Evaluating Physician and Manager Perspectives on EHR Usage in Turkey: A Factor Analysis Approach

Area of Science:

• Health Informatics
• Medical Information Systems
• Healthcare Management

Background:

• Effective management of health information systems (HIS) necessitates understanding health professionals' views on Electronic Health Records (EHRs).
• Physician and hospital manager perspectives are pivotal for successful EHR adoption and integration into clinical workflows.

Purpose of the Study:

• To examine the explanatory factors influencing the usage of EHRs from the viewpoint of physicians and hospital managers.
• To identify key drivers and barriers related to EHR implementation and utilization in healthcare settings.

Main Methods:

• A survey was conducted with 202 physicians and hospital administrators across three hospitals in İzmir.
• Exploratory and confirmatory factor analyses (CFA) were employed to determine the underlying factors influencing EHR usage.
• Statistical measures including Cronbach's Alpha, KMO, Bartlett's test, and various goodness-of-fit indices were used to validate the model.

Main Results:

• Confirmatory factor analysis demonstrated a statistically significant and acceptable model fit.
• Three primary factors emerged explaining EHR usage: perceived benefits, concerns regarding EHR implementation, and the impact of EHRs on work quality, efficiency, information access, and safety.

Conclusions:

• Comprehending EHRs from the perspective of healthcare professionals and managers is essential for optimizing HIS.
• Focusing on EHR advantages, addressing implementation concerns, and highlighting improvements in work quality and efficiency are critical for successful EHR deployment.