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Table 3 Perceived barriers and related possible interventions

From: Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions

Perceived barrier Possible barrier-related intervention strategies
A Finance Provide documentation on return on investment.
Show profitable examples from other EMR implementations.
Provide financial compensation.
B Technical Educate physicians and support ongoing training.
Adapt the system to existing practices.
Implement EMR on a module-by-module basis.
Link EMR with existing systems.
Promote and communicate reliability and availability of the system.
Acquire third party for support during implementation.
C Time Provide support during implementation phase to convert records and assist.
Provide training sessions to familiarize users.
Implement a user friendly help function and help desk.
Redesign workflow to achieve a time gain
D Psychological Discuss usefulness of the EMR
Include trial period.
Demonstrate ease of use.
Start with voluntary use.
Let fellow physicians demonstrate the system.
Adapt system to current medical practice.
E Social Discuss advantages and disadvantages for doctors and patients.
Information and support from physicians who are already users.
Ensure support, leadership, and communication from management.
F Legal Develop requirements on safety and security in cooperation with physicians and patients.
Ensure EMR system meets these requirements before implementation.
Communicate on safety and security of issues.
G Organization Redesign workflow to realize a better organizational fit.
Adapt EMR to organization type.
Adapt EMR to type of medical practice
H Change process Select a project champion, preferably an experienced physician.
Let physicians (or representatives) participate during the implementation process.
Communicate the advantages for physicians. Use incentives.
Ensure support, leadership, and communication from management.