Table 2
Barriers to Electronic Health Record Adoption in Primary Care in the United States and the UK
| Barrier* | UK (1990s) | UK Now | US Now |
| Misaligned incentives | Some funding for systems was available, but no pay for performance | Pay for performance and subsidy of technology | Improving |
| Lack of standards | ++ | − | Improving |
| Nonviable EHR products | ++ | Driven from marketplace | ++ |
| Physician resistance to data entry | Unknown | − | Unknown, but addressed by various products |
| Lack of governmental policy leadership | Actual resistance | − | Improving |
| “Mom and pop” shops | ++ | ++ | ++ |
-
↵* Barriers after Berner et al.4 and Middleton et al.5
