scholarly journals Effect of Electronic Health Records on Patient Satisfaction and Waiting Time at Selected Hospitals, in Addis Ababa

2021 ◽  
Author(s):  
Garoma Kitesa ◽  
Ephrem Mamo ◽  
Ayele Teshome ◽  
Wakgari Binu ◽  
Habtimer Abi ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Electronic Health Records ◽  
Waiting Time ◽  
Addis Ababa ◽  
Health Care Facilities ◽  
Referral Hospital ◽  
Health Records ◽  
Electronic Health ◽  
Double Population

Abstract Background: Electronic health records provide a great potential for improving the delivery of health services and decision-making abilities for all hospital stakeholders and for prudent management of health care resources.The main objective was to assess the effect of EHR on patient satisfaction and waiting time at Selected Hospitals, Addis Ababa.Methods: An institutional-based comparative cross-sectional study was conducted. The sample size was calculated using a double population-proportion formula, which comprised 184. Statement to confirm that all methods were carried out in accordance with relevant guidelines and regulations. After receiving ethical clearance from the Institutional Ethics Review Board and the Addis Ababa Health Bureau IRB, formal letters were written to Yekatit12 Hospital and Menelik II Referral Hospital.Written consent was taken for participants. Epidata V3.1 and SPSS software V25 were used for data entry and analysis respectively. Both bivariate and multivariate logistic regression analyses were performed to assess the presence and degree of association between dependent and independent variables. Statistically significant variables were declared using an adjusted odds ratio with a 95% confidence interval.Result: The mean waiting time at Yekatit 12 HMC was 60.2 ± 48.2 minutes and 82 ± 56.8 minutes at Menelik. Similarly, 74 (83.1%) at Yekatit 12 HMC and 31.8% at Menelik II Referral Hospital were satisfied with the service. Eye contact, clear communication, accessibility of the service, explanations of the medical procedures, involving patients in clinical decisions regarding their health care, and active listening to their opinions and questions had statistical significance.Conclusion: Though patient satisfaction is not limited to those variables, overall client satisfaction and waiting time at Yekatit 12 Hospital Medical College were higher than those at Menelik II Referral Hospital, that could be attributable to the installation of EHR. As a result, the federal MOH and the respective RHBs should implement EHR in all health-care facilities.

scholarly journals Secure Storage of Electronic Health Records on Cloud Using Integrity Verification Auditing

2021 ◽  
Vol 11 (2) ◽  
pp. 2132-2141
Author(s):  
S. Srinivasan ◽  
Kethineni Keerthi ◽  
Gummadi Tejaswi ◽  
Kodali Divya Shobana
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Data Access ◽  
Patient Data ◽  
Health Care Facilities ◽  
Data Availability ◽  
Health Records ◽  
Data Access Control ◽  
Care Facilities ◽  
Electronic Health

Health care facilities have tried to keep sensitive patient information safe. Health information is important in identifying any stage of treatment. However, such information should be kept confidential and only available at health care facilities. To ensure data availability, health care data is now stored in the cloud and accessible online. But, this approach poses many threats due to the possibility of a patient data to be accessed by unauthorized personnel. Moreover, the standard data access control mechanisms are insufficient to ensure integrity of data due to numerous users. The constant adjustment of privileges also affected confidentiality. This paper proposes a novel approach in which the sensitive patient data in Electronic Health Records is hidden and stored more securely in the cloud. It uses a sanitization technique to detect sensitive data in the EHR and make use of identity based shared data integrity auditing to allow authorized access to the data. The web based application which uses the proposed technique is developed and tested to demonstrate its effectiveness.

Negotiating stigma in health care: disclosure and the role of electronic health records

2015 ◽  
Vol 24 (3) ◽  
pp. 227-241 ◽  
Author(s):  
Timothy Stablein ◽  
Joseph Lorenzo Hall ◽  
Chauna Pervis ◽  
Denise L. Anthony
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Health Records ◽  
Electronic Health

Implementing Health Care Quality Measures in Electronic Health Records: A Conceptual Model

2021 ◽  
Author(s):  
Claire M. Campbell ◽  
Daniel R. Murphy ◽  
George E. Taffet ◽  
Anita B. Major ◽  
Christine S. Ritchie ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Conceptual Model ◽  
Health Care Quality ◽  
Quality Measures ◽  
Care Quality ◽  
Health Records ◽  
Electronic Health

scholarly journals Secure Exchange of Electronic Health Records

2012 ◽  
pp. 1403-1424
Author(s):  
Alejandro Enrique Flores ◽  
Khin Than Win ◽  
Willy Susilo
Keyword(s):  
Health Care ◽  
Access Control ◽  
Electronic Health Records ◽  
Shared Care ◽  
Health Records ◽  
Discretionary Access Control ◽  
Attribute Based Encryption ◽  
Electronic Health ◽  
Role Based ◽  
Traditional Approaches

Protecting the confidentiality of a patient’s information in a shared care environment could become a complex task. Correct identification of users, assigning of access permissions, and resolution of conflict rise as main points of interest in providing solutions for data exchange among health care providers. Traditional approaches such as Mandatory Access Control, Discretionary Access control and Role-Based Access Control policies do not always provide a suitable solution for health care settings, especially for shared care environments. The core of this contribution consists in the description of an approach which uses attribute-based encryption to protect the confidentiality of patients’ information during the exchange of electronic health records among healthcare providers. Attribute-based encryption allows the reinforcing of access policies and reduces the risk of unauthorized access to sensitive information; it also provides a set of functionalities which are described using a case study. Attribute-based encryption provides an answer to restrictions presented by traditional approaches and facilitate the reinforcing of existing security policies over the transmitted data.

Informatics and Health Services

2017 ◽  
pp. 215-241
Author(s):  
Nelson Ravka
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Health Care Providers ◽  
Health Care Services ◽  
Electronic Record ◽  
Inappropriate Drug ◽  
Health Records ◽  
Record Keeping ◽  
Care Services ◽  
Electronic Health

Personal electronic health records are seen as a key component to improved health care for patients, empowering motivated patients by giving them access to their own records resulting in increased self-care, shared decision making, and better clinical outcomes. Benefits through electronic record keeping would also accrue to health care providers through the availability and retrievability of data, reduced duplication of medical tests, more effective physician diagnosis and treatment, reduced incidence of prescription errors, and flagging inappropriate drug combinations. Utilizing information technology could also moderate the cost of health care services. Electronic health records would also improve clinical research through access to a large database of patient electronic records for research and determining best practices. Although potential benefits are considerable, many challenges to implementation must be addressed and resolved before this potential of improved health care provision and cost efficiency can be realized.

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