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Table 1 Physician consensus

From: Users’ perspectives of key factors to implementing electronic health records in Canada: a Delphi study

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
  1. § A = applicability, I = importance.
  2. * Agreement in %: ≥ 75 % agreement, 60-74 % agreement, < 60 % agreement.