This study explored issues related to the adoption and implementation of electronic health record (EHR) systems including building the awareness, knowledge, and experience of physicians toward cyber hygiene. This study used a qualitative research method to assess (a) the barriers to EHR systems adoption and implementation in Kuwait and (b) the level of awareness, knowledge and experiences related to cyber hygiene practices in Kuwait. The findings of the study supported the conceptual framework used to guide the research of the factors impacting the adoption and implementation of EHR systems in Kuwait as well as explore the level of awareness, knowledge, and experience of physicians about both EHR systems and cyber hygiene. The results from the systematic literature review analysis identified seven major barriers. These are financial barriers, time, difficulty of using technology, lack of support, negative attitude, legal and ethical (policies), and cultural barriers. The findings from the semistructured interviews supported the literature findings and provided more in-depth insights into the structural and social issues affecting the adoption and implementation of EHR systems. Given that Kuwait is a member of the Gulf Cooperation Countries (GCC), the results from the literature analysis showed that the problems in Kuwait are similar to …