{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T19:58:50Z","timestamp":1790193530815,"version":"4.1.0"},"reference-count":26,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The integration of electronic health records (EHRs) with telehealth platforms represents a transformative approach in health care, providing critical accessibility and engagement solutions, especially during the COVID-19 pandemic. In Riyadh\u2019s hospitals, the adoption of EHR-integrated telehealth has significantly increased and offers enhanced patient care options. However, there is a need to examine its continued relevance, effectiveness, and challenges in a postpandemic context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This research aimed to qualitatively investigate the usability, perceived benefits, and barriers to patients\u2019 access to EHR-integrated telehealth from both patients and health care providers (HCPs) in a major Riyadh hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative research design was used, featuring semistructured interviews with 20 patients and 10 HCPs, selected through purposive sampling for their direct experience with EHR-integrated telehealth services at Sulaiman Al Habib Hospital in Riyadh. Thematic analysis, supported by NVivo 14 software, was used to analyze the transcriptions and extract themes related to usability, perceived benefits, and barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The findings indicate that patients generally regard EHR-integrated telehealth positively, appreciating its navigability, convenience, and facilitation of remote health care interactions. Reported benefits included reduced physical visits, time savings, and more accessible follow-ups, contributing to greater continuity of care. However, significant barriers were identified, including technical challenges, lack of integration across hospital branches, absence of insurance payment linkages, and limited patient choice among providers. HCPs also expressed concerns over digital literacy gaps, the platform\u2019s limitations for specialized and complex care, and technical disruptions impacting care delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EHR-integrated telehealth offers substantial potential to improve health care delivery in Riyadh\u2019s hospitals by enhancing access, convenience, and patient engagement. However, maximizing these benefits in Saudi Arabia\u2019s evolving health care landscape requires addressing identified barriers, particularly in platform stability, interbranch integration, insurance linkages, and patient support resources. Findings are grounded in a single-hospital sample and are intended to inform improvements in similar hospital settings in Saudi Arabia rather than national generalization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/74011","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T10:15:07Z","timestamp":1759227307000},"page":"e74011-e74011","source":"Crossref","is-referenced-by-count":3,"title":["Usability, Benefits, and Barriers Associated With Patients\u2019 Access to Electronic Health Record\u2013Integrated Telehealth in Hospitals in Riyadh: Qualitative Study"],"prefix":"10.2196","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2140-3956","authenticated-orcid":false,"given":"Dalia","family":"Alomar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8474-4303","authenticated-orcid":false,"given":"Iliada","family":"Eleftheriou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8689-3919","authenticated-orcid":false,"given":"Pauline","family":"Whelan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2187-9195","authenticated-orcid":false,"given":"John","family":"Ainsworth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"issue":"2","key":"R1","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1016\/j.jadohealth.2020.05.022","article-title":"Using the electronic health record to conduct adolescent telehealth visits in the time of COVID-19","volume":"67","author":"Carlson","journal-title":"J Adolesc Health"},{"issue":"2","key":"R2","doi-asserted-by":"publisher","first-page":"e612","DOI":"10.1097\/RHU.0000000000001751","article-title":"The impact of the COVID-19 pandemic and telemedicine implementation on practice patterns and electronic health record utilization in an academic rheumatology practice","volume":"28","author":"Maheswaranathan","journal-title":"J Clin Rheumatol"},{"issue":"43","key":"R3","doi-asserted-by":"publisher","first-page":"1595","DOI":"10.15585\/mmwr.mm6943a3","article-title":"Trends in the use of telehealth during the emergence of the COVID-19 pandemic - United States, January-March 2020","volume":"69","author":"Koonin","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.20517\/ch.2021.03","article-title":"The worldwide impact of telemedicine during COVID-19: current evidence and recommendations for the future","volume":"1","author":"Omboni","journal-title":"Connect Health"},{"issue":"9","key":"R5","doi-asserted-by":"publisher","DOI":"10.2196\/21012","article-title":"Understanding the intention to use telehealth services in underserved Hispanic border communities: cross-sectional study","volume":"22","author":"Ghaddar","journal-title":"J Med Internet Res"},{"issue":"1","key":"R6","doi-asserted-by":"publisher","DOI":"10.2196\/31837","article-title":"Impact of electronic health record interoperability on telehealth service outcomes","volume":"10","author":"Zhang","journal-title":"JMIR Med Inform"},{"issue":"1","key":"R7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/09602011.2020.1792318","article-title":"Acceptability of