The preferences of users of electronic medical records in hospitals: quantifying the relative importance of barriers and facilitators of an innovation
This is an article review of the 2014 article by Struik, et al entitled The preferences of users of electronic medical records in hospitals: quantifying the relative importance of barriers and facilitators of an innovation 
The authors intended to examine user acceptance and preferences in EMR design, and measure preferences using statistical analysis in order to better understand the relative importance of various preferences in EMR design.
The authors utilized a Discreet Choice Experiment  to measure the importance of various design factors on the impact of the users' willingness to actually use the EMR. It is a scenario based multiple choice questionairre. In the scenarios, the respondents were able to indicate whether the factor would increase the likelihood that the user would either be more likely to use the EMR, or more likely to opt-out. Three basic attributes were studied: Data entry hardware, flexibility of the interface, and the presence of decision support.
298 users completed the questionairre for an over all response rate for nurses of 48% and for physicians 27%. Physicians found flexible interface and clinical decision support to be the most important factors in their likelihood to adopt an EMR. Nurses, also, felt interface and CDS were important but they also identified the 'attitude head of department' to be an important factor as a barriers to adoption.
Many design aspects can influence clinician adoption of EMR technology, so any study that lends insight into which aspects are more important to end users is beneficial. This particular study undertood a unique approach to quantifying design factors and applying relative weight to each.
This was a somewhat obscure article - found in a Dutch journal for Implementation Science, but it is still interesting and unique in its approach to the research.
- Struik, M., Koster, F., Schuit, A., Nugteren, R., Veldwijk, J., & Lambooij, M. (2014). The preferences of users of electronic medical records in hospitals: quantifying the relative importance of barriers and facilitators of an innovation. Implementation Science, 9(1), 69. Retrieved from http://www.implementationscience.com/content/9/1/69