Barriers to Electronic Health Record System Implementation and Information Systems Resources: A Structured Review

Electronic health record systems have the potential to improve the quality of health services primarily through the availability of health information. Implementing EHR systems in healthcare facilities has been met with an alarming rate of failure. This paper reviews the literature identifying barriers to implement an EHR system. Identifying the barriers will be a precursor to assessing readiness for such a system. A structured literature review was done in accord with the PRISMA guidelines. The barriers identified were categorized into the information systems resources. The review suggests that people resource (user resistance and lack of skills) and procedure resource (concern for return on investment and lack of administrative and policy support) are the primary barriers to overcome. Further studies are directed to examine the barriers in detail and recognize how to address said barriers. (C) 2018 The Authors. Published by Elsevier B.V.