{"id":"https://openalex.org/W4401834991","doi":"https://doi.org/10.3233/shti240336","title":"Physicians\u2019 Experiences of EHR Technical Quality: Results from Four Large Cross-Sectional Surveys in 2010\u20132021","display_name":"Physicians\u2019 Experiences of EHR Technical Quality: Results from Four Large Cross-Sectional Surveys in 2010\u20132021","publication_year":2024,"publication_date":"2024-08-22","ids":{"openalex":"https://openalex.org/W4401834991","doi":"https://doi.org/10.3233/shti240336","pmid":"https://pubmed.ncbi.nlm.nih.gov/39176665"},"language":"en","primary_location":{"id":"doi:10.3233/shti240336","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti240336","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI240336","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI240336","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5034829447","display_name":"Tinja L\u00e4\u00e4veri","orcid":"https://orcid.org/0000-0003-4124-6667"},"institutions":[{"id":"https://openalex.org/I133731052","display_name":"University of Helsinki","ror":"https://ror.org/040af2s02","country_code":"FI","type":"education","lineage":["https://openalex.org/I133731052"]},{"id":"https://openalex.org/I2800394112","display_name":"Helsinki University Hospital","ror":"https://ror.org/02e8hzf44","country_code":"FI","type":"healthcare","lineage":["https://openalex.org/I2800394112","https://openalex.org/I4210166427"]},{"id":"https://openalex.org/I9927081","display_name":"Aalto University","ror":"https://ror.org/020hwjq30","country_code":"FI","type":"education","lineage":["https://openalex.org/I9927081"]}],"countries":["FI"],"is_corresponding":true,"raw_author_name":"Tinja L\u00e4\u00e4veri","raw_affiliation_strings":["Aalto University, Department of Computer Science, Finland","Inflammation Center, Helsinki University Hospital, Finland"],"affiliations":[{"raw_affiliation_string":"Aalto University, Department of Computer Science, Finland","institution_ids":["https://openalex.org/I9927081"]},{"raw_affiliation_string":"Inflammation Center, Helsinki University Hospital, Finland","institution_ids":["https://openalex.org/I133731052","https://openalex.org/I2800394112"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018616763","display_name":"Johanna Viitanen","orcid":"https://orcid.org/0000-0002-6659-5022"},"institutions":[{"id":"https://openalex.org/I9927081","display_name":"Aalto University","ror":"https://ror.org/020hwjq30","country_code":"FI","type":"education","lineage":["https://openalex.org/I9927081"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Johanna Viitanen","raw_affiliation_strings":["Aalto University, Department of Computer Science, Finland"],"affiliations":[{"raw_affiliation_string":"Aalto University, Department of Computer Science, Finland","institution_ids":["https://openalex.org/I9927081"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070169373","display_name":"Jarmo Reponen","orcid":"https://orcid.org/0000-0003-2306-3111"},"institutions":[{"id":"https://openalex.org/I98381234","display_name":"University of Oulu","ror":"https://ror.org/03yj89h83","country_code":"FI","type":"education","lineage":["https://openalex.org/I98381234"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Jarmo Reponen","raw_affiliation_strings":["Research Unit of Health Sciences and Technology, University of Oulu, Finland"],"affiliations":[{"raw_affiliation_string":"Research Unit of Health Sciences and Technology, University of Oulu, Finland","institution_ids":["https://openalex.org/I98381234"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068835535","display_name":"Jari Renko","orcid":"https://orcid.org/0009-0007-7554-3850"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jari Renko","raw_affiliation_strings":["Oy Apotti Ab, Helsinki, Finland"],"affiliations":[{"raw_affiliation_string":"Oy Apotti Ab, Helsinki, Finland","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5034829447"],"corresponding_institution_ids":["https://openalex.org/I133731052","https://openalex.org/I2800394112","https://openalex.org/I9927081"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.39149271,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"316","issue":null,"first_page":"23","last_page":"27"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9835000038146973,"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":0.9835000038146973,"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/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9503999948501587,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9365000128746033,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/harm","display_name":"Harm","score":0.6283209919929504},{"id":"https://openalex.org/keywords/implementation","display_name":"Implementation","score":0.6124975681304932},{"id":"https://openalex.org/keywords/specialty","display_name":"Specialty","score":0.5650109052658081},{"id":"https://openalex.org/keywords/cross-sectional-study","display_name":"Cross-sectional study","score":0.5265301465988159},{"id":"https://openalex.org/keywords/quality","display_name":"Quality (philosophy)","score":0.5112712383270264},{"id":"https://openalex.org/keywords/patient-safety","display_name":"Patient safety","score":0.4985527992248535},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.45643699169158936},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.45264625549316406},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.4062807559967041},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.3574422597885132},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.34508848190307617},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.2922216057777405},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.24229684472084045},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.1222168505191803}],"concepts":[{"id":"https://openalex.org/C2777363581","wikidata":"https://www.wikidata.org/wiki/Q15098235","display_name":"Harm","level":2,"score":0.6283209919929504},{"id":"https://openalex.org/C26713055","wikidata":"https://www.wikidata.org/wiki/Q245962","display_name":"Implementation","level":2,"score":0.6124975681304932},{"id":"https://openalex.org/C20387591","wikidata":"https://www.wikidata.org/wiki/Q930752