Summary
Background: Progress in the medical sciences, together with related technologies, in the past
has led to higher specialization and has created a strong need to exchange health
information across institutional borders. The concept of electronic health records
(EHR) was introduced to fulfill these needs. Remarkably, many EHR introduction projects
ran into trouble, not least because they lacked the acceptance of EHR among physicians.
Negative emotions, such as anxiety and fear due to a lack of information, may cause
change barriers and hamper physicians’ acceptance of such projects.
Objectives: The goal of this study was to gain deeper insight into the negative emotions related
to the intended implementation of a mandatory national electronic health record system
(called ELGA) in Austria among physicians in private practice.
Methods: Qualitative, problem-centered interviews were conducted with eight physicians in
private practice in the capital region of Tyrol. The methods of qualitative content
analysis were used to analyze the data.
Results: Three hundred and twenty-eight pas sages in the interviews were selected, annotated,
and paraphrased. These passages were assigned to 139 different primary categories.
Finally, 18 main categories in the form of statements were derived. They were correlated
and a theoretical model was formed to explain the genesis of the detected fears and
anxiety related to the ELGA project. The results show that the physicians feel uninformed
and snubbed. They fear unknown changes, increased costs, as well as workload and surveillance
without obtaining any advantages from using electronic health records in their daily
practice.
Conclusion: Impartial information campaigns that are tailored to the physicians’ needs and questions
as along with a comprehensive cost-benefit analysis could benefit the physicians’
opinion of EHRs.
Keywords
Electronic health record (EHR) - organizational innovation - risk management - attitude
- qualitative research
