Many times the physician support staff takes care of the other information systems for routine maintenance, problem solving and structuring. For electronic medical records, more physician involvement is expected. It is too expensive. Equally with electronic medical records, the system cost can be an issue for physicians. Additional costs may arise from voice recognition and fancy additional components.
Unexpected costs are another concern.
The software maintenance costs can also seem uncontrolled by physicians who prefer managing costs tightly. Every clinician fears the nightmare of having a computer with a patient's medical record totally crash and lock the information outside of the clinician's access. There are methods of getting around reliability issues through mirroring computers and doing fastidious backups of the data. Confidentiality is compromised. In the last several years we have all lost a significant amount of our privacy.