Nurvita Wikansari, Dian Budi Santoso


Information technology utilization in the health sector is increasingly widespread. One aspect that cannot be separated from the intervention of information technology is medical records management through electronic medical records implementation. The number of healthcare facilities that implement electronic medical records is increasing. However, it is important to understand the various barriers that may be encountered in the electronic medical records implementation so that the success rate of implementation will be higher. This study aims to identify the current state of knowledge about electronic medical records implementation barriers. A literature review was conducted using three databases, PubMed, Science Direct, and Google Scholar using "electronic medical records'' and "implementation barriers" as keywords. There were 13 articles used in this study. There are 8 categories of barriers to the implementation of electronic medical records which consist of technical concerns, initial and maintenance costs, security concerns, lack of technical support, user resistance, system interoperability capability, lack of infrastructures, and productivity concerns.


electronic medical record; implementation; barriers

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Ajami, S., & ArabChadegani, R. (2013). Barriers to implement Electronic Health Records (EHRs), Materia Socio Medica, 25, 3, 213. DOI: https://dx.doi.org/10.5455%2Fmsm.2013.25.213-215

Ajami, S., & Bagheri-Tadi, T. (2013). Barriers for adopting electronic health records (EHRs) by physicians. Acta Informatica Medica, 21(2), 129. DOI: https://doi.org/10.5455/aim.2013.21.129-134

AlSadrah, S. A. (2020). Electronic medical records and health care promotion in Saudi Arabia, Saudi Medical Journal, 41, 6, 538–589. DOI: https://dx.doi.org/10.15537%2Fsmj.2020.6.25115

Bahga, A., & Madisetti, V. K. (2013). A Cloud-based Approach for Interoperable Electronic Health Records (EHRs). IEEE Journal of Biomedical and Health Informatics, 17 (5), 894 – 906. DOI: https://dx.doi.org/10.1109/JBHI.2013.2257818

Bawack, R. E., & Kamdjoug, J. R. K. (2018). Adequacy of UTAUT in clinician adoption of health information systems in developing countries: The case of Cameroon. International Journal of Medical Informatics, 109, 15-22, DOI: https://doi.org/10.1016/j.ijmedinf.2017.10.016.

Dornan, L., Pinyopornpanish, K., Jiraporncharoen, W., Hashmi, A., Dejkriengkraikul, N., & Angkurawaranon, C. (2019). Utilisation of Electronic Health Records for Public Health in Asia: A Review of Success Factors and Potential Challenges. BioMed Research International, 2019. DOI: https://doi.org/10.1155/2019/7341841

Fennelly, O., Cunningham, C., Grogan, L., Cronin, H., O’Shea, C., Roche, M., Lawlor, F., & O’Hare, N. (2020). Successfully implementing a national electronic health record: a rapid umbrella review, International Journal of Medical Informatics, 144,. DOI: https://doi.org/10.1016/j.ijmedinf.2020.104281

Gesulga, J.M., Berjame, A., Moquiala, K.S., & Galido, A. (2017). Barriers to Electronic Health Record System Implementation and Information Systems Resources: A Structured Review, Procedia Computer Science, 124, 544–551. DOI: https://doi.org/10.1016/j.procs.2017.12.188

Greiver, M., Barnsley, J., Glazier, R.H., Moineddin, R., & Harvey, B.J. (2011). Implementation of electronic medical records: Theory-informed qualitative study, Canadian Family Physician, 57, 10, 390–397.

