Factors contributing to physicians’ current use and satisfaction of electronic health records (EHRs) in Kuwait’s public health care: A cross- sectional study. (Preprint)

2022 ◽  
Author(s):  
Jawaher Alotaibi ◽  
Eleni Tolma ◽  
Walid Alali ◽  
Dari Alhuwail ◽  
Syed Al -Junid
Keyword(s):  
Health Care ◽  
Technology Acceptance ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Public Health Care ◽  
Information Communication ◽  
Cross Sectional ◽  
Training Quality ◽  
Electronic Health ◽  
Acceptance Model

BACKGROUND The Electronic Health Record (EHR) is the backbone of the integration of information to help physicians in making effective decisions in patient care. The adoption of E-health care system, Health Information Communication Technologies (HICT) and EHR is raising in Kuwait OBJECTIVE This study aims to (i) identify the factors associated with physician’s current use, satisfaction, and prevalence with EHRs (ii) assess the factors’ relative importance in terms of predicting current use, satisfaction and prevalence with EHRs. METHODS This study took place at a public hospital in 2019. Using an anonymous self-administered paper-based survey, two hundred and ninety-five physicians were recruited. The survey contained 35 statements and the Technology Acceptance Model was used as the theoretical framework to guide the survey development. The dependent variables were “Physicians' current use of EHR" and “Physicians’ Satisfaction with EHR.” The independent variables were the demographics factors, Length of use of EHR, training quality, perceptions of barriers toward using EHR, the EHR effect on physicians’ Work, and level of ease of EHR function. Descriptive analysis, followed by bivariate, and multivariate linear regression adjusted for demographics were conducted. RESULTS Among the 295 research participants, 75% indicated that they are currently using the EHR system. The effect that the EHR use had on physician’s work was the most significant predictor of physician’s satisfaction using EHR (β=.377, p=0.000), followed by the level of ease of EHR function and (β=.341, p=.00) and barriers to using EHR (β=.170, p=0.000). Regarding the prediction of the current use of EHR it was found that the perceptions of barriers to using EHR was the most significant predictor (β= .145, p=0.000) followed by the effect on physician’s work (β=.645, p=0.01) and length of EHR (β= .111, p=0.03). CONCLUSIONS In the promotion of EHR current use and related satisfaction, enhancing and promoting the positive effect of EHR use on the physicians’work while making the implementation of the EHR system as easy as possible by removing barriers seem to be key factors. CLINICALTRIAL Not applicable .

Factors contributing to physicians’ use and satisfaction with Electronic Health Records in Kuwait

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Alotaibi ◽  
E Tolma ◽  
W Alali ◽  
D Alhuwail ◽  
S Aljunid
Keyword(s):  
Electronic Health Records ◽  
Technology Acceptance ◽  
Public Hospital ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Health Records ◽  
Key Factor ◽  
Electronic Health ◽  
Acceptance Model

Abstract Introduction Electronic Health Records (EHR) help physicians make effective decisions in patient care. With limited research in this area in Kuwait, we sought to identify the factors that contribute to the current use and satisfaction of EHR in Kuwait. Methods This cross-sectional study took place in a public hospital in 2019. Three-hundred ten physicians were recruited through convenience sampling (response rate: 95%). The survey which was translated into Arabic, was self-administered and it contained 48 statements. The Technology Acceptance Model was used as the theoretical framework. The dependent variables were satisfaction with EHR and current use of EHR. The main independent variables were barriers of using the EHR, perceived level of ease for using EHR, and effect of EHR on the physicians' work. Descriptive analysis, followed by bivariate, multivariate linear regression adjusted for demographics were conducted. Results The study sample consisted of predominantly males (82%), non-Kuwaiti (84%), and of young age (42% were 30-39 years old). The majority of the participants (76%) were currently using the EHR system. The physicians' satisfaction with use of EHR system was moderate (Mean: 3.47, SD: 0.81, range 1.33-5). The EHR effect on the physicians' work was the most significant predictor of satisfaction (β = 0.491, p = 0.000), followed by the level of ease (β = 0.274, p = 0.000), and length of use of EHR (β = 0.100, p = 0.006). Perceptions of barriers was the strongest predictor of current use of EHR (β=-0. 417, p = 0.000), followed by level of ease (β = 0.227, p = 0.000) and quality of a related training (β = 0.195, p = 0.000). Conclusions In the promotion of EHR use and related satisfaction, making the use of EHR functions (e.g. registration of clinical notes) as easy as possible seems to be a key factor. Other factors to consider are removing the barriers physicians face, making the benefits of use of EHR visible, and ensuring a high quality related training. Key messages Most physicians in a Kuwaiti public hospital use the EHR system. Perceived barriers, effect of EHR on the physicians’ work, and user-friendly application of EHR are associated with satisfaction and EHR use.

