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Journal of Medical Systems
Published in: Journal of Medical Systems 1/2023

Open Access 01-12-2023 | Review

A Process Related View on the Usage of Electronic Health Records from the Patients’ Perspective: A Systematic Review

Published in: Journal of Medical Systems | Issue 1/2023

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Abstract

Background

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.

Methods

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.

Results

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.

Discussion

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.
Appendix
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Metadata
Title
A Process Related View on the Usage of Electronic Health Records from the Patients’ Perspective: A Systematic Review
Publication date
01-12-2023
Published in
Journal of Medical Systems / Issue 1/2023
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-022-01886-0

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