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Table 3 Perceived barriers and related possible interventions

From: Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions

Perceived barrier

Possible barrier-related intervention strategies

A

Finance

Provide documentation on return on investment.

Show profitable examples from other EMR implementations.

Provide financial compensation.

B

Technical

Educate physicians and support ongoing training.

Adapt the system to existing practices.

Implement EMR on a module-by-module basis.

Link EMR with existing systems.

Promote and communicate reliability and availability of the system.

Acquire third party for support during implementation.

C

Time

Provide support during implementation phase to convert records and assist.

Provide training sessions to familiarize users.

Implement a user friendly help function and help desk.

Redesign workflow to achieve a time gain

D

Psychological

Discuss usefulness of the EMR

Include trial period.

Demonstrate ease of use.

Start with voluntary use.

Let fellow physicians demonstrate the system.

Adapt system to current medical practice.

E

Social

Discuss advantages and disadvantages for doctors and patients.

Information and support from physicians who are already users.

Ensure support, leadership, and communication from management.

F

Legal

Develop requirements on safety and security in cooperation with physicians and patients.

Ensure EMR system meets these requirements before implementation.

Communicate on safety and security of issues.

G

Organization

Redesign workflow to realize a better organizational fit.

Adapt EMR to organization type.

Adapt EMR to type of medical practice

H

Change process

Select a project champion, preferably an experienced physician.

Let physicians (or representatives) participate during the implementation process.

Communicate the advantages for physicians. Use incentives.

Ensure support, leadership, and communication from management.