scholarly journals Electronic Health Record Acceptance by Physicians: A Single Hospital Experience in Daily Practice

2021 ◽  
Vol 1 (1) ◽  
pp. 6-17
Author(s):  
Andrija Pavlovic ◽  
Nina Rajovic ◽  
Jasmina Pavlovic Stojanovic ◽  
Debora Akinyombo ◽  
Milica Ugljesic ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Electronic Health Record ◽  
Technology Acceptance ◽  
Daily Practice ◽  
Ease Of Use ◽  
Future Research ◽  
Health Record ◽  
Cross Sectional ◽  
Electronic Health

Introduction: Potential benefits of implementing an electronic health record (EHR) to increase the efficiency of health services and improve the quality of health care are often obstructed by the unwillingness of the users themselves to accept and use the available systems. Aim: The aim of this study was to identify factors that influence the acceptance of the use of an EHR by physicians in the daily practice of hospital health care. Material and Methods: The cross-sectional study was conducted among physicians in the General Hospital Pancevo, Serbia. An anonymous questionnaire, developed according to the technology acceptance model (TAM), was used for the assessment of EHR acceptance. The response rate was 91%. Internal consistency was assessed by Cronbach’s alpha coefficient. A logistic regression analysis was used to identify the factors influencing the acceptance of the use of EHR. Results: The study population included 156 physicians. The mean age was 46.4 ± 10.4 years, 58.8% participants were female. Half of the respondents (50.1%) supported the use of EHR in comparison to paper patient records. In multivariate logistic regression modeling of social and technical factors, ease of use, usefulness, and attitudes towards use of EHR as determinants of the EHR acceptance, the following predictors were identified: use of a computer outside of the office for reading daily newspapers (p = 0.005), EHR providing a greater amount of valuable information (p = 0.007), improvement in the productivity by EHR use (p < 0.001), and a statement that using EHR is a good idea (p = 0.014). Overall the percentage of correct classifications in the model was 83.9%. Conclusion: In this research, determinants of the EHR acceptance were assessed in accordance with the TAM, providing an overall good model fit. Future research should attempt to add other constructs to the TAM in order to fully identify all determinants of physician acceptance of EHR in the complex environment of different health systems.

Knowledge and Attitude toward Medication Error among Pharmacists

2020 ◽  
pp. 001857872096541
Author(s):  
Ruzmayuddin Mamat ◽  
Siti Asarida Awang ◽  
Siti Azlina Mohd Ariffin ◽  
Zahida Zakaria ◽  
Mastura Hanim Che Zam ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Medication Error ◽  
Cross Sectional Study ◽  
Public Health Care ◽  
Favorable Attitude ◽  
Cross Sectional ◽  
Survey Knowledge ◽  
Health Care Institutions ◽  
Knowledge And Attitude

