REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot169810.32687/1561-5936-2024-28-2-161-164Original ArticleIntroduction of electronic medical records into the healthcare system: barriers, prospectsBaranovaTamara V.bartoma007@gmail.comScientific Research Institute of Healthcare Organization and Medical Management, Moscow, Russia15122024216116415102025Copyright © 2024,2024The article discusses the features of the introduction of information and communication technologies into healthcare systems using the example of electronic medical records (EMR). A review of foreign literature reflecting the barriers to the introduction of EMR according to research data is conducted, statistics on the use of electronic documentation by medical professionals in different countries are presented, and prospects for digitalization of electronic document management are reflected.healthcare systeminformation technologydigitalizationelectronic medical recordsimplementationbarriersсистема здравоохраненияинформационные технологиицифровизацияэлектронные медицинские картывнедрениебарьеры1.WHO. Fact sheet: quality health services. Geneva; 2020.2.WHO. WHO Third Global Forum on Human Resources for Health. Geneva; 2013.3.Pakenham-Walsh N., Bukachi F. Information needs of health care workers in developing countries: a literature review with a focus on Africa. Human Resources for Health. 2009;7:30.4.Oliveira M., Novaes M., Vasconcelos A. Using ISO 25040 standard for evaluating electronic health record systems. Studies in Health Technology and Informatics. 2013;192:1137–1159.5.Canada Health Infoway and Health Council of Canada. Beyond good intentions: accelerating the electronic health record in Canada. Policy Conference. Montebello; 2006.6.Muhaise H., Kareyo D. M., Muwanga-Zake P. Factors influencing the adoption of electronic health record systems in developing countries: a case of Uganda. ASRJETS. 2019;61:160–166.7.Erstad T. L. Analyzing computer based patient records: a review of literature. Journal of Healthcare Information Management. 2003;17:51–57.8.Dutta B., Hwang Hsin-Ginn. The adoption of electronic medical record by physicians: a PRISMA-compliant systematic review. Medicine (Baltimore). 2020;99(8):e19290.9.Tegegne M. D., Melaku M. S., Shimie A. W. et al. Health professionals' knowledge and attitude towards patient confidentiality and associated factors in a resource-limited setting: a cross-sectional study. BMC Med Ethics. 2022;23(1):26.10.Gatiti P., Ndirangu E., Mwangi J. et al. Enhancing Healthcare quality in hospitals through electronic health records: a systematic review. Journal of health informatics in developing countries. 2021;15(2).11.Waithera L., Muhia J., Songole R. Impact of electronic medical records on healthcare delivery in Kisii Teaching and Referral Hospital. Medical & Clinical Reviews. 2017;3(4):21–34.12.Hennemann S., Beutel M. E., Zwerenz R. Ready for eHealth? Health professionals’ acceptance and adoption of eHealth interventions in inpatient routine care. Journal of Health Communication. 2017;22(3):274–284.13.WHO. Electronic health record system implementation in healthcare system. Geneva; 2020.14.Jawhari B., Keenan L., Zakus D. et al. Barriers and facilitators to electronic medical record (EMR) use in an urban slum. International Journal of Medical Informatics. 2016;94:246–254.15.Sines C., Griffin G. R. Potential effects of the electronic health record on the small physician practice: a Delphi study. Perspectives in Health Information Management. 2017;14:1f.16.Muinga N., Magare S., Monda J. et al. Digital health systems in Kenyan public hospitals: a mixed-methods survey. BMC Medical Informatics and Decision Making. 2020;20:2.17.Chakraborty S., Bhatt V., Chakravorty T. Impact of digital technology adoption on care service orchestration, agility, and responsiveness. International Journal of Scientific and Technology Research. 2020;9:4581–4586.18.Woldemariam M. T., Jimma W. Adoption of electronic health record systems to enhance the quality of healthcare in low-income countries: a systematic review. BMJ Health Care Information. 2023;30(1):e100704.19.DeWane M., Waldman R., Waldman S. Cell phone etiquette in the clinical arena: A professionalism imperative for Healthcare. Current problems in pediatric and adolescent health care. 2019;49:79–83.20.Gagnon M. P., Ngangue P., Payne-Gagnon J. et al. M-health adoption by Healthcare professionals: a systematic review. Journal of the American Medical Informatics Association. 2016;23:212–220.