scholarly journals Intention to use electronic medical record and its predictors among health care providers at referral hospitals, north-West Ethiopia, 2019: using unified theory of acceptance and use technology 2(UTAUT2) model

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mohammedjud Hassen Ahmed ◽  
Adina Demissie Bogale ◽  
Binyam Tilahun ◽  
Mulugeta Hayelom Kalayou ◽  
Jorn Klein ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Health Care Providers ◽  
Intention To Use ◽  
Unified Theory ◽  
Care Providers ◽  
North West ◽  
Referral Hospitals ◽  
North West Ethiopia

«intention to use» electronic medical record system and its predictors among health care providers at referral Hospitals, north-west Ethiopia, 2019: using Unified Theory of Acceptance and Use Technology 2(UTAUT2) model. (Preprint)

2019 ◽  
Author(s):  
Mohammedjud Hassen
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Health Care Providers ◽  
Intention To Use ◽  
Care Providers ◽  
North West ◽  
Performance Expectancy ◽  
Referral Hospitals ◽  
North West Ethiopia ◽  
The Mean

BACKGROUND Electronic Medical Records (EMRs) are systems to store patient information like medical histories, test results, and medications electronically. It is becoming the main system with the vision of giving quality service by improving data handling and communication in healthcare setting. Even though EMR implementation in developing countries increasing exponentially, only few of them are successfully implemented. Among the many factors, «intention to use» EMRs by health care provider is crucial for successful implementation and adoption of EMRs. OBJECTIVE The aim of this study was to assess health care provider’s intention to use and its predictors towards Electronic Medical Record systems (EMRs) at three referral hospitals in north-west, Ethiopia, 2019. METHODS Institutional based cross-sectional quantitative study design was conducted from January to June, 2019. A total of 420 health care providers working at three referral hospitals in north-west Ethiopia were included. Data were analyzed using structural equation model (SEM)., Simple and multiple SEM were used to describe the study objectives and to assess the determinants of health care providers «intention to use» EMRs. Critical ratio and standardized coefficients were used to measure the association of dependent and independent variables, 95% confidence intervals and P-value were calculated to evaluate statistical significance. RESULTS The mean age of the study subjects were 32.4 years ±8.3 SD. Nearly two-third 293(69.8%) of the participants were Male. Among 420 health care providers, only 167 (39.8%) were scored above the mean of «intention to use» EMRs. Factors positively associated with «intention to use» EMRs were performance expectancy (β=0.39,p<0.001), effort expectancy (β=0.24,p<0.001),social influence (β=0.18,p<0.001),facilitating condition (β=0.23,p<0.001), and computer literacy (β=0.08,p<0.001). Among five influencing predictors, performance expectancy was highly associated with «intention to use» EMRs. The result of UTAUT2 model may be used to inform planning, decision-making, and evaluation of EMR implementations before actual utilization of EMRs. CONCLUSIONS Among 420 health care providers, 167 (39.8%) respondents were scored above the mean of intention use. Performance expectancy played a major role in determining health care providers’ intention to use EMRs.

scholarly journals Adoption of an Electronic Medical Record Tool for Childhood Obesity by Primary Care Providers

2020 ◽  
Vol 11 (02) ◽  
pp. 210-217
Author(s):  
Amy Williams ◽  
Christy Turer ◽  
Jamie Smith ◽  
Isabelle Nievera ◽  
Laura McCulloch ◽  
...  
Keyword(s):  
Primary Care ◽  
Childhood Obesity ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Primary Care Providers ◽  
Perceived Usefulness ◽  
Intention To Use ◽  
Care Providers ◽  
Perceived Usability ◽  
Strongly Agree

