- Qazeem Faniran
- Independent Researcher
The market-driven healthcare system of the US and the public-funded NHS system in the UK present clear differences in policy design and probable financial sustainability. Nonetheless, there are limited comparative studies to understand how these divergent models influence EPR adoption and implementation. Thus, this study examined the comparative analysis of the adoption and implementation of electronic patients’ record systems in the UK and the USA. The study adopts the systematic review approach, adopting the Preferred Items for Systematic Reviews and Meta-Analyses (PRISMA). The final selected literature using the PRISMA tool is thirteen (13) studies, which were selected based on identified inclusion and exclusion criteria. Findings showed that factors determining the adoption of electronic patients’ records in the UK include social influence (SI), facilitating conditions, performance expectancy (PE), effort expectancy (EE), perceived privacy and security, institutional pressures and engagement with medical professionals. Meanwhile, the factors determining the adoption of electronic patient records in the United States include institutional forces (normative, mimetic, and coercive pressures), location and types of hospital, and physicians’ satisfaction and confidence in electronic patient records. Results showed that the UK prioritizes stakeholder engagement, institutional alignment, and usability improvement in policy intervention for the implementation of EPR, while the US relies on policy-driven implementation. It was concluded that there are several challenges associated with the implementation of electronic patient record. Thus, there is a need for continuous policy refinement and innovation in electronic patient record.
