PSYCHOLOGICAL INFLUENCE IN

THE APPLICATION OF EMR ON

THE HEALTHCARE
PROFESSIONALS
SHIELILO R. AMIHAN, PhD
shielilo.amihan@perpetualdalta.edu.ph/
valot2@yahoo.com
+639178028162
 EMR AND TELEMEDICINE as
TIMELY RESPONSE (Montemayor, 2019)

https://www.google.com/search?q=EMR+and+COVID&tbm=isch&ved=2ahUKEwjXs_CtzuvyAhWEEKYKHboGCJIQ2-
cCegQIABAA&oq=EMR+and+COVID&gs_lcp=CgNpbWcQAzIECAAQGDoECAAQQzoFCAAQgAQ6CwgAEIAEELEDEIMBOggIA
BCABBCxAzoGCAAQCBAeOgYIABAKEBhQqcEMWLfeDGDz4QxoAHAAeACAAZEBiAH-
C5IBBDAuMTOYAQCgAQGqAQtnd3Mtd2l6LWltZ8ABAQ&sclient=img&ei=D7M2YZfwEYShmAW6jaCQCQ&bih=609&biw=
1280#imgrc=xH_ZdLzQE6SzfM
BARRIERS IN TELEMEDICINE
Category of Barriers Specific Barriers
TECHNOLOGICAL FACTORS • Lack of technological infrastructure
• Poor network coverage
• Diverse information systems
ORGANIZATIONAL • Traditional design of medical care model
FACTORS • Lack of enabling policies/guidelines

• Lack of skilled health workers

• Resistance to change
HUMAN FACTORS • Perceived additional workload
• Lack of reimbursement scheme
• Risk of liability

• Implementation costs
ECONOMIC FACTORS
• Sustainability plan

Roig & Saigi (2011)

PSYCHOLOGICAL
EFFECTS/ISSUES
PERSONOLOGICAL VARIATIONS:
INCLUSIVE CARE (Anker, 2014; Sokkary, et al, 2021; Özer & Şantaş, 2020)

https://www.google.com/search?q=sogie&tbm=isch&source=iu&ictx=1&fir=
UPCcqV5DgxYQDM%252C9tXTxSdENrs17M%252C_&vet=1&usg=AI4_-
kQwq8fXE3C0y7hIVs5uk8KLwXMlZw&sa=X&ved=2ahUKEwiK6e_MyevyAhVi7
2EKHVmOCQIQ_h16BAgwEAE#imgrc=wk71BWtDtHnpcM
INTERNAL LOCUS OF CONTROL
(Greenwood, 2017)
SAFETY AND SECURITY
(Greenhalgh, et al, 2020; Corazao, 2014, Sakkar , et al, 2021)

https://www.google.com/search?q=safety+and+security%2Bpsychology&tbm=isch&ved=2ahUKEwj0767UtevyAhXYy4sBHefnA0IQ2-
cCegQIABAA&oq=safety+and+security%2Bpsychology&gs_lcp=CgNpbWcQAzoECAAQHlCRR1i7aGDPamgIcAB4AIABd4gBnAiSAQM4LjO
YAQCgAQGqAQtnd3Mtd2l6LWltZ8ABAQ&sclient=img&ei=KZk2YbS3B9iXr7wP58-PkAQ&bih=609&biw=1280#imgrc=4Z_G407JbSQFkM
MENTAL READINESS (Oo, et al, 2021; Holden, 2011)

https://www.google.com/search?q=mental+readiness&tbm=isch&ved=2ahUKEwizqefRyevyAhVBbJQKHfP-CjwQ2-
cCegQIABAA&oq=mental+readiness&gs_lcp=CgNpbWcQAzIFCAAQgAQyBQgAEIAEMgYIABAFEB4yBAgAEBgyBAgAEBg
yBAgAEBgyBAgAEBgyBAgAEBgyBAgAEBg6CAgAEIAEELEDOggIABCxAxCDAToLCAAQgAQQsQMQgwE6BggAEAgQHlDH3
QNYsPEDYMbyA2gAcAB4AIABuwGIAeUNkgEEMi4xNJgBAKABAaoBC2d3cy13aXotaW1nwAEB&sclient=img&ei=HK42Y
bOrHMHY0QTz_avgAw#imgrc=AjffU3mX5R9A7M
SELF-EFFICACY (Janssen, et al, 2021; Rosenthal, 2012).

https://www.google.com/search?q=self-efficacy&tbm=isch&ved=2ahUKEwjZqOPwyevyAhUFVJQKHeL9D1kQ2-cCegQIABAA&oq=self-
efficacy&gs_lcp=CgNpbWcQAzIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBQgAEIAEMgUIABCA
BDIFCAAQgAQ6CAgAEIAEELEDOgUIABCxAzoECAAQQzoHCAAQsQMQQzoICAAQsQMQgwE6CwgAEIAEELEDEIMBULzDBljN4gZghegGaABwA
HgAgAGeAYgB4AuSAQQwLjEzmAEAoAEBqgELZ3dzLXdpei1pbWfAAQE&sclient=img&ei=Xa42YZmGGYWo0QTi-
7_IBQ#imgrc=tzgLaXYjC7HAwM
BURNOUT (Babbott, 2014; Chi, et al, 2019).

