system should be considered and solved.
电子健康记录（EHR）作为存储、管理和交换健康信息的最重要信息技术之一，在卫生系统中发挥着重要作用。然而，发展中国家的这些系统存在多方面的问题。本研究的目的是评估非临床终端用户对伊朗电子健康记录系统实施和利用的看法。
这是一项大型定性研究，于 2021 年 2 月至 8 月进行了 7 个月。在这项研究中，通过对伊朗东阿塞拜疆省 22 家公立医院和 6 家私立医院的 70 名非临床终端用户进行深入的半结构化访谈收集数据。为了分析数据，采用了主题分析方法。
研究结果表明，技术、人员、文化、管理和财务准备是影响伊朗电子病历实施的最重要因素。在提到的因素中，用户更强调技术和人员准备。此外，技术、组织、人员和管理因素被确定为影响电子病历利用的因素，技术和组织因素在系统利用中发挥着更强的作用。
根据研究结果，有几个因素影响伊朗电子病历的实施和充分利用。为了实现该系统的预定目标，应考虑并解决实施问题和系统使用中的问题。
