Shiraz E-Medical Journal

Published by: Kowsar

The Identification and Classification of Deployment Challenges Related to Electronic Health Records: A Review Article

Ali Garavand 1 , Mahnaz Samadbeik 2 , Mojtaba Kafashi 3 , * and Shahabeddin Abhari 4 , 5
Authors Information
1 Department of Health Information Technology, Shiraz University of Medical Sciences, Shiraz, IR Iran
2 Department of Health Information Technology, Lorestan University of Medical Sciences, Khorramabad, IR Iran
3 Department of Health Information Technology, Fasa University of Medical Sciences, Fasa, IR Iran
4 Health Policy Research Center (HPRC), Shiraz University of Medical Sciences, Shiraz , IR Iran
5 Health Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, IR Iran
Article information
  • Shiraz E-Medical Journal: February 01, 2016, 17 (2); e33304
  • Published Online: February 28, 2016
  • Article Type: Review Article
  • Received: October 10, 2015
  • Revised: January 8, 2016
  • Accepted: February 15, 2016
  • DOI: 10.17795/semj33304

To Cite: Garavand A, Samadbeik M, Kafashi M, Abhari S. The Identification and Classification of Deployment Challenges Related to Electronic Health Records: A Review Article, Shiraz E-Med J. 2016 ; 17(2):e33304. doi: 10.17795/semj33304.

