{"id":"https://openalex.org/W2494176845","doi":"https://doi.org/10.1016/j.ijmedinf.2016.07.015","title":"Barriers and facilitators to Electronic Medical Record (EMR) use in an urban slum","display_name":"Barriers and facilitators to Electronic Medical Record (EMR) use in an urban slum","publication_year":2016,"publication_date":"2016-07-31","ids":{"openalex":"https://openalex.org/W2494176845","doi":"https://doi.org/10.1016/j.ijmedinf.2016.07.015","mag":"2494176845","pmid":"https://pubmed.ncbi.nlm.nih.gov/27573333"},"language":"en","primary_location":{"id":"doi:10.1016/j.ijmedinf.2016.07.015","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2016.07.015","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1016/j.ijmedinf.2016.07.015","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078756546","display_name":"Badeia Jawhari","orcid":null},"institutions":[{"id":"https://openalex.org/I154425047","display_name":"University of Alberta","ror":"https://ror.org/0160cpw27","country_code":"CA","type":"education","lineage":["https://openalex.org/I154425047"]},{"id":"https://openalex.org/I32547031","display_name":"Canadian Centre for Policy Alternatives","ror":"https://ror.org/00knefa62","country_code":"CA","type":"facility","lineage":["https://openalex.org/I32547031"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Badeia Jawhari","raw_affiliation_strings":["Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada; Innovative Canadians for Change, Edmonton, Alberta, Canada. Electronic address: bjawhari@ualberta.ca","Innovative Canadians for Change, Edmonton, Alberta, Canada","Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada"],"affiliations":[{"raw_affiliation_string":"Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada; Innovative Canadians for Change, Edmonton, Alberta, Canada. Electronic address: bjawhari@ualberta.ca","institution_ids":["https://openalex.org/I154425047"]},{"raw_affiliation_string":"Innovative Canadians for Change, Edmonton, Alberta, Canada","institution_ids":["https://openalex.org/I32547031"]},{"raw_affiliation_string":"Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada","institution_ids":["https://openalex.org/I154425047"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049023037","display_name":"Louanne Keenan","orcid":"https://orcid.org/0000-0003-1205-2644"},"institutions":[{"id":"https://openalex.org/I154425047","display_name":"University of Alberta","ror":"https://ror.org/0160cpw27","country_code":"CA","type":"education","lineage":["https://openalex.org/I154425047"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Louanne Keenan","raw_affiliation_strings":["Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada"],"affiliations":[{"raw_affiliation_string":"Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada","institution_ids":["https://openalex.org/I154425047"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077510217","display_name":"David Zakus","orcid":"https://orcid.org/0000-0002-2992-2127"},"institutions":[{"id":"https://openalex.org/I530967","display_name":"Toronto Metropolitan University","ror":"https://ror.org/05g13zd79","country_code":"CA","type":"education","lineage":["https://openalex.org/I530967"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"David Zakus","raw_affiliation_strings":["Faculty of Community Services, School of Occupational and Public Health, Ryerson University, Toronto, Ontario, Canada"],"affiliations":[{"raw_affiliation_string":"Faculty of Community Services, School of Occupational and Public Health, Ryerson University, Toronto, Ontario, Canada","institution_ids":["https://openalex.org/I530967"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021343260","display_name":"Dave Ludwick","orcid":null},"institutions":[{"id":"https://openalex.org/I4210147426","display_name":"Emissions Reduction Alberta","ror":"https://ror.org/0535jz951","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I4210147426"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Dave Ludwick","raw_affiliation_strings":["Sherwood Park Primary Care Network, Sherwood Park, Alberta, Canada"],"affiliations":[{"raw_affiliation_string":"Sherwood Park Primary Care Network, Sherwood Park, Alberta, Canada","institution_ids":["https://openalex.org/I4210147426"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109394731","display_name":"Abraam Isaac","orcid":null},"institutions":[{"id":"https://openalex.org/I154425047","display_name":"University of Alberta","ror":"https://ror.org/0160cpw27","country_code":"CA","type":"education","lineage":["https://openalex.org/I154425047"]},{"id":"https://openalex.org/I32547031","display_name":"Canadian Centre for Policy Alternatives","ror":"https://ror.org/00knefa62","country_code":"CA","type":"facility","lineage":["https://openalex.org/I32547031"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Abraam Isaac","raw_affiliation_strings":["Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada; Innovative Canadians for Change, Edmonton, Alberta, Canada","Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada","Innovative Canadians for Change, Edmonton, Alberta, Canada"],"affiliations":[{"raw_affiliation_string":"Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada; Innovative Canadians for Change, Edmonton, Alberta, Canada","institution_ids":["https://openalex.org/I154425047"]},{"raw_affiliation_string":"Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada","institution_ids":["https://openalex.org/I154425047"]},{"raw_affiliation_string":"Innovative Canadians for Change, Edmonton, Alberta, Canada","institution_ids":["https://openalex.org/I32547031"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041934755","display_name":"Abdullah Saleh","orcid":"https://orcid.org/0000-0002-0934-3160"},"institutions":[{"id":"https://openalex.org/I32547031","display_name":"Canadian Centre for Policy Alternatives","ror":"https://ror.org/00knefa62","country_code":"CA","type":"facility","lineage":["https://openalex.org/I32547031"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Abdullah Saleh","raw_affiliation_strings":["Innovative Canadians for Change, Edmonton, Alberta, Canada"],"affiliations":[{"raw_affiliation_string":"Innovative Canadians for Change, Edmonton, Alberta, Canada","institution_ids":["https://openalex.org/I32547031"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5024558554","display_name":"Robert Hayward","orcid":null},"institutions":[{"id":"https://openalex.org/I154425047","display_name":"University of Alberta","ror":"https://ror.org/0160cpw27","country_code":"CA","type":"education","lineage":["https://openalex.org/I154425047"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Robert Hayward","raw_affiliation_strings":["Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada"],"affiliations":[{"raw_affiliation_string":"Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada","institution_ids":["https://openalex.org/I154425047"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5078756546"],"corresponding_institution_ids":["https://openalex.org/I154425047","https://openalex.org/I32547031"],"apc_list":{"value":3210,"currency":"USD","value_usd":3210},"apc_paid":{"value":3210,"currency":"USD","value_usd":3210},"fwci":15.7938,"has_fulltext":false,"cited_by_count":69,"citation_normalized_percentile":{"value":0.98748756,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":99},"biblio":{"volume":"94","issue":null,"first_page":"246","last_page":"254"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9889000058174133,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9889000058174133,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.9348000288009644,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/electronic-medical-record","display_name":"Electronic medical record","score":0.6495432257652283},{"id":"https://openalex.org/keywords/electronic-health-record","display_name":"Electronic health record","score":0.4508126974105835},{"id":"https://openalex.org/keywords/slum","display_name":"Slum","score":0.43548697233200073},{"id":"https://openalex.org/keywords/medical-record","display_name":"Medical record","score":0.4166288375854492},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.4056122303009033},{"id":"https://openalex.org/keywords/internet-privacy","display_name":"Internet privacy","score":0.3771902322769165},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.3482350707054138},{"id":"https://openalex.org/keywords/environmental-health","display_name":"Environmental health","score":0.33545929193496704},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.3268601596355438},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.2720961272716522},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.1998906433582306},{"id":"https://openalex.org/keywords/economic-growth","display_name":"Economic growth","score":0.11959195137023926}],"concepts":[{"id":"https://openalex.org/C3018060332","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic medical record","level":2,"score":0.6495432257652283},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.4508126974105835},{"id":"https://openalex.org/C2778631157","wikidata":"https://www.wikidata.org/wiki/Q201759","display_name":"Slum","level":3,"score":0.43548697233200073},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.4166288375854492},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4056122303009033},{"id":"https://openalex.org/C108827166","wikidata":"https://www.wikidata.org/wiki/Q175975","display_name":"Internet privacy","level":1,"score":0.3771902322769165},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3482350707054138},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.33545929193496704},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3268601596355438},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2720961272716522},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.1998906433582306},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.11959195137023926},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D004059","descriptor_name":"Diffusion of Innovation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004059","descriptor_name":"Diffusion of Innovation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004059","descriptor_name":"Diffusion of Innovation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007630","descriptor_name":"Kenya","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007630","descriptor_name":"Kenya","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007630","descriptor_name":"Kenya","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D011204","descriptor_name":"Poverty Areas","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011204","descriptor_name":"Poverty Areas","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011204","descriptor_name":"Poverty Areas","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.ijmedinf.2016.07.015","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2016.07.015","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},{"id":"pmid:27573333","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/27573333","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of medical informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.1016/j.ijmedinf.2016.07.015","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2016.07.015","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Sustainable cities and communities","id":"https://metadata.un.org/sdg/11","score":0.47999998927116394}],"awards":[],"funders":[{"id":"https://openalex.org/F4320322675","display_name":"Mitacs","ror":"https://ror.org/00cjrc276"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":36,"referenced_works":["https://openalex.org/W1493350962","https://openalex.org/W1494159223","https://openalex.org/W1551897101","https://openalex.org/W1830850936","https://openalex.org/W1963703853","https://openalex.org/W1965437581","https://openalex.org/W2005519248","https://openalex.org/W2010646757","https://openalex.org/W2022394868","https://openalex.org/W2040283924","https://openalex.org/W2040708445","https://openalex.org/W2080743795","https://openalex.org/W2098752671","https://openalex.org/W2105403408","https://openalex.org/W2110751474","https://openalex.org/W2124447561","https://openalex.org/W2142742784","https://openalex.org/W2153784331","https://openalex.org/W2159165123","https://openalex.org/W2172144794","https://openalex.org/W2196528099","https://openalex.org/W2220758166","https://openalex.org/W2263055960","https://openalex.org/W2402205614","https://openalex.org/W2416156128","https://openalex.org/W2479040328","https://openalex.org/W2600069020","https://openalex.org/W6629306088","https://openalex.org/W6629340064","https://openalex.org/W6633222164","https://openalex.org/W6660594969","https://openalex.org/W6670763201","https://openalex.org/W6678263065","https://openalex.org/W6681171379","https://openalex.org/W6685504142","https://openalex.org/W6688937046"],"related_works":["https://openalex.org/W2391441194","https://openalex.org/W2091636677","https://openalex.org/W2381274092","https://openalex.org/W2034489805","https://openalex.org/W2385306558","https://openalex.org/W2171004512","https://openalex.org/W2371025015","https://openalex.org/W2182132744","https://openalex.org/W2319754990","https://openalex.org/W4205272636"],"abstract_inverted_index":{"This":[0],"study":[1],"exposes":[2],"front-line":[3],"experiences":[4],"with":[5],"opportunities":[6],"and":[7,31],"shortcomings":[8],"of":[9,27],"EMR":[10,35,42],"implementations":[11],"in":[12,44],"urban":[13],"slum":[14],"primary":[15],"care":[16],"clinics.":[17],"Although":[18],"the":[19],"promise":[20],"is":[21],"great,":[22],"there":[23],"are":[24],"a":[25],"number":[26],"unique":[28],"system,":[29],"software":[30],"social":[32],"challenges":[33],"that":[34],"advocates":[36],"should":[37],"address":[38],"before":[39],"expecting":[40],"sustainable":[41],"use":[43],"resource-constrained":[45],"settings.":[46]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":8},{"year":2024,"cited_by_count":9},{"year":2023,"cited_by_count":7},{"year":2022,"cited_by_count":11},{"year":2021,"cited_by_count":8},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":10},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":6}],"updated_date":"2026-03-27T14:29:43.386196","created_date":"2025-10-10T00:00:00"}