Electronic Health Records System’s Routinization: Exploring healthcare workers’ experiences in a Chinese Public Hospital

Abstract: This study investigates the routinization of Electronic Health Records (EHR) systems in a Chinese hospital setting, focusing on Yangzhou University Hospital. Utilizing Adaptive Structuration Theory (AST), the research explores the complex interplay between technolo-gy, human agency, and organizational structures in the context of EHR implementation. The study reveals challenges in interoperability due to the absence of a national EHR standard in China, resistance from hospital staff to new system formats, and the need for effective train-ing and transition strategies. The findings highlight the necessity of a national standard for EHR systems to ensure interoperability and the importance of addressing user concerns in the routinization process. This research contributes to the understanding of EHR system im-plementation in China, providing insights for policymakers, healthcare administrators, and system developers.