Usability is essential in order to optimize the benefits of use of EHR systems. The Finnish survey is the first national eHealth observatory survey focused on usability. Physicians’ assessments of the usability of their EHR system remain as critical as they were in 2010. Usability of EHRs has not improved between the years 2010 and 2014 in Finland. The main concerns are related to the efficiency of EHR use and intuitiveness of user interfaces.