Date of Conferral

2021

Degree

Ph.D.

School

Health Services

Advisor

Sheryl Richard

Abstract

AbstractElectronic health record (EHR) adoption is necessary across many healthcare settings. The problem identified in the current study is that EHR systems and consumer access to their health records tend to be inconsistently applied across various health care settings which could have adverse effects on health outcomes in the policies, and procedure of healthcare delivery. EHR systems can improve the perceptions of patients on healthcare systems and the operation of health care facilities. More specifically, the issue of interoperability in the context of EHR system implementation was reviewed in the current project. The purpose of this study was to understand the lived experiences of health care professionals and consumers regarding benefits, barriers, conditions, agreements, and standards as perceived in regards to EHR interoperability, adoption, and consumer access. Through an application of the theory of planned behavior, an exploration of the rational decision-making processes required in health care operations processes, including the implementation of EHR systems and structures, was conducted. A qualitative phenomenological design was chosen for the current study, including the use of semi-structured interviews from 10 nursing healthcare professionals currently working and 10 health care consumers who received health care services within the previous 365 days to establish detailed accounts of the lived experiences. Phenomenology was used as the framework for understanding the studied phenomena. The results revealed many benefits of implementing EHR systems, the issues involved, and the risks. Understanding the lived experiences could offer insights into strategies for overcoming barriers, improving health outcomes, policy and procedures, and empowering consumers to take greater control of their health access to and management of personal EHR.

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