The document discusses the issues and challenges in implementing electronic health records (EHRs) in primary care. Some of the key challenges include technical challenges related to standardization and usability; high costs associated with infrastructure, training, and support; gaining user acceptance due to resistance to change and need for extensive training; workflow changes required in management and administration; and ensuring privacy and security of patient data. Addressing these challenges requires involvement of leadership, changes to processes and workflows, ongoing training and support, and legal compliance with privacy rules.