Gyamfi, A., Mensah, K.A., Oduro, G., Donkor, P., & Mock, C.N. (2017). Barriers and facilitators to Electronic Medical Records usage in the Emergency Centre at Komfo Anokye Teaching Hospital, Kumasi-Ghana, African Journal of Emergency Medicine, 7, 4, 177–182. DOI: https://doi.org/10.1016/j.afjem.2017.05.002

Jahanbakhsh, M., Tavakoli, N., & Mokhtari, H. (2011). Challenges of EHR implementation and related guidelines in Isfahan, Procedia Computer Science, 3, 1199–1204. DOI: https://doi.org/10.1016/j.procs.2010.12.194

Jawhari, B., Keenan, L., Zakus, D., Ludwick, D., Isaac, A., Saleh, A., & Hayward, R. (2016). Barriers and facilitators to Electronic Medical Record (EMR) use in an urban slum, International Journal of Medical Informatics, 94, 246–254. DOI: https://doi.org/10.1016/j.ijmedinf.2016.07.015

Jung, S.Y., Lee, K., Lee, H.Y., & Hwang, H. (2020). Barriers and facilitators to implementation of nationwide electronic health records in the Russian Far East: A qualitative analysis, International Journal of Medical Informatics, 143, July, 104244. DOI: https://doi.org/10.1016/j.ijmedinf.2020.104244

Kernebeck, S., Busse, T. S., Jux, C., Bork U., & Ehlers J. P. (2021). Electronic Medical Records for (Visceral) Medicine: An Overview of the Current Status and Prospects, Visceral Medicine, 37, 476-481. DOI: https://doi.org/10.1159/000519254

Khodambashi, S. (2013). Business Process Re-Engineering Application in Healthcare in a Relation to Health Information Systems. Procedia Technology, 9, 949-957. DOI: https://doi.org/10.1016/j.protcy.2013.12.106

Kim, Y., Jung, K., Park, Y., Shin, D., Cho, S. Y., Yoon, D., & Park, R. W. (2017). Rate of electronic health record adoption in South Korea: A nation-wide survey, 101, 100-107. DOI: https://doi.org/10.1016/j.ijmedinf.2017.02.009

Khalifa, M. (2013). Barriers to health information systems and electronic medical records implementation a field study of Saudi Arabian hospitals, Procedia Computer Science, 21, 335–342. DOI: https://doi.org/10.1016/j.procs.2013.09.044

Kruse, C.S., Kristof, C., Jones, B., Mitchell, E., & Martinez, A. (2016). Barriers to Electronic Health Record Adoption: a Systematic Literature Review, Journal of Medical Systems, 40, 12,. DOI: https://doi.org/10.1007/s10916-016-0628-9

Manca, D. P. (2015). Do electronic medical records improve quality of care?. Canadian Family Physician, 61(10), 846–847.

Nguyen, L., Beluuci, E., & Nguyen, L. T. (2014). Electronic health records implementation: An evaluation of information system impact and contingency factors. International Journal of Medical Informatics, 83(11), 779-796. DOI: https://doi.org/10.1016/j.ijmedinf.2014.06.011

Palabindala, V., Pamarthy, A., & Jonnalagadda, N.R. (2016). Adoption of electronic health records and barriers, Journal of Community Hospital Internal Medicine Perspectives, 6, 5, 32643. DOI: https://doi.org/10.3402/jchimp.v6.32643

Perera, G., Holbrook, A., Thabane, L., Foster, G., & Willison, D. J. (2011). Views on Health Information Sharing and Privacy from Primary Care Practices Using Electronic Medical Records. International Journal of Medical Informatics, 80, 94-101. DOI: https://doi.org/10.1016/j.ijmedinf.2010.11.005

Santoso, D.B., Fuad, A., Herwanto, G. B., & Maula, A.W. (2020). Blockchain Technology Implementation nn Medical Records Data Management: a Review of Recent Studies. Jurnal Riset Kesehatan, 9(2), 107-112. DOI: https://doi.org/10.31983/jrk.v9i2.5742

Schenarts, P. J., & Schenarts, K. D. (2012). Educational Impact of The Electronic Medical Record. Journal of Surgical Education, 105-112. DOI: https://doi.org/10.1016/j.jsurg.2011.10.008

Zhu, H., & Hou, M. (2018). Research on an Electronic Medical Record System Based on the Internet, 2018 2nd International Conference on Data Science and Business Analytics (ICDSBA), pp. 537-540. DOI: https://doi.org/10.1109/ICDSBA.2018.00106

DOI: https://doi.org/10.31983/jrk.v11i2.8611

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