Copyright © 2016, Shiraz University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Context
2. Evidence Acquisition
3. Results
4. Conclusions
  • 1. Tsiknakis M, Katehakis DG, Orphanoudakis SC. An open, component-based information infrastructure for integrated health information networks. Int J Med Inform. 2002; 68(1-3): 3-26[PubMed]
  • 2. Hanrahan LP, Foldy S, Barthell EN, Wood S. Medical informatics in population health: building Wisconsin's strategic framework for health information technology. WMJ. 2006; 105(1): 16-20[PubMed]
  • 3. Hier DB, Rothschild A, LeMaistre A, Keeler J. Differing faculty and housestaff acceptance of an electronic health record. Int J Med Inform. 2005; 74(7-8): 657-62[DOI][PubMed]
  • 4. Judi H, Razak A, Sha'ari N, Mohamed H. Feasibility and critical success factors in implementing telemedicine. Inform Technol J. 2009; 8(3): 326-32[DOI]
  • 5. Torabi M, Safdari R. Electronic Health Records. 2009;
  • 6. Thakkar M, Davis D. Risks, barriers, and benefits of EHR systems: a comparative study based on size of hospital. Perspect Health Inf Manag. 2006; 3(5): 1-19
  • 7. Hayrinen K, Saranto K, Nykanen P. Definition, structure, content, use and impacts of electronic health records: a review of the research literature. Int J Med Inform. 2008; 77(5): 291-304[DOI][PubMed]
  • 8. Mirani N, Ayatollahi H, Haghani H. A survey on barriers to the development and adoption of electronic health records in Iran. J Health Adm. 2013; 15(50): 65-75
  • 9. Garavand A. Survey of Possibility Deployment of Electronic Medical Record in Shiraz Teaching Hospitals. J Health Biomed Info. 2015; 2(1): 33-41
  • 10. Lluch M. Healthcare professionals' organisational barriers to health information technologies-a literature review. Int J Med Inform. 2011; 80(12): 849-62[DOI][PubMed]
  • 11. Khalifa M. Barriers to health information systems and electronic medical records implementation. A field study of Saudi Arabian hospitals. Procedia Comput Sci. 2013; 21: 335-42[DOI]
  • 12. Asadi F, Mastaneh Z. Challenges of using Information Technology in Hospitals affiliated to Shaheed Beheshti University of Medical Sciences, 2009. Iran Sur J. 2012; 20(1)
  • 13. Wing P, Langelier M, Continelli T, Armstrong D. Who we are. Findings from the 2002 member survey. Am Health Info Manag . 2003; 74(5): 22
  • 14. Littlejohns P, Wyatt JC, Garvican L. Evaluating computerised health information systems: hard lessons still to be learnt. BMJ. 2003; 326(7394): 860-3[DOI][PubMed]
  • 15. Langarizade M, Gozali E, Sadoughi F. Readiness Survey And Comparison Of Educational Hospitals Of Medical Sciences University Of Urmia To Deploy Electronic Medical Records. Payavard Salamat. 2013; 7(4): 312-24
  • 16. Ajami S, Ketabi S, Saghaeiannejad Isfahani S, Heidari A. Requirements and Areas Associated with Readiness Assessment of Electronic Health Records Implementation. J Health Admi. 2011; 46(14): 71-8
  • 17. Hostgaard AM, Nohr C. Dealing with organizational change when implementing EHR systems. Stud Health Technol Inform. 2004; 107: 631-4[PubMed]
  • 18. Richards H, King G, Reid M, Selvaraj S, McNicol I, Brebner E, et al. Remote working: survey of attitudes to eHealth of doctors and nurses in rural general practices in the United Kingdom. Fam Pract. 2005; 22(1): 2-7[DOI][PubMed]
  • 19. Terry AL, Thorpe CF, Giles G, Brown JB, Harris SB, Reid GJ, et al. Implementing electronic health records: Key factors in primary care. Can Fam Physician. 2008; 54(5): 730-6[PubMed]
  • 20. Jelvay S, Sharifian R, Farhadi P, Saeidi Nejad S. Barriers of implementation of electronic health record. International Conference on Sustainable Reform in Health Systems. 2015;
  • 21. Nematollahi M, Abhari S, Garavand A. Attitudes and behaviors related to introduction of Electronic Health Record (EHR) among Shiraz University students in 2014. J Health Man Info. 2015; 2(3): 97-100
  • 22. Payandeh A, Omidi M. Confirmatory Structured Analysis 2013;
  • 23. Amatayakul M. Assess readiness first. J Healthc Financ Manage. 2005; 59(5): 112-3
  • 24. Gartee R. Electronic health records: understanding and using computerized medical records. 2007;
  • 25. Morton M, Wiedenbeck S. A framework for predicting EHR adoption attitudes: a physician survey. Perspect Health Inf Manag. 2009; 6
  • 26. Valdes I, Kibbe DC, Tolleson G, Kunik ME, Petersen LA. Barriers to proliferation of electronic medical records. Inform Prim Care. 2004; 12(1): 3-9[PubMed]
  • 27. Wang SJ, Middleton B, Prosser LA, Bardon CG, Spurr CD, Carchidi PJ, et al. A cost-benefit analysis of electronic medical records in primary care. Am J Med. 2003; 114(5): 397-403[PubMed]
  • 28. Rippen HE, Yasnoff WA. Building the National Health Information Infrastructure. J AHIMA. 2004; 75(5): 20-6[PubMed]
  • 29. Schleyer TK. Should dentistry be part of the National Health Information Infrastructure? J Am Dent Assoc. 2004; 135(12): 1687-95[PubMed]
  • 30. Holden RJ, Karsh BT. The technology acceptance model: its past and its future in health care. J Biomed Inform. 2010; 43(1): 159-72[DOI][PubMed]
  • 31. Kijsanayotin B, Pannarunothai S, Speedie SM. Factors influencing health information technology adoption in Thailand's community health centers: applying the UTAUT model. Int J Med Inform. 2009; 78(6): 404-16[DOI][PubMed]
  • 32. Tsiknakis M, Kouroubali A. Organizational factors affecting successful adoption of innovative eHealth services: a case study employing the FITT framework. Int J Med Inform. 2009; 78(1): 39-52[DOI][PubMed]
  • 33. Ash JS, Bates DW. Factors and forces affecting EHR system adoption: report of a 2004 ACMI discussion. J Am Med Inform Assoc. 2005; 12(1): 8-12[DOI][PubMed]
  • 34. Mitchell J, Gagne M, Beaudry A, Dyer L. The role of perceived organizational support, distributive justice and motivation in reactions to new information technology. Comput Human Behav. 2012; 28(2): 729-73
  • 35. Nematollahi M, Garavand A, Monem H. Factors Affecting the Intention to Use Electronic Medical Records from the Perspective of Top and Middle Managers of Shiraz Teaching Hospitals. J Biomed Health Inform. 2015; 2(1): 1-7
  • 36. Abdekhoda M, Ahmadi M, Gohari M, Noruzi A. The effects of organizational contextual factors on physicians' attitude toward adoption of Electronic Medical Records. J Biomed Inform. 2015; 53: 174-9[DOI][PubMed]
  • 37. Business objectives, hospital characteristics, and the uses of advanced information technology. IEEE Trans US Congress of Technology Assessment. : 68-78
  • 38. de Veer AJ, Francke AL. Attitudes of nursing staff towards electronic patient records: a questionnaire survey. Int J Nurs Stud. 2010; 47(7): 846-54[DOI][PubMed]
  • 39. Bagayoko CO, Dufour JC, Chaacho S, Bouhaddou O, Fieschi M. Open source challenges for hospital information system (HIS) in developing countries: a pilot project in Mali. BMC Med Inform Decis Mak. 2010; 10: 22[DOI][PubMed]
  • 40. Sheikhtaheri A, Sadoughi F, Ahmadi M, Moghaddasi H. A framework of a patient safety information system for Iranian hospitals: lessons learned from Australia, England and the US. Int J Med Inform. 2013; 82(5): 335-44[DOI][PubMed]
  • 41. Reid P, Fanjiang G, Grossman J, Compton W. Building a Better Delivery System:: A New Engineering/Health Care Partnership. 2005;
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments