Physicians' Perspectives on EHR Usability : Results from Four Large Cross-Sectional Surveys from 2010 to 2021

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Usability and user experience are central quality attributes of electronic health record (EHR) systems. Usability evaluation studies typically focus on short-term use and situational usability, although feedback collected during operational use provides input for future information systems development. An abundance of studies report on physicians' dissatisfaction with the usability of their EHR systems and many show an association between poor usability and physician burnout. However, there is a scarcity of large long-term monitoring studies assessing end users' experiences with EHRs. We report on the results from four large (n=3,929-4,628) national cross-sectional usability surveys conducted among Finnish physicians in 2010, 2014, 2017, and 2021. The main finding was that the perceptions of physicians working in public health centres had changed for the better but those working in public hospitals reported similar or even more negative experiences in 2021 than in 2010-17; they rated only system responsiveness to inputs as having improved. Based on this finding, systematic research-based monitoring of EHR development from the end users' perspectives should be continued.

Original languageEnglish
Title of host publicationContext Sensitive Health Informatics and the Pandemic Boost
PublisherIOS Press
Number of pages5
ISBN (Electronic)978-1-64368-399-7
ISBN (Print)978-1-64368-398-0
Publication statusPublished - 22 Jun 2023
MoE publication typeA4 Conference publication
EventContext-Sensitive Health Informatics - Sydney, Australia
Duration: 5 Jul 20236 Jul 2023

Publication series

NameStudies in Health Technology and Informatics
PublisherIOS Press
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365


ConferenceContext-Sensitive Health Informatics
Abbreviated titleCSHI
Internet address


  • electronic health record
  • long-term monitoring
  • national survey
  • physician
  • Usability
  • user experience


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