https://www.google.com/search?q=burnout&tbm=isch&ved=2ahUKEwiYzdzxyuvyAhUN35QKHVU7AVsQ2-
cCegQIABAA&oq=burnout&gs_lcp=CgNpbWcQAzIICAAQgAQQsQMyCwgAEIAEELEDEIMBMgUIABCABDIFCAA
QgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQ6BAgAEEM6CAgAELEDEIMBU
IvLBVi31QVg49sFaABwAHgAgAF3iAGJBZIBAzYuMZgBAKABAaoBC2d3cy13aXotaW1nwAEB&sclient=img&ei=a
682YdjrMo2-0wTV9oTYBQ#imgrc=iNHQ-3PYm8axNM
MENTAL FOCUS (Moacdieh & Sarter, 2015)

https://www.google.com/search?q=mental+focus&tbm=isch&ved=2ahUKEwi5uv2ey-vyAhV8x4sBHZyjCmAQ2-
cCegQIABAA&oq=mental+focus&gs_lcp=CgNpbWcQAzIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBQgAEIAEMg
UIABCABDIGCAAQBRAeMgYIABAFEB4yBggAEAUQHjIGCAAQCBAeOgQIABBDOggIABCABBCxAzoICAAQsQMQgwE6CwgA
EIAEELEDEIMBOgcIABCxAxBDUIXMBljw2wZg9dwGaABwAHgAgAHQAYgBmAySAQYwLjExLjGYAQCgAQGqAQtnd3Mtd2l6
LWltZ8ABAQ&sclient=img&ei=yq82YbmtLfyOr7wPnMeqgAY
EMOTIONAL EFFECTS (Berwick , 2004)

https://www.google.com/search?q=emotional+effects&tbm=isch&ved=2ahUKEwj92qHUy-vyAhVwEqYKHUc1DnsQ2-
cCegQIABAA&oq=emotional+effects&gs_lcp=CgNpbWcQAzIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBQgAEIAEMgU
IABCABDIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQ6BAgAEEM6CwgAEIAEELEDEIMBOggIABCABBCxAzoHCAAQsQMQ
QzoKCAAQsQMQgwEQQ1CrwQZYqdQGYOPaBmgAcAB4AIABnAGIAf0MkgEEMTQuM5gBAKABAaoBC2d3cy13aXotaW1nwAE
B&sclient=img&ei=OrA2Yf3VHfCkmAXH6rjYBw
DEFENSE MECHANISM

https://www.google.com/search?q=defense+mechanisms&tbm=isch&ved=2ahUKEwiQi7OJzOvyAhUNfZQKHel5CC8Q2-
cCegQIABAA&oq=defense+mechanisms&gs_lcp=CgNpbWcQAzIICAAQgAQQsQMyBQgAEIAEMgUIABCABDIFCAAQgAQy
BQgAEIAEMgUIABCABDIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQ6BQgAELEDOgQIABBDOgcIABCxAxBDOgsIABC
ABBCxAxCDAVDYyQhYuOcIYIjqCGgAcAB4AIAB0gGIAbAPkgEGNy4xMC4xmAEAoAEBqgELZ3dzLXdpei1pbWfAAQE&sclien
t=img&ei=qbA2YdCSOI360QTp86H4Ag#imgrc=XbuV4od2P71xkM
EMR AS PSYCHOLOGICAL BUFFER

https://www.psycom.net/depression.central.grief.html
IMMUNITY FROM TRANSFERENCE

https://www.google.com/search?q=transference&source=lnms&tbm=isch&s
a=X&ved=2ahUKEwi4n9j3zOvyAhVDC94KHTaYDsIQ_AUoAXoECAEQAw&biw
=1280&bih=609#imgrc=dUay53Dvit08kM
PSYCHO-SOCIAL INTERACTIONS
RESISTANCE TO EMR

https://www.google.com/search?q=resistance+to+change&tbm=isch&ved=2ahUKEwih1KK7zevyAhXyy4sBHZSDBQYQ2-
cCegQIABAA&oq=resistance+to+change&gs_lcp=CgNpbWcQAzIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBQgAEIAEMgUI
ABCABDIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQ6CAgAEAgQBxAeOgYIABAKEBhQwxZY3B9gqC9oAHAAeACAAV-
IAboBkgEBMpgBAKABAaoBC2d3cy13aXotaW1nwAEB&sclient=img&ei=HrI2YaHNOfKXr7wPlIeWMA&bih=609&biw=1280#imgrc=
KwzFXIBuZFwLYM
TRANSITIONING TO EMR ACCEPTANCE

https://www.google.com/search?q=acceptance+to+change&tbm=isch&ved=2ahUKEwjP5u6-zevyAhUs0IsBHW24BWoQ2-
cCegQIABAA&oq=acceptance+to+change&gs_lcp=CgNpbWcQAzIFCAAQgAQ6BAgAEEM6CAgAEIAEELEDOgsIABCABBCxAxCD
AToHCAAQsQMQQzoGCAAQCBAeOgYIABAFEB46BAgAEBhQstQGWMTuBmDs8gZoAHAAeACAAccBiAHBEJIBBDExLjmYAQCg
AQGqAQtnd3Mtd2l6LWltZ8ABAQ&sclient=img&ei=JrI2Yc-
7Haygr7wP7fCW0AY&bih=609&biw=1280#imgrc=bpnyYS3WdPDE3M
References:
https://www.psycom.net/depression.central.grief.html

National Telemedicine Guidelines of Singapore (2015), (Accessed 20 August 2021 at https://www.moh.gov.sg)

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Greenhalgh, T., Koh, G., & Car, J. (2020). Covid-19: a remote assessment in primary care. BMJ (Clinical research ed.), 368, m1182.
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https://www.ncbi.nlm.nih.gov/pubmed/21719160 (Roig & Saigi, 2011)

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THANK YOU!