Improvements in EHR usability during eleven years: Cross-sectional surveys on specialist physicians’ experiences in Finland

Despite improvements over the study years, most physicians remained dissatisfied with EHRs. Interestingly, the positive development was not linear; during 2014-17, NEESs decreased, coinciding with the implementation of the national health information exchange services. Our findings suggest that efforts to improve EHR usability and enhance end-user skills only slowly translate into better UXs. To distinguish the effect of factors such as national requirements or recently implemented EHR brands, continuous monitoring of UXs using context-adapted surveys like NuHISS is crucial.