Objective: This study aimed to evaluate knowledge and attitude toward medication error (ME) among pharmacists working in public health care institutions. Methods: A cross-sectional study was conducted among pharmacists working in public health care institutions. Respondents were randomly recruited from 5 hospitals and 25 primary healthcare clinics in the state of Pahang, Malaysia. A set of self-administered questionnaires was used to assess their knowledge and attitude, distributed as a web-based survey. Knowledge and attitude toward ME reporting were assessed using five-point Likert-scale. This study was conducted between May and July 2019. Results: A total of 186 respondents participated in the study. A majority of respondents were female (n = 144). About 90% of the respondents had good score on knowledge on ME. Only 25.4% of the respondents had favorable attitude toward ME reporting. Female pharmacists ( P = .001), more experienced pharmacists ( P = .012) and those working in primary health clinics ( P = .014) were associated with more favorable attitude. Knowledge did not correlate well with attitude toward ME reporting (r = 0.08, P = .29). Conclusion: Despite having good knowledge on ME, the attitude toward ME reporting was still very poor among the pharmacists.

scholarly journals Satisfaction of deaf patients with the health care

Revista CEFAC ◽  
2020 ◽  
Vol 22 (5) ◽  
Author(s):  
Regiane Ferreira Rezende ◽  
Leonor Bezerra Guerra ◽  
Sirley Alves da Silva Carvalho
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Self Perception ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Deaf Adults ◽  
Chi Square Test

ABSTRACT Purpose: to investigate the satisfaction of deaf people in relation to the health services, to characterize the sample regarding sociodemographic, socioeconomic, and self-perception of deafness, and to verify if there is an association between satisfaction with care, communication, professionals, and self-perception of deafness. Methods: an observational, cross-sectional study conducted with a semi-structured questionnaire in 74 deaf adults. A descriptive analysis of the characterization of the sample and attendance, and an analysis of the association between satisfaction, professionals, self-perception, service used, and schooling level was performed, using the chi-square test. The level of significance adopted was 5%. Results: the sample was composed mainly of women (66.2%), 18 to 28 years old (46.5%), of socioeconomic class D (51.3%), having finished high school (56.76%), and employed as an office assistant or typist (90%), 63.5% self-declared as deaf, 51.3% were bilingual, and 54.4% were not satisfied with the medical care. There was a statistically significant difference between the level of satisfaction of the volunteers with the health care received in relation to the different health professionals who attended them (p< 0.05). Conclusion: most of the population was not satisfied with medical care, although this service was most sought. The type of communication used by the professionals and the presence of an interpreter were not effective. It is necessary to implement strategies to ensure accessibility and comprehensive careto this population.

scholarly journals TUBERCULOSIS: DESIGN OF THE PROVISION OF SERVICES IN PRIMARY HEALTH CARE

2018 ◽  
Vol 4 ◽  
Author(s):  
Carolina Rosa de Araujo ◽  
Maria Eugenio Brunello ◽  
Rubia Laine de Paula Andrade ◽  
Regiane Bezerra Campos ◽  
Rosane Meire Munhak da Silva ◽  
...  
Keyword(s):  
Health Care ◽  
Descriptive Analysis ◽  
Family Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significance Level ◽  
Basic Health ◽  
Provision Of Services ◽  
Health Care Innovation ◽  
Basic Health Units

Objective: To analyze the provision of services in tuberculosis in a Brazilian municipality of border with Paraguay and Argentina, comparing Basic Health Units to Family Health Units, under the health team’s perception. Method: A cross-sectional study, survey, conducted with 105 health professionals, between the second half of 2013 and the first half of 2014 in Foz do Iguaçu (PR). The study used descriptive analysis (mean and standard deviation) and T-Student test, with a significance level of 5%. The questionnaire was elaborated according to MacCooll Institute for Health Care Innovation, adapted and validated in Brazil for evaluating tuberculosis control. Results: The study showed better ability of Basic Health Units in the variable “reference health professional in the unit” in relation to the Family Health Units. Conclusion: The system of provision of services in tuberculosis presents many similarities when comparing the types of Primary Care units.

scholarly journals Patterns and predictors of private and public health care utilization in an informal settlement in Nairobi, Kenya: A cross-sectional study

