Table 5.

Barriers to adoption of the EHR

Process     Imperfect user interface platform     Art of medicine not quantifiable     Fragmentation of medical information     Fitting into the office workflow     Fear of typing     Quality of data     Parochialism     Time     Lack of critical mass     Difficulty of integration with legacy     systems     Training and culture     Resistance to change

Technical infrastructure     Lack of standards     Lack of standardized vocabulary     Lack of interoperability Free Text entry vs. structured data Regulatory and privacy uncertainties     Security     Confidentiality Financing     Lack of capital     Cost and concerns of ROI     Lack of financial incentives     Lack of cost benefits perceived by physician Shortage of technical personnel