{"title":"Impact of Perceived Barriers of Electronic Health Information Exchange on Physician’s Use of EHR: A Normalisation Process Theory Approach","authors":"Avijit Sengupta, Anik Mukherjee, Debra VanderMeer","doi":"10.1007/s10796-024-10524-8","DOIUrl":null,"url":null,"abstract":"<p>Digitizing healthcare is a major aim of healthcare policy, with efforts aimed at increasing adoption of electronic health records (EHRs). We study the capability use for EHRs through the lens of normalisation process theory to assess whether these barriers to adoption also remain barriers to sustained use. We focus on health information exchange (HIE), which is one of the most challenging capabilities identified in the literature. We analyse the National Electronic Health Records Survey data, in which physicians were asked whether known HIE adoption barriers remain in place, and how frequently they use HIE capabilities. Though we expect that adoption barriers reported to be less problematic will be associated with greater capability use, we found that adoption barriers perceived to be more (less) problematic were not necessarily those that predicted less (greater) capability use. This study contributes through a critical examination of the process of normalization of EHR capabilities.</p>","PeriodicalId":13610,"journal":{"name":"Information Systems Frontiers","volume":"45 1","pages":""},"PeriodicalIF":6.9000,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Information Systems Frontiers","FirstCategoryId":"94","ListUrlMain":"https://doi.org/10.1007/s10796-024-10524-8","RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"COMPUTER SCIENCE, INFORMATION SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Digitizing healthcare is a major aim of healthcare policy, with efforts aimed at increasing adoption of electronic health records (EHRs). We study the capability use for EHRs through the lens of normalisation process theory to assess whether these barriers to adoption also remain barriers to sustained use. We focus on health information exchange (HIE), which is one of the most challenging capabilities identified in the literature. We analyse the National Electronic Health Records Survey data, in which physicians were asked whether known HIE adoption barriers remain in place, and how frequently they use HIE capabilities. Though we expect that adoption barriers reported to be less problematic will be associated with greater capability use, we found that adoption barriers perceived to be more (less) problematic were not necessarily those that predicted less (greater) capability use. This study contributes through a critical examination of the process of normalization of EHR capabilities.
医疗保健数字化是医疗保健政策的一个主要目标,旨在提高电子健康记录(EHR)的采用率。我们从规范化过程理论的角度研究了电子健康记录的能力使用,以评估这些采用障碍是否仍然是持续使用的障碍。我们将重点放在健康信息交换(HIE)上,这是文献中指出的最具挑战性的能力之一。我们分析了全国电子健康记录调查的数据,其中医生被问及已知的 HIE 采用障碍是否仍然存在,以及他们使用 HIE 功能的频率。虽然我们预计问题较少的采用障碍会与更多的功能使用相关联,但我们发现,被认为问题较多(较少)的采用障碍并不一定会导致功能使用较少(较多)。本研究通过对电子病历功能正常化过程的批判性研究做出了贡献。
期刊介绍:
The interdisciplinary interfaces of Information Systems (IS) are fast emerging as defining areas of research and development in IS. These developments are largely due to the transformation of Information Technology (IT) towards networked worlds and its effects on global communications and economies. While these developments are shaping the way information is used in all forms of human enterprise, they are also setting the tone and pace of information systems of the future. The major advances in IT such as client/server systems, the Internet and the desktop/multimedia computing revolution, for example, have led to numerous important vistas of research and development with considerable practical impact and academic significance. While the industry seeks to develop high performance IS/IT solutions to a variety of contemporary information support needs, academia looks to extend the reach of IS technology into new application domains. Information Systems Frontiers (ISF) aims to provide a common forum of dissemination of frontline industrial developments of substantial academic value and pioneering academic research of significant practical impact.