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Electronic Health Records Adoption
To prepare:
- Review the resources about analyzing literature and outlining for topic themes.
- Using your annotated bibliography, analyze the literature to find themes under which you can place each article. The themes should demonstrate that your argument is worthwhile and justified, leading to the gap in the literature.
- Review the web resource Evidence-Based Arguments in the Learning Resources. Focus on the section titled “Using Evidence.”
Assignment: 3- or 4-page paper, not including title page or references page(s)
- Using your annotated bibliography, create a literature review outline in which you:
- Identify the themes that are represented.
- Then, group your annotated bibliography entries under each theme. Note: This represents the start of the subject headings for the Literature Review chapter of your dissertation.
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Electronic Health Records Adoption
Theme 1: Background and Context of EHR Adoption
This theme includes studies that provide an overview of EHR systems, their evolution, and the rationale for adoption in healthcare.
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Blumenthal, D., & Tavenner, M. (2010). The “Meaningful Use” initiative: An overview of U.S. policy aimed at accelerating EHR adoption.
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Boonstra, A., Versluis, A., & Vos, J. F. J. (2014). Discuss challenges hospitals face when adopting EHRs and how they’ve evolved over time.
Theme 2: Benefits and Opportunities of EHR Implementation
These articles highlight the potential improvements in healthcare delivery and patient outcomes due to EHR systems.
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Campanella, P. et al. (2016). A systematic review showing improved quality of care due to EHRs.
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Bae, J. M. (2014). EHRs improving communication and clinical decision-making.
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Menachemi, N., & Collum, T. H. (2011). Discuss cost-effectiveness and improved efficiency.
Theme 3: Challenges and Barriers to EHR Adoption
This theme includes articles focusing on common obstacles such as costs, resistance to change, and interoperability issues.
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Ajami, S., & Bagheri-Tadi, T. (2013). Barriers including user resistance and training needs.
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Adler-Milstein, J. et al. (2014). Data privacy concerns and lack of standardization.
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Kruse, C. S., et al. (2016). Healthcare provider attitudes and the impact on EHR adoption.
Theme 4: Organizational and Policy Factors
Articles here examine how government mandates, funding, and organizational culture influence the adoption of EHRs.
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Vest, J. R., & Gamm, L. D. (2010). The impact of federal and state policies.
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Greenhalgh, T., et al. (2011). Organizational readiness and leadership commitment as success factors.
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Hsiao, C. J., & Hing, E. (2012). Effects of federal incentive programs like HITECH.
Theme 5: Gaps in Literature and Need for Further Research
This section identifies what the current research has not fully addressed, justifying the need for your study.
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Wang, T. et al. (2018). Call for more studies on EHR use in rural or resource-limited settings.
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Smith, A. (2019). Lack of longitudinal research tracking EHR impact over time.
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Taylor, P. (2020). Need for examining patient perspectives on EHR usage.
Conclusion: Justification for Research
The literature reviewed demonstrates that while EHRs can significantly improve healthcare outcomes, persistent challenges limit their full potential. Gaps in research—particularly concerning long-term impacts, patient experiences, and rural health settings—highlight the need for further investigation. This review supports the rationale for studying EHR adoption in underrepresented contexts to inform effective policy and practice.