Table 2

Summary of themes of all focus groups

Themes and subthemes		Quotes
Physicians-dependent factors	The initial impression about the EMR system Difficulty in use at the beginning Training was sufficient and good	“Still we are in the fetal state.” FG1“We had a team which was always available.” FG3
	Past computer skills Different users’ generations with different computer skills	“Old generation doctors, whom I respect a lot of course, let's say there is a urine culture results, they don't know that there is a click where you can get the susceptibility.” FG1
	The impression about the precompleted notes Precompleted notes definitely saves time	“Definitely, it saves a lot of time.” FG2
Patient related	Doctor–patient relationship No eye contact Waiting time is more Patients are accepting the system because it is reflecting an advance modern of technology	“Initially the patient were not happy.” FG1 “No eye contact.” FG1 “It consumes more time.” FG1 “Patient will accept this new system because it is more advance and reflect that the clinic is more advance with modern technology but giving good care.” FG1
System-dependent factors	Complexity of the system The EMR complexity was at the beginning Complexity of the system, not specialised to PHC	“If you get use to it, yes, it become very easy.” FG1 “The system was not designed for primary care.” FG3
	The quality of documentation Documentation now is readable and better than handwriting The quality of documentation is depends on the physician themself	“Before we should open this charts. I can't read handwriting of the doctors, now everything is easy and everything is in front of my eyes only by clicking.” FG2
	The process of prescription in the Cerner and the current problems Prescription is better and safe now Allergy system decreasing the medication errors	“Definitely much better 100%.” FG1 “Before there were so many mistakes.” FG2 “If there is allergy, decrease the error because during hand writing there was medication errors.” FG1
	Improvement of the orders and results with the EMR The orders and the result much organised Fast feedback of the results	“The stronger point on cerner is lab’s and xrays.” FG3 “Much organized.” FG1 “The results will come directly to your inbox.” FG1
	Referral issues with the Cerner Referral issue easy with feedback Trace patient's appointment and print it for them	“Before when was referring patients to the hospital we don’t have any clue what happened to him.” FG3 “I can easily open the system and look for it and tell her this is your appointment.” FG1
	Confidentiality No confidentiality with the EMR	“It is easy to break this confidentiality with the cerner. Any body can open the file.” FG1
	Disadvantages of the EMR Takes time Important notes should be highlighted	“Longer, even not only with doctor, from pharmacy side, from reception side.” FG3 “It is difficult to eye scan, it should be highlighted.” FG1
	Suggestions to improve the EMR Giving more time Meetings and updating by Cerner people	“Give us enough time.” FG1 “They should give us updating; now what I learn 2 yrs. ago I am developing myself.” FG1

EMR, electronic medical records; FG, focus group; PHC, primary healthcare centres.