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Views of health system administrators, professionals, and users concerning the electronic health record and facilitators and obstacles to its implementation

Overview of attention for article published in Cadernos de Saúde Pública, February 2018
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Title
Views of health system administrators, professionals, and users concerning the electronic health record and facilitators and obstacles to its implementation
Published in
Cadernos de Saúde Pública, February 2018
DOI 10.1590/0102-311x00187916
Pubmed ID
Authors

Jose Felipe Riani Costa, Margareth Crisóstomo Portela

Abstract

The design and deployment of complex technologies like the electronic health record (EHR) involve technical, personal, social, and organizational issues. The Brazilian public and private scenario includes different local and regional initiatives for implementation of the electronic health record. The Brazilian Ministry of Health also has a proposal to develop a national EHR. The current study aimed to provide a comprehensive view of perceptions by health system administrators, professionals, and users concerning their experiences with the electronic health record and their opinions of the possibility of developing a national EHR. This qualitative study involved 28 semi-structured interviews. The results revealed both the diversity of factors that can influence the implementation of an electronic health record and the existence of convergences and aspects that tend to be valued differently according to the different points of view. Key aspects include discussions on the electronic health record's attributes and it impact on healthcare, especially in the case of local electronic health records, concerns over costs and confidentiality and privacy pertaining to electronic health records in general, and the possible implications of centralized versus decentralized data storage in the case of a national EHR. The interviews clearly showed the need to establish more effective communication among the various stakeholders, and that the different perspectives should be considered when drafting and deploying an EHR at the local, regional, and national levels.

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X Demographics

The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 42 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 42 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 8 19%
Student > Master 7 17%
Student > Ph. D. Student 4 10%
Other 3 7%
Student > Doctoral Student 2 5%
Other 4 10%
Unknown 14 33%
Readers by discipline Count As %
Nursing and Health Professions 13 31%
Medicine and Dentistry 5 12%
Agricultural and Biological Sciences 2 5%
Social Sciences 2 5%
Business, Management and Accounting 1 2%
Other 2 5%
Unknown 17 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 February 2018.
All research outputs
#17,292,294
of 25,382,440 outputs
Outputs from Cadernos de Saúde Pública
#1,011
of 1,854 outputs
Outputs of similar age
#282,156
of 445,948 outputs
Outputs of similar age from Cadernos de Saúde Pública
#21
of 38 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,854 research outputs from this source. They receive a mean Attention Score of 4.2. This one is in the 28th percentile – i.e., 28% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 445,948 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 38 others from the same source and published within six weeks on either side of this one. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.