Table 1 Physician consensus
Strength of consensus | EHR implementation factor | Criteria§ A = applicability I = importance | Consensus* (Agreement in %) | 5-point Likert score | Percentile score | Inter- quartile range | |
|---|---|---|---|---|---|---|---|
10th | 25th | ||||||
Strong | Confidence in EHR developer or vendor | A | ≥ 75 % | 4 | 2 | 4 | 0 |
I | ≥ 75 % | 4 | 4 | 4 | 0 | ||
Moderate | Cost issues (start-up and maintenance) | A | ≥ 75 % | 4 | 3 | 4 | 0 |
I | 60-74 % | 4 | 3 | 4 | 0 | ||
Lack of time and workload (clinical tasks) | A | 60-74 % | 4 | 3 | 4 | 0 | |
I | 60-74 % | 4 | 4 | 4 | 1 | ||
Partial | Cost issues (return on investment) | A | 60-74 % | 4 | 1 | 2 | 2 |
I | < 60 % | − | 1 | 3 | 1 | ||
Patient and health professional interaction | A | < 60 % | − | 3 | 3 | 1 | |
I | 60-74 % | 4 | 3 | 3 | 1 | ||
Lack of time and workload (EHR use) | A | 60-74 % | 4 | 2 | 4 | 0 | |
I | < 60 % | − | 4 | 4 | 1 | ||
Change in tasks | A | 60-74 % | 4 | 3 | 4 | 0 | |
I | < 60 % | − | 3 | 4 | 1 | ||
Choice of the EHR system | A | 60-74 % | 4 | 2 | 3 | 1 | |
I | < 60 % | − | 2 | 3 | 1 | ||
None | Design and technical concerns | A | < 60 % | − | 3 | 3 | 2 |
I | < 60 % | − | 3 | 3 | 2 | ||
Privacy and security concerns (patient privacy) | A | < 60 % | − | 1 | 2 | 2 | |
I | < 60 % | − | 1 | 2 | 2 | ||
Privacy and security concerns (professional confidentiality) | A | < 60 % | − | 1 | 1 | 3 | |
I | < 60 % | − | 1 | 3 | 2 | ||
Quality standards | A | < 60 % | − | 3 | 3 | 2 | |
I | < 60 % | − | 3 | 3 | 2 | ||
Productivity (loss of) | A | < 60 % | − | 3 | 3 | 2 | |
I | < 60 % | − | 3 | 4 | 1 | ||
Practice size (small) | A | < 60 % | − | 2 | 2 | 2 | |
I | < 60 % | − | 2 | 3 | 2 | ||
Practice size (large) | A | < 60 % | − | 3 | 3 | 2 | |
I | < 60 % | − | 3 | 3 | 2 | ||
Physician salary status and reimbursement | A | < 60 % | − | 2 | 2 | 2 | |
I | < 60 % | − | 2 | 3 | 1 | ||
Human resources (IT support, other) | A | < 60 % | − | 1 | 3 | 2 | |
I | < 60 % | − | 3 | 4 | 1 | ||
Management | A | < 60 % | − | 1 | 2 | 1 | |
I | < 60 % | − | 2 | 2 | 1 | ||