telehealth in post-stroke memory rehabilitation: a qualitative analysis","volume":"32","author":"Lawson","journal-title":"Neuropsychol Rehabil"},{"key":"R8","unstructured":"Madu R . Using technology to reduce barriers in community health: an intersection between broadband access EHR & telehealth adoption in federally qualified health centers [PhD dissertation]. UTHealth School of Public Health, The University of Texas; 2020. URL: https:\/\/digitalcommons.library.tmc.edu\/uthsph_dissertsopen\/127 [Accessed 02-11-2025]"},{"issue":"5","key":"R9","doi-asserted-by":"publisher","first-page":"1172","DOI":"10.1055\/s-0042-1758737","article-title":"Quantifying electronic health record data quality in telehealth and office-based diabetes care","volume":"13","author":"Wiley","journal-title":"Appl Clin Inform"},{"issue":"2","key":"R10","doi-asserted-by":"publisher","first-page":"124","DOI":"10.2337\/ds16-0004","article-title":"Interactive video telehealth models to improve access to diabetes specialty care and education in the rural setting: a systematic review","volume":"30","author":"McLendon","journal-title":"Diabetes Spectr"},{"issue":"3","key":"R11","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1377\/hlthaff.2016.1130","article-title":"Direct-to-consumer telehealth may increase access to care but does not decrease spending","volume":"36","author":"Ashwood","journal-title":"Health Aff (Millwood)"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ceh.2023.12.002","article-title":"Post pandemic analysis on comprehensive utilization of telehealth and telemedicine","volume":"7","author":"Ndwabe","journal-title":"Clinical eHealth"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1177\/20552076211009396","article-title":"The role of eHealth, telehealth, and telemedicine for chronic disease patients during COVID-19 pandemic: a rapid systematic review","volume":"7","author":"Bitar","journal-title":"Digit Health"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2022.104764","article-title":"Measuring the cost-effectiveness of using telehealth for diabetes management: a narrative review of methods and findings","volume":"163","author":"Ben-Assuli","journal-title":"Int J Med Inform"},{"issue":"5","key":"R15","doi-asserted-by":"publisher","first-page":"1069","DOI":"10.1016\/j.cvsm.2022.06.004","article-title":"What is telemedicine, telehealth, and teletriage","volume":"52","author":"Cushing","journal-title":"Vet Clin North Am Small Anim Pract"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.20517\/ch.2021.01","article-title":"Connected health: in the right place at the right time","volume":"1","author":"Omboni","journal-title":"Connect Health Telemed"},{"issue":"6","key":"R17","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11060842","article-title":"Telehealth readiness of healthcare providers during COVID-19 pandemic in Saudi Arabia","volume":"11","author":"Moussa","journal-title":"Healthcare (Basel)"},{"issue":"11","key":"R18","doi-asserted-by":"publisher","first-page":"2676","DOI":"10.4103\/jfmpc.jfmpc_2269_22","article-title":"Patients\u2019 perceptions of telehealth video visits experience in primary healthcare setting, Saudi Arabia","volume":"12","author":"Alotaibi","journal-title":"J Family Med Prim Care"},{"issue":"1","key":"R19","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1177\/1525822X05279903","article-title":"How many interviews are enough? An experiment with data saturation and variability","volume":"18","author":"Guest","journal-title":"Field Methods"},{"issue":"2","key":"R20","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","journal-title":"Qual Res Psychol"},{"issue":"6","key":"R21","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","journal-title":"Int J Qual Health Care"},{"issue":"5","key":"R22","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.3257","article-title":"Are people with chronic diseases interested in using telehealth? A cross-sectional postal survey","volume":"16","author":"Edwards","journal-title":"J Med Internet Res"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2023.1198096","article-title":"The feasibility, acceptability, and usability of telehealth visits","volume":"10","author":"Sinha Gregory","journal-title":"Front Med (Lausanne)"},{"key":"R24","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/8426095","article-title":"Telehealth and transformation of nursing care in Saudi Arabia: a systematic review","volume":"2022","author":"Al Baalharith","journal-title":"Int J Telemed Appl"},{"issue":"4","key":"R25","doi-asserted-by":"publisher","DOI":"10.2196\/16954","article-title":"Parent perspectives on family-centered pediatric electronic consultations: qualitative study","volume":"22","author":"Verma","journal-title":"J Med Internet Res"},{"issue":"8","key":"R26","doi-asserted-by":"publisher","first-page":"1658","DOI":"10.47391\/JPMA.8263","article-title":"Awareness, practices, attitudes, and barriers of telehealth In Saudi Arabia","volume":"73","author":"Alharbi","journal-title":"J Pak Med Assoc"}],"container-title":["JMIR Formative Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/formative.jmir.org\/2025\/1\/e74011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:04:57Z","timestamp":1782842697000},"score":1,"resource":{"primary":{"URL":"https:\/\/formative.jmir.org\/2025\/1\/e74011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,25]]},"references-count":26,"URL":"https:\/\/doi.org\/10.2196\/74011","relation":{},"ISSN":["2561-326X"],"issn-type":[{"value":"2561-326X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,25]]},"article-number":"v9i2e74011"}}