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medRxiv PreprintsInternational11 October 2026

Understanding clinician engagement with electronic health records: a mixed-methods study of structured data entry using the Theory of Planned Behaviour

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Background: Electronic health records (EHRs) are central to NHS clinical practice, and the value of the data they hold depends on clinicians entering structured data. Structured data entry (SDE) is nonetheless used inconsistently, and most evidence comes from US settings documenting barriers rather than the mechanisms interventions must target. This is, to our knowledge, the first study to apply the Theory of Planned Behaviour (TPB) to SDE, to examine SDE behaviour among UK NHS doctors, and to apply corpus linguistics to clinicians' free-text accounts of EHR use. Methods: A two-part mixed-meth
— medRxiv Preprints
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