Table 2.
Barriers by the year published.
| Barriers | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | Instances of the barrier | ||||||||
| Cost | 4 | 2, 10, 20 | 12, 13, 22, 23 | 27, 28, 29 | 32, 34, 37, 38 |
|
15 | 15% | |||||||
| Efficiency/workflow |
|
10, 20 | 13, 23, 24 | 14, 26, 27, 30 | 33, 35, 37 | 39 | 13 | 13% | |||||||
| Lack of technical support/tech gap |
|
2, 10, 19 | 12, 13, 21, 23, 24, 25 | 27, 29, 30, 31 |
|
|
13 | 13% | |||||||
| Impedes competition |
|
2, 10 | 12, 13 | 14, 28 | 34, 36, 37, 38 |
|
10 | 10% | |||||||
| Value of HIE is difficult to measure |
|
18 | 21, 22, 25 | 27, 28, 29, 30 | 32, 38 |
|
10 | 10% | |||||||
| Privacy/security concerns |
|
2, 18 | 23 | 14, 26, 29, 31 |
|
|
7 | 7% | |||||||
| Clinical data missing when needed |
|
|
12, 24, 25 | 26, 28 | 33 |
|
6 | 6% | |||||||
| Usability |
|
10 | 12, 13 |
|
33 | 39 | 5 | 5% | |||||||
| Heavily dependent on leadership of the organization |
|
2 | 21, 22 |
|
37 |
|
4 | 4% | |||||||
| Liability concerns |
|
2 | 23 | 14, 26 |
|
|
4 | 4% | |||||||
| Lack of standards |
|
|
|
|
33, 34, 36 |
|
3 | 3% | |||||||
| Physician resistance | 4 | 20 |
|
|
|
|
2 | 2% | |||||||
| Misaligned incentives |
|
|
13 |
|
32 |
|
2 | 2% | |||||||
| Decreases quality |
|
20 |
|
|
|
|
1 | 1% | |||||||
| Increases error |
|
20 |
|
|
|
|
1 | 1% | |||||||
| Lack of awareness |
|
|
|
|
33 |
|
1 | 1% | |||||||
| # barriers (n=16) | 2, 13% | 12, 75% | 11, 69% | 8, 50% | 10, 63% | 2, 13% | 97 | ||||||||
| # articles (n=28) | 1, 4% | 5, 18% | 7, 25% | 7, 25% | 7, 25% | 1, 4% | |||||||||