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Users' perspectives of barriers and facilitators to implementing EHR in Canada: a study protocol
Marie-Pierre Gagnon1, Nicola Shaw, Claude Sicotte
1Research Center of the Centre Hospitalier Universitaire de Québec, Québec, Canada. marie-pierre.gagnon@fsi.ulaval.ca
Implementation Science : IS
|April 11, 2009
Summary
Canada is implementing an interoperable electronic health record (EHR) system. Understanding barriers and facilitators to EHR adoption is crucial for successful integration across diverse user groups and Canadian contexts.
Area of Science:
- Health Informatics
- Health Services Research
- Information Systems
Background:
- Canada is developing an ambitious, interoperable electronic health record (EHR) system.
- Previous EHR projects have faced challenges due to poor integration and varied end-user perceptions.
- Successful EHR adoption requires understanding and addressing these complexities.
Purpose of the Study:
- To synthesize existing knowledge on barriers and facilitators influencing interoperable EHR adoption.
- To identify factors affecting EHR implementation across various user and beneficiary groups.
- To inform policy and practice for successful EHR integration in Canada.
Main Methods:
- Comprehensive literature review and data extraction.
- Narrative synthesis and meta-analytical techniques to categorize barriers and facilitators.
- Two-round Delphi study to validate findings within Canadian contexts.
Main Results:
- Identification of key barriers and facilitators to EHR adoption specific to different user groups.
- Validation of these factors for applicability across diverse Canadian healthcare settings.
- Evidence-based recommendations for successful EHR implementation.
Conclusions:
- Urgent need for evidence to guide Canada's interoperable EHR implementation.
- This study provides a systematic summary of EHR adoption factors, considering local contexts.
- The findings and methodology can be replicated in other jurisdictions for improved EHR integration.
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