The University of Southampton
University of Southampton Institutional Repository

Barriers to the adoption of EHR systems in the Kingdom of Saudi Arabia: an exploratory study using a systematic literature review

Barriers to the adoption of EHR systems in the Kingdom of Saudi Arabia: an exploratory study using a systematic literature review
Barriers to the adoption of EHR systems in the Kingdom of Saudi Arabia: an exploratory study using a systematic literature review
Objective: Electronic Health Records (EHRs) have become a key enabler to improving patient safety, improving healthcare quality, and increasing healthcare efficiency. Governments in various countries have moved beyond the local implementation of EHRs in different healthcare organizations to the national implementation and integration of EHRs. The Kingdom of Saudi Arabia (KSA) has lagged behind significantly in this regard, with only few hospitals have implemented the EHR. The purpose of this study is to identify barriers to the adoption of EHRs in the KSA using a systematic literature review.

Methods: we searched for relevant articles using six search engines (PubMed, EBSCO Host, Web of Science, ACM, IEEE and Google Scholar). The search criteria focused on peer reviewed, empirical studies conducted in the KSA. The final set that met the inclusion criteria was twelve studies. The authors extracted, analyzed, summarized, and categorized empirical results related to EHR barriers in these studies.

Results: after categorization and analysis, we identified the following twelve main barriers to EHR adoption: lack of computer experience by healthcare professionals (18%), lack of perceived usefulness by healthcare professionals (15%), lack of perceived ease of by healthcare professionals (15%), technical limitations of the software system (15%), lack of user support (9%), confidentiality concerns (9%), user resistance to change (6%), lack of quality in patients’ information (3%), lack of EHR standards (3%), uncertainty about EHR vendors (3%), hospital size (3%), and hospital’s level of care (3%).

Conclusion: the findings of this study will be of great potential to policy makers and EHR vendors in the KSA. They can inform strategies to design systems and tailor implementation strategies toward factors that motivate adoption. A second important contribution of this study is that it provides evidence that the extant technology adoption theories like the Technology Acceptance Model (TAM) are not sufficient in explaining EHR adoption, as only 30% of identified barriers could be categorized according to TAM. There is a need for creating a new model for EHR adoption
Electronic Health Records, electronic medical record, Barriers to implementation, Saudi Arabia, Systematic Literature Revi
1178-4407
Alqahtani, Asma, Abdullah Jarullah Aljarullah
d94fd1b0-035a-4351-a7d7-c577ddbbee26
Crowder, Richard
ddeb646d-cc9e-487b-bd84-e1726d3ac023
Wills, Gary
3a594558-6921-4e82-8098-38cd8d4e8aa0
Alqahtani, Asma, Abdullah Jarullah Aljarullah
d94fd1b0-035a-4351-a7d7-c577ddbbee26
Crowder, Richard
ddeb646d-cc9e-487b-bd84-e1726d3ac023
Wills, Gary
3a594558-6921-4e82-8098-38cd8d4e8aa0

Alqahtani, Asma, Abdullah Jarullah Aljarullah, Crowder, Richard and Wills, Gary (2017) Barriers to the adoption of EHR systems in the Kingdom of Saudi Arabia: an exploratory study using a systematic literature review Journal of Health Informatics in Developing Countries, 11, (2)

Record type: Article

Abstract

Objective: Electronic Health Records (EHRs) have become a key enabler to improving patient safety, improving healthcare quality, and increasing healthcare efficiency. Governments in various countries have moved beyond the local implementation of EHRs in different healthcare organizations to the national implementation and integration of EHRs. The Kingdom of Saudi Arabia (KSA) has lagged behind significantly in this regard, with only few hospitals have implemented the EHR. The purpose of this study is to identify barriers to the adoption of EHRs in the KSA using a systematic literature review.

Methods: we searched for relevant articles using six search engines (PubMed, EBSCO Host, Web of Science, ACM, IEEE and Google Scholar). The search criteria focused on peer reviewed, empirical studies conducted in the KSA. The final set that met the inclusion criteria was twelve studies. The authors extracted, analyzed, summarized, and categorized empirical results related to EHR barriers in these studies.

Results: after categorization and analysis, we identified the following twelve main barriers to EHR adoption: lack of computer experience by healthcare professionals (18%), lack of perceived usefulness by healthcare professionals (15%), lack of perceived ease of by healthcare professionals (15%), technical limitations of the software system (15%), lack of user support (9%), confidentiality concerns (9%), user resistance to change (6%), lack of quality in patients’ information (3%), lack of EHR standards (3%), uncertainty about EHR vendors (3%), hospital size (3%), and hospital’s level of care (3%).

Conclusion: the findings of this study will be of great potential to policy makers and EHR vendors in the KSA. They can inform strategies to design systems and tailor implementation strategies toward factors that motivate adoption. A second important contribution of this study is that it provides evidence that the extant technology adoption theories like the Technology Acceptance Model (TAM) are not sufficient in explaining EHR adoption, as only 30% of identified barriers could be categorized according to TAM. There is a need for creating a new model for EHR adoption

PDF 160-591-1-SM - Version of Record
Available under License Creative Commons Attribution.
Download (909kB)

More information

Published date: 9 July 2017
Keywords: Electronic Health Records, electronic medical record, Barriers to implementation, Saudi Arabia, Systematic Literature Revi

Identifiers

Local EPrints ID: 412537
URI: http://eprints.soton.ac.uk/id/eprint/412537
ISSN: 1178-4407
PURE UUID: e69a7bae-9a21-46bf-b1dd-ced328c5eca5
ORCID for Asma, Abdullah Jarullah Aljarullah Alqahtani: ORCID iD orcid.org/0000-0002-9723-043X
ORCID for Gary Wills: ORCID iD orcid.org/0000-0001-5771-4088

Catalogue record

Date deposited: 20 Jul 2017 16:30
Last modified: 24 Jul 2017 16:31

Export record

Contributors

Author: Asma, Abdullah Jarullah Aljarullah Alqahtani ORCID iD
Author: Richard Crowder
Author: Gary Wills ORCID iD

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×