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Table 2 Taxonomy of Barriers

From: Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions

Category Barriers References (Article No.) References per category References per barrier
A Financial 1 High start-up costs 1/2/3/4/5/6/7/14/17/18/19/20 33 12
   2 High ongoing costs 1/2/3/4/6/7/14/17/18/19/20   11
   3 Uncertainty about Return on Investment (ROI) 2/3/4/5/17/18/20/22   8
   4 Lack of financial resources 19/21   2
B Technical 1 Lack of computer skills of the physicians and/or the staff 1/3/6/9/15/16/19/20/21/22 41 10
   2 Lack of technical training and support 1/4/5/6/16/17/18/19/20   9
   3 Complexity of the system 3/5   2
   4 Limitation of the system 2/6   2
   5 Lack of Customizability 2/3/4/18/20   5
   6 Lack of Reliability 3/4/20   3
   7 Interconnectivity/Standardization 3/5/6/7/17/18/19/20   8
   8 Lack of computers/hardware 15/18   2
C Time 1 Time to select, purchase and implement the system 1/3/16/19/27 28 5
   2 Time to learn the system 1/3/5/12/19/20/21   7
   3 Time to enter data 3/14/15/16/17/20   6
   4 More time per patient 3/5/6/8/15/16/17/20   8
   5 Time to convert the records 5/7   2
D Psychological 1 Lack of belief in EMRs 1/18/20 5 3
   2 Need for control 10/18   2
E Social 1 Uncertainty about the vendor 4/7/20 13 3
   2 Lack of support from external parties 6/7/18   3
   3 Interference with doctor-patient relationship 9/13/20   3
   4 Lack of support from other colleagues 4/18   2
   5 Lack of support from the management level 5/18   2
F Legal 1 Privacy or security concerns 1/3/6/12/13/14/17/18/20/27 10 10
G Organizational 1 Organizational size 4/5/6/11/12/22 8 6
   2 Organizational type 6/11   2
H Change Process 1 Lack of support from organizational culture 4/15 8 2
   2 Lack of incentives 5/18   2
   3 Lack of participation 18   1
   4 Lack of leadership 5/18/21   3