{
  "abstract": "Background Implementation of Electronic Health Records (EHRs) in mental health settings is low, partly due to healthcare professionals’ concerns about storing sensitive patient information. This is problematic since EHRs improve patient safety and care. Additionally, minority ethnic groups disengage with EHRs due to linguistic and cultural barriers, limiting their access to healthcare services and leading to underrepresentation in research. This review explored minority ethnic groups’ perceptions of mental health EHRs and identified barriers and facilitators to access.Methods Following PRISMA guidelines, the review protocol was registered on PROSPERO (CRD42023494011). Searches for qualitative, quantitative, and mixed methods studies were conducted in MEDLINE, CINAHL, EMBASE, Scopus, PsycINFO, PubMed, and Web of Science. Included papers focused on minority ethnic groups from the 37 listed countries within the Organisation for Economic Co-operation and Development, and included service users, clients or patients accessing EHRs in mental healthcare. Included papers had to be published between 2009 and 2025, aligning with the American Recovery and Reinvestment Act of 2009, which promoted global EHR adoption.Results Nine papers emerged from the review: seven qualitative, one quantitative, and one mixed methods study, all from the US and published between 2012 and 2022. Papers included Black, Hispanic, and Asian minority ethnic groups. Quality appraisal using the Caldwell tool and the adapted Critical Skills Appraisal Programme resulted in six high-quality and three moderate-quality papers. Data analysis utilised Critical Interpretive Synthesis, revealing three themes: (1) Limited English proficiency, indicating language barriers for minority ethnic groups engaging with EHRs; (2) Lack of access to technology, showing these groups are less likely to use EHRs due to limited access to devices; and (3) Perceived impact of EHRs on access to care, where messaging features on EHRs allowed patients to manage their mental health care independently.Conclusion This review is the first to examine how different minority ethnic groups perceive and use EHRs in mental health, identifying barriers and facilitators to access. Current studies are limited to the US, which restricts the generalisability of findings. Thus, highlighting the need for UK research to assess if EHRs can enhance patient safety for minority ethnic communities, who face higher risks in mental health services. Additionally, further research is needed to address the barriers these groups encounter and begin to produce recommendations to improve EHR access.",
  "authors": [
    {
      "affiliations": [
        "Department of Psychology, University of Bradford, Bradford, UK"
      ],
      "name": "Ammarah Ikram"
    },
    {
      "affiliations": [
        "Centre for Applied Dementia Studies, University of Bradford, Bradford, UK"
      ],
      "name": "Sahdia Parveen"
    },
    {
      "affiliations": [
        "Department of Psychology, University of Bradford, Bradford, UK"
      ],
      "name": "Eleftheria Vaportzis"
    }
  ],
  "title": "OP06 Perceptions of electronic health records by minority ethnic groups in mental health: a systematic literature review",
  "uid": "3049ea94-dda8-57b2-9dea-bca070033d82"
}