Abstract Background Primary care providers are tasked with the increasingly difficult job of addressing childhood obesity during clinic visits. Electronic medical record (EMR)-enabled decision-support tools may aid providers in this task; however, information is needed regarding whether providers perceive such tools to be useful for addressing nutrition and physical activity lifestyle behaviors. Objectives This study aimed to evaluate the usefulness and usability of FitTastic, an EMR-enabled tool to support prevention and management of childhood obesity in primary care. Methods In this mixed-method study, we implemented the FitTastic tool in two primary-care clinics, then surveyed and conducted focused interviews with providers. Validated Technology Acceptance Model perceived usefulness and National Aeronautics and Space Administration (NASA) perceived usability survey questions were e-mailed to 60 providers. In-depth provider interviews with family medicine and pediatric physicians (n = 12) were used to further probe adoption of FitTastic. Results Surveys were completed by 73% of providers (n = 44). The mean score for FitTastic's usefulness was 3.3 (standard deviation [SD] = 0.54, scale 1–5, where 5 is strongly agree) and usability, 4.8 (SD = 0.86, scale 1–7, where 7 is strongly agree). Usefulness and usability scores were associated with intention to use FitTastic (correlation for both, p < 0.05). Data from provider interviews indicated that useful features of FitTastic included: standardizing the approach to childhood obesity, and facilitating conversations about weight management, without increasing cognitive workload. However, use of FitTastic required more time from nurses to input lifestyle data. Conclusion FitTastic is perceived as a useful and usable EMR-based lifestyle behavior tool that standardizes, facilitates, and streamlines healthy lifestyle conversations with families. Perceived usability and usefulness scores correlated with provider intention-to-use the technology. These data suggest that EMR-based child obesity prevention and management tools can be feasible to use in the clinic setting, with potential for scalability. Usefulness can be optimized by limiting amount of time needed by staff to input data.

scholarly journals Frequency of hepatitis B and C in health care providers at three referral hospitals in Libya

2020 ◽  
Vol 37 ◽  
Author(s):  
Abdel-Naser Elzouki ◽  
Rafat Lubbad ◽  
Islam Elzouki ◽  
Ahmed Elhaddad ◽  
Abdulfattah Ibrahim
Keyword(s):  
Health Care ◽  
Hepatitis B ◽  
Health Care Providers ◽  
Care Providers ◽  
Referral Hospitals

scholarly journals FACTORS INFLUENCING CLINICAL MANAGEMENT OF CRYPTOCOCCAL MENINGITIS AMONG HEALTH CARE PROVIDERS AT TWO REFERRAL HOSPITALS IN KISUMU COUNTY, KENYA

2021 ◽  
Vol 7 (1) ◽  
pp. 74-84
Author(s):  
Robina Ogendo
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cryptococcal Meningitis ◽  
Clinical Management ◽  
Scale Up ◽  
World Health ◽  
Unique Contribution ◽  
Care Providers ◽  
Factors Influencing ◽  
Referral Hospitals

Purpose: Cryptococcal meningitis is one of the most common and lethal opportunistic infections among human immune virus infected clients/patients before initiation of antiretroviral therapy. It is majorly associated to morbidity and early mortality among human immunodeficiency virus infected patients in resource limited countries. The main objective of this study was to investigate the factors influencing clinical management of cryptococcal meningitis in adults among health care providers at two referral hospitals in Kisumu County, Kenya. Methodology: A cross-sectional study using quantitative approach was used targeting 119 health care providers. Collection of data was through pretested self- administered questionnaires to examine factors influencing clinical management of cryptococcal meningitis. Data obtained was analyzed using the statistical package for social science version 25. Descriptive analysis was done using frequencies, percentages and means. Inferential analysis was conducted using bivariate logistic regression to determine relationships among the variables, p-values of at or below 0.05 were considered statistically significant. Results: The major factor associated positively with clinical management of cryptococcal meningitis was the acknowledgement by the health care providers that the world health organization guidelines lead to a better patient outcome (97%, n=113) and inadequate supplies and resources to facilitate management (78%, n=90) was the major factor associated negatively. Health care providers with an experience of five years or less were 40% more likely to agree that the factors were influencing clinical management of cryptococcal meningitis in contrast to those with an experience of six years or more (OR: 0.6; 95%CI: 0.1 – 0.74; p=0.04). Unique contribution to theory, practice and policy:  The clinical management of cryptococcal meningitis in adults in the study area is majorly negatively influenced by inadequate supplies and resources to facilitate the process of management. The study recommends that the policy makers in the County government of Kisumu and the two hospital management teams need to scale up a timely and constant provision of adequate resources, facilities and supplies, which will promote effective clinical management of cryptococcal meningitis in the study area

Utilization of institutional delivery service and associated factors among women who gave birth in the last 12 months in Gondar town, North West Ethiopia, 2019.