2020 ◽  
Author(s):  
Elvis Wambiya ◽  
Peter O Otieno ◽  
Martin Kavao Mutua ◽  
Hermann Pythagore Pierre Donfouet ◽  
Shukri F Mohamed
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Informal Settlement ◽  
Cross Sectional Study ◽  
Public Health Care ◽  
Care Utilization ◽  
Health Seeking ◽  
Cross Sectional ◽  
Explanatory Variables

Abstract BackgroundKnowledge of health care utilization is particularly crucial in low-and middle-income countries where inequalities in burden of disease and access to primary health care exist. Inconclusive evidence exists on health-seeking and utilization of health facilities in the informal settlements in Kenya. This study assessed the patterns and predictors of private and public health care utilization in an urban informal settlement in Kenya.MethodsThis cross-sectional study used data from the Lown scholars study conducted between June and July 2018. It was nested within the Nairobi Urban Health and Demographic Surveillance System. Households were selected using simple random sampling and data obtained for all household members who reported having sought care for an illness in the 12 months preceding the study. Data were collected on health-seeking behaviour and explanatory variables (predisposing, enabling, and need) using an adaptation of Andersen’s conceptual framework. Health care utilization patterns by explanatory variables were described using proportions and multinomial logistic regression used to identify the predictors of private or public health care use.ResultsThree hundred and sixty-four members from 300 households sought care for an illness in the 12 months preceding the study. Almost half (47%) of the respondents sought care from private facilities while about 33% and 20% used public and other facilities, respectively. Health care utilization was influenced by enabling and need factors. Health insurance coverage was associated with private health facility use (aOR 3.06; 95% CI 1.48 – 6.31). Satisfaction with the quality of care was associated with lower use of public facilities (aOR 0.31; CI 0.11 – 0.84) while satisfaction with cost of care was associated with higher use of public facilities (aOR 2.09; CI 1.01 – 4.29). Members who reported an acute infection were more likely to use private facilities (aOR 3.07; 95% CI 1.52 – 6.18).ConclusionsHealth care utilization in the urban informal settlements favours private health facility use. As Kenya commits to achieving universal health coverage, interventions to improve health care access in informal and low-resource settlements should be modelled around enabling and need factors, particularly health care financing and quality of health care provision.

scholarly journals A cross-sectional study on awareness and practice of universal precautions among laboratory technicians of a tertiary health care facility

2020 ◽  
Vol 7 (10) ◽  
pp. 3931
Author(s):  
Sara Roohen ◽  
Kenche Bhavani ◽  
Jyothi Lakshmi Naga Vemuri ◽  
Shabnam Anjum
Keyword(s):  
Health Care ◽  
Descriptive Analysis ◽  
Care Facility ◽  
Health Care Facility ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Universal Precautions ◽  
Safety Issues ◽  
The Mean

Background: Biological hazards and health safety issues are a special concern in laboratory technicians who handle blood, body fluids, and tissues which may contain infectious agents. Lack of knowledge of standard precautions has been noted to influence the practice and behaviour change in relation to these precautions requires knowledge. This study therefore aims to study the awareness and practice of universal precautions (U.P) in lab technicians.Methods: Cross sectional type of study was conducted in the tertiary health care facility (Osmania General Hospital) in Hyderabad district among laboratory technicians of various departments from 1-20/11/18. Random sampling was done and data was collected using a self-administered questionnaire.Statistical analyses were performed using Microsoft excel 07. Descriptive analysis was done and Chi-square tests were used for establishing association.Results: The mean age of the respondents was 32.37 years, all of them were graduates by education and the mean length of experience was 5.45 yrs. The mean score for knowledge was 14 (41.1%).In the domain of practice, the responses were quite satisfactory with majority of the responses being “always” for all the practices, wearing eye shields and face masks was only “sometimes” followed and majority of “not applicable” were for wearing glovesConclusions: Although standard and isolation precautions are introduced, the overall performance of respondents was unsatisfactory. 

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