","display_name":"Specialty","level":2,"score":0.5650109052658081},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.5265301465988159},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.5112712383270264},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.4985527992248535},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.45643699169158936},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.45264625549316406},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4062807559967041},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3574422597885132},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.34508848190307617},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2922216057777405},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.24229684472084045},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1222168505191803},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001292","descriptor_name":"Attitude to Computers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001292","descriptor_name":"Attitude to Computers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001292","descriptor_name":"Attitude to Computers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001292","descriptor_name":"Attitude to Computers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005387","descriptor_name":"Finland","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005387","descriptor_name":"Finland","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005387","descriptor_name":"Finland","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005387","descriptor_name":"Finland","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":"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":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.3233/shti240336","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti240336","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI240336","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:39176665","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39176665","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":"Studies in health technology and informatics","raw_type":null},{"id":"pmh:oai:aaltodoc.aalto.fi:123456789/130790","is_oa":true,"landing_page_url":"https://research.aalto.fi/en/publications/ecb16a15-e674-4708-b25c-cb86d29aba13","pdf_url":null,"source":{"id":"https://openalex.org/S4306401662","display_name":"Aaltodoc (Aalto University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I9927081","host_organization_name":"Aalto University","host_organization_lineage":["https://openalex.org/I9927081"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"publishedVersion"}],"best_oa_location":{"id":"doi:10.3233/shti240336","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti240336","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI240336","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[{"score":0.4300000071525574,"id":"https://metadata.un.org/sdg/17","display_name":"Partnerships for the goals"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4401834991.pdf"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W2345751699","https://openalex.org/W2611358629","https://openalex.org/W2617187239","https://openalex.org/W2767790017","https://openalex.org/W2790484721","https://openalex.org/W2902588703","https://openalex.org/W2917176413","https://openalex.org/W2952231665","https://openalex.org/W2993092750","https://openalex.org/W3003985767","https://openalex.org/W3156009846","https://openalex.org/W3178509406","https://openalex.org/W4226287623","https://openalex.org/W4238353526"],"related_works":["https://openalex.org/W2000811477","https://openalex.org/W2365653098","https://openalex.org/W3045293259","https://openalex.org/W3032220911","https://openalex.org/W4229884329","https://openalex.org/W2349001406","https://openalex.org/W2364829248","https://openalex.org/W2385612156","https://openalex.org/W2382841014","https://openalex.org/W2386244707"],"abstract_inverted_index":{"Unexpected":[0],"downtime":[1],"and":[2,17,39,56,85,147,150],"long":[3],"response":[4],"times":[5],"of":[6,34,52,83,99,121,127,166,176],"electronic":[7],"health":[8],"record":[9],"(EHR)":[10],"systems":[11],"not":[12],"only":[13],"impact":[14],"user":[15],"satisfaction":[16],"clinicians'":[18],"work":[19],"efficiency":[20],"but":[21,106,155],"also":[22],"bring":[23],"about":[24],"potential":[25,136],"harm":[26,139],"for":[27,140],"patients.":[28],"Despite":[29],"improvements":[30,107],"in":[31,68,90,110,145,151,158],"the":[32,49,81,97,100,122,141,152,164,174],"performance":[33],"EHR":[35,53,114],"systems'":[36],"architecture,":[37],"hardware,":[38],"networks,":[40],"technical":[41,54,170],"challenges":[42],"continue":[43],"to":[44,168],"cause":[45],"problems.":[46,124],"We":[47],"explored":[48],"end-user":[50],"experiences":[51,82],"functionality":[55],"quality":[57],"from":[58],"four":[59],"large":[60],"national":[61,101,177],"cross-sectional":[62],"surveys":[63],"conducted":[64],"among":[65],"Finnish":[66],"physicians":[67,128],"2010-21.":[69],"The":[70,125],"results":[71],"were":[72,108],"analyzed":[73],"by":[74,96],"healthcare":[75],"sector/specialty":[76],"groups.":[77,160],"In":[78],"most":[79],"groups,":[80],"stability":[84],"reaction":[86],"speed":[87],"became":[88],"worse":[89],"2010-17,":[91],"which":[92],"is":[93],"readily":[94],"explained":[95],"implementation":[98],"patient":[102,142],"data":[103],"repository":[104],"services,":[105],"seen":[109],"2021,":[111],"suggesting":[112],"that":[113],"vendors":[115],"have":[116],"solved":[117],"at":[118],"least":[119],"some":[120],"slowness":[123],"proportion":[126],"reporting":[129],"having":[130],"experienced":[131],"faulty":[132],"system":[133],"function":[134],"with":[135],"or":[137],"actualized":[138],"had":[143],"decreased":[144],"operative":[146],"medical":[148],"specialties":[149],"private":[153],"sector":[154],"remained":[156],"stable":[157],"other":[159],"Our":[161],"findings":[162],"underline":[163],"importance":[165],"continuing":[167],"develop":[169],"qualities":[171],"-":[172],"including":[173],"implementations":[175],"integrations.":[178]},"counts_by_year":[],"updated_date":"2026-04-01T17:29:45.350535","created_date":"2025-10-10T00:00:00"}