2019 ◽  
Author(s):  
Getie Lake Aynalem ◽  
Bekalu Zelalem Desta ◽  
Elul Simeneh Abiy ◽  
Wolidesemait Kitaw Mekonnen ◽  
Muluken Adamu Beyene
Keyword(s):  
Health Care Providers ◽  
Associated Factors ◽  
Institutional Delivery ◽  
Educational Status ◽  
Care Providers ◽  
Health Extension Workers ◽  
North West ◽  
Gondar Town ◽  
North West Ethiopia ◽  
Average Monthly Income

Abstract Abstract Objective: The aim of this study was to assess magnitude of institutional delivery utilization and associated factors among mothers who gave birth in the last 12 months in Gondar town, North West Ethiopia, 2019. Results: The proportion of institutional delivery utilization in this study was found to be 85.9%. Variables which were positively associated with the response variable were: Residence of the mother (AOR=3.2, 95% CI: 1, 6.4), Experience of previous bad obstetrics history (AOR=2.3, 95% CI: 1.2, 4.7), Ownership for source of information like TV/radio (AOR=3.3, 95% CI: 1.9, 5.9), Maternal educational status (AOR=17.3 95% CI: 4.2, 71.2) and average monthly income greater than 160.7 USA dollars (AOR=2.4, 95% CI: 1.1, 5.3). Authors for this study recommend to the maternal and child health care providers to be well linked to the health extension workers so that they may facilitate the pregnant mothers from the rural area to give birth in the health institution and so that institutional delivery utilization can be more than this figure. Key words: Institutional delivery, Community, Gondar, Ethiopia

scholarly journals Determinants of Motivation among Health Care Providers, Case of Four General Referral Hospitals in Lubumbashi

OALib ◽  
2020 ◽  
Vol 07 (01) ◽  
pp. 1-6
Author(s):  
Banza Mwana Bute ◽  
Malulu Kabwe Djaile ◽  
Kabamba Wa Kabamba Christian ◽  
Ilunga Kandolo Simon ◽  
Kabyla Ilunga Benjamin
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Referral Hospitals

scholarly journals Establishment and Evaluation of Pharmacist-Managed Admission Medication History and Reconciliation Process for Pediatric Patients

2014 ◽  
Vol 19 (2) ◽  
pp. 98-102 ◽  
Author(s):  
Allison D. Provine ◽  
Elisabeth M. Simmons ◽  
Palak H. Bhagat
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Health Care Providers ◽  
Positive Impact ◽  
Medical Team ◽  
Care Providers ◽  
Medication History ◽  
Medication Dose ◽  
The Impact ◽  
Reconciliation Process

OBJECTIVE: This was a single-center, prospective, pilot study aiming to evaluate the impact of pharmacist involvement in the admission medication history and reconciliation process and to quantify discrepancies found by pharmacists when compared to information collected by other health care providers at a pediatric institution. METHODS: A pharmacist completed a thorough medication history and reconciled discrepancies with the medical team. Discrepancies included incorrect medication, dose, route, frequency; omitted information; missing medications; or any other inconsistencies outside of these categories. Information was documented in the electronic medical record via a standardized template, and pertinent discrepancies were communicated with the medical team. RESULTS: Of the 100 medication histories included in the study, a total of 309 discrepancies were identified and corrected in the electronic medical record. The median length of time it took pharmacists to complete the medication history process was 15 minutes per patient (interquartile range, 10–20 minutes). Thirty discrepancies were determined as pertinent and were reported as intervened on and communicated to the medical team. CONCLUSION: This study provides evidence that pharmacist-obtained admission medication histories and reconciliation have the potential to prevent potentially significant adverse drug reactions and have a positive impact on patient care.Index terms admission, history, medication, pharmacist, reconciliation

Improving the Doctor/Patient Relationship: A Feminist Perspective

1989 ◽  
Vol 18 (3) ◽  
pp. 337-361 ◽  
Author(s):  
Peggy Foster
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Care Delivery ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
North West ◽  
Care Services ◽  
The North

ABSTRACTSince the early 1970s British and American feminists have developed a comprehensive critique of the dominant doctor/patient relationship within mainstream health care services. In Britain, activists in the women's health movement have struggled to put into practice a model of health care delivery based on feminist principles, within which the doctor/patient relationship is radically redesigned. This paper will explore the principles and practice of this feminist health care model. It will then attempt to evaluate alternative strategies for strengthening and expanding feminist health care within the NHS. The paper will draw on data gathered by the author in 1987 through a series of unstructured interviews with feminist health care providers who were working within a variety of NHS settings in the North West of England.

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