Table 4
Perceived Barriers to Effective Implementation of the Indian Health Service Electronic Health Record
| Major Barrier∗ n (%) | Minor Barrier n (%) | Not a Barrier n (%) | |
| Computer-related issues | |||
| Technical limitations of computers (e.g., slow response times) | 52 (44) | 53 (45) | 14 (12) |
| Availability of technical support | 47 (40) | 47 (40) | 25 (21) |
| Lack of training | 33 (28) | 49 (41) | 37 (31) |
| Clinician computer skills | 24 (20) | 64 (54) | 30 (25) |
| Clinical issues | |||
| Clinical productivity loss | 61 (53) | 43 (37) | 12 (10) |
| Clinician skepticism | 25 (21) | 64 (54) | 29 (25) |
| Patient privacy or security concerns | 8 (7) | 38 (32) | 73 (61) |
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↵∗ 6 clinicians did not respond.
