Year: 2026 | Month: September | Volume: 16 | Issue: 9 | Pages: 185-203
DOI: https://doi.org/10.52403/ijhsr.20260921
Healthcare Workers’ Perceptions of eHealth Implementation: Evidence from Systematic Review Methods
John Dery1, Gabriel Sunday Oladipo2, Elsie Ososese Ugege3, Ulunma Ikwuoma Mariere4
1Department of Midwifery and Child Health Nursing, African Centre of Excellence for Public Health and Toxicological Research (ACE-PUTOR), University of Port Harcourt, Nigeria
2Department of Anatomy, African Centre of Excellence for Public Health and Toxicological
Research (ACE-PUTOR), University of Port Harcourt, Nigeria
3Department of Public Health, African Centre of Excellence for Public Health and Toxicological Research (ACE-PUTOR), University of Port Harcourt, Nigeria
4Department of Community Medicine & Public Health, Bayelsa Medical University, Nigeria
Corresponding Author: John Dery
ABSTRACT
Background: The world of healthcare is increasingly adopting electronic health (eHealth) technologies as part of enhancing the quality of healthcare services. The success of its implementation is highly determined by the way in which health professionals perceive and embrace such systems. Regardless of this increased adoption, eHealth services are viewed differently by healthcare workers. The purpose of this review was to synthesise the perceptions of healthcare workers regarding eHealth implementation in various health settings.
Methods: PubMed, Scopus, and Google Scholar online databases were searched to find articles that were published between 2019 and 2024. It was reviewed based on the guidelines of Preferred Reporting Items of Systematic Review and Meta-Analyses (PRISMA). For the search strategy, the Population Exposure Outcome (PEO) was utilised. Studies were selected against the set inclusion criteria. Appraisal tool for cross-sectional studies, and good reporting of a mixed methods study tools were used for critical appraisals. Given the methodological heterogeneity, synthesis of findings was done narratively.
Results: Of 529 records, 13 studies met the inclusion criteria, representing 7,210 healthcare workers in ten countries. Most studies used quantitative cross-sectional descriptive designs. Healthcare workers believed eHealth improved communication, workflow efficiency, information access, and care coordination. However, inadequate training, poor internet connectivity, and organisational barriers were reported.
Conclusion: Healthcare workers had favourable perception of eHealth and acknowledged its potential to improve healthcare. Future research should use mixed-methods and longitudinal designs to capture changing attitudes across health system settings, and whether positive views lead to sustained eHealth system use.
Key words: Electronic health records, eHealth implementation, telemedicine, healthcare workers, perceptions, attitudes