Table 2 Perceived barriers to EMRS implementation in an Indian private-sector hospital
Barriers | Major barrier n (%) | Possible to manage n (%) | Not applicable n (%) | Total N |
|---|---|---|---|---|
Financial components | ||||
âLack of funds | 43 (44) | 47 (48) | 9 (9) | 99 |
âCapital investment | 35 (37) | 47 (47.5) | 12 (13) | 94 |
Organizational components | ||||
âTime management* | 27 (29) | 62 (65) | 6 (6) | 95 |
âLack of infrastructure | 47 (47) | 45 (44) | 9 (9) | 101 |
âLack of staff | 57 (56) | 36 (35) | 9 (9) | 102 |
âStaff resistance** | 51 (52) | 33 (33) | 15 (15) | 99 |
âLack of IT personnel | 59 (58) | 35 (35) | 7 (7) | 101 |
âStaff competency | 51 (51) | 41 (41) | 8 (8) | 100 |
âLack of staff coordination | 47 (48) | 46 (46) | 6 (6) | 99 |
âPossible loss of productivity | 34 (34) | 50 (50.5) | 15 (15) | 99 |
âChangeover of information | 30 (31) | 50 (51.5) | 17 (17.5) | 97 |
âLack of a trainer on EMR | 44 (44.5) | 47 (47.5) | 8 (9) | 99 |
âLack of management support | 47 (46) | 44 (43) | 11 (11) | 102 |
Legal issues | ||||
âConcerns for confidentiality breaches | 31 (31) | 55 (55) | 14 (14) | 100 |
âRegulations of electronic signatures | 29 (29) | 59 (60) | 11 (11) | 99 |
âLegal acceptability of EMRS | 25 (26) | 52 (54) | 19 (20) | 96 |
Technological issues | ||||
âFinding a convenient system | 39 (39) | 54 (53) | 8 (8) | 101 |
âConcerns about the EMR system updates | 22 (22) | 57 (56.5) | 22 (22) | 101 |
âUnreliable Internet access | 42 (42) | 44 (44) | 14 (14) | 100 |
âIncompatibilities of Software/hardware | 37 (37) | 53 (53) | 10 (10) | 100 |
âTraining about EMRS | 39 (39) | 55 (55) | 6 (6) | 100 |