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

Songul Cinaroglu1, Simge Kamalı2

  • 1Faculty of Economics and Administrative Sciences (FEAS), Department of Health Care Management, Hacettepe University, Ankara, Turkey.

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Understanding health professionals' perspectives on Electronic Health Records (EHRs) is key for better health information systems. This study reveals that perceived benefits, concerns, and impact on work quality/efficiency are crucial factors influencing EHR usage.

Keywords:
confirmatory factor analysiselectronic health recordshealth information managementhospital managersphysicians

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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.