scholarly journals Users’ Perception on Factors Contributing to Electronic Medical Records Systems Use: A Focus Group Discussion Study in Healthcare Facilities Setting in Kenya

2021 ◽  
Author(s):  
Philomena N. Ngugi ◽  
Ankica Babic ◽  
Martin C. Were
Keyword(s):  
Focus Group ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Operation Mode ◽  
Scale Up ◽  
Healthcare Facilities ◽  
Medical Records Systems ◽  
It Support ◽  
Facilitators And Barriers ◽  
System Upgrades

Abstract Background Electronic Medical Records systems (EMRs) adoption in healthcare to facilitate work processes have become common in many countries. Although EMRs are associated with quality patient care, patient safety and cost reduction, their adoption rates are comparatively low. Understanding factors associated with usage of implemented EMRs are critical for advancing successful implementations and scale-up sustainable initiatives. The aim of this study was to explore end users’ perceptions and experiences on factors facilitating and hindering EMRs use in healthcare facilities in Kenya. Methods Focus group discussions were conducted with EMRs users (n=20) each representing a healthcare facility determined by the performance of the EMRs implementation. Content analysis was performed on the transcribed data and relevant themes derived.Results Six thematic categories for both facilitators and barriers emerged, and these related to: (1) system functionalities; (2) training; (3) technical support; (4) human factors; (5) infrastructure, and (6) EMR operation mode. The identified facilitators included: easiness of use and learning of the system, efficiency of EMRs in patient data management, responsiveness of Information Technical (IT) support, user training on EMR system upgrades. The identified barriers included: frequent power blackouts, inadequate computers, retrospective data entry (RDE) EMRs operation mode, lack of continuous training on system upgrades, and delayed IT support. Conclusion Users in an LMIC setting generally believed that the EMRs improved work process, with multiple identified facilitators and barriers to their use. Most users perceived system functionality and training as motivators to EMRs use, while infrastructure challenge was the greatest barrier.

scholarly journals Users’ perception on factors contributing to electronic medical records systems use: a focus group discussion study in healthcare facilities setting in Kenya

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Philomena N. Ngugi ◽  
Martin C. Were ◽  
Ankica Babic
Keyword(s):  
Focus Group ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Operation Mode ◽  
Scale Up ◽  
Data Entry ◽  
Continuous Training ◽  
Healthcare Facilities ◽  
Medical Records Systems ◽  
Facilitators And Barriers

Abstract Background Electronic medical records systems (EMRs) adoption in healthcare to facilitate work processes have become common in many countries. Although EMRs are associated with quality patient care, patient safety, and cost reduction, their adoption rates are comparatively low. Understanding factors associated with the use of the implemented EMRs are critical for advancing successful implementations and scale-up sustainable initiatives. The aim of this study was to explore end users’ perceptions and experiences on factors facilitating and hindering EMRs use in healthcare facilities in Kenya, a low- and middle-income country. Methods Two focus group discussions were conducted with EMRs users (n = 20) each representing a healthcare facility determined by the performance of the EMRs implementation. Content analysis was performed on the transcribed data and relevant themes derived. Results Six thematic categories for both facilitators and barriers emerged, and these related to (1) system functionalities; (2) training; (3) technical support; (4) human factors; (5) infrastructure, and (6) EMRs operation mode. The identified facilitators included: easiness of use and learning of the system complemented by EMRs upgrades, efficiency of EMRs in patient data management, responsive information technology (IT) and collegial support, and user training. The identified barriers included: frequent power blackouts, inadequate computers, retrospective data entry EMRs operation mode, lack of continuous training on system upgrades, and delayed IT support. Conclusions Users generally believed that the EMRs improved the work process, with multiple factors identified as facilitators and barriers to their use. Most users perceived system functionalities and training as motivators to EMRs use, while infrastructural issues posed as the greatest barrier. No specific EMRs use facilitators and/or barriers could be attributed to facility performance levels. Continuous evaluations are necessary to assess improvements of the identified factors as well as determine emerging issues.

Electronic Medical Records as an Improvement to Comply with Data Protection Rules

2012 ◽  
Vol 1 (3) ◽  
pp. 13-19
Author(s):  
Ángel Igualada Menor ◽  
Teresa Pereyra Caramé
Keyword(s):  
Medical Care ◽  
Electronic Medical Records ◽  
Data Protection ◽  
Medical Records ◽  
Personal Data ◽  
Medical Records Systems ◽  
The Right

The right implementation and design of Electronic Medical Records Systems present an opportunity of improvement, since they provide the owners of personal data, who are under treatment in medical care activities, with the exercise of control over them; avoidance of any change; loss or non-authorised access, as well as availability safeguarding, and use in activities that are not strictly within welfare.

scholarly journals Deterrence approach on the compliance with electronic medical records privacy policy: the moderating role of computer monitoring

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kuang-Ming Kuo ◽  
Paul C. Talley ◽  
Tain-Junn Cheng
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Survey Methodology ◽  
Medical Center ◽  
Hierarchical Regression ◽  
Privacy Policy ◽  
Healthcare Facilities ◽  
Hospital Employees ◽  
Computer Monitoring ◽  
Minimum Requirements

Abstract Background This study explored the possible antecedents that will motivate hospital employees’ compliance with privacy policy related to electronic medical records (EMR) from a deterrence perspective. Further, we also investigated the moderating effect of computer monitoring on relationships among the antecedents and the level of hospital employees’ compliance intention. Methods Data was collected from a large Taiwanese medical center using survey methodology. A total of 303 responses was analyzed via hierarchical regression analysis. Results The results revealed that sanction severity and sanction certainty significantly predict hospital employees’ compliance intention, respectively. Further, our study found external computer monitoring significantly moderates the relationship between sanction certainty and compliance intention. Conclusions Based on our findings, the study suggests that healthcare facilities should take proactive countermeasures, such as computer monitoring, to better protect the privacy of EMR in addition to stated privacy policy. However, the extent of computer monitoring should be kept to minimum requirements as stated by relevant regulations.

How can hospitals better protect the privacy of electronic medical records? Perspectives from staff members of health information management departments

2016 ◽  
Vol 46 (2) ◽  
pp. 87-95 ◽  
Author(s):  
Ming-Ling Sher ◽  
Paul C Talley ◽  
Tain-Junn Cheng ◽  
Kuang-Ming Kuo
Keyword(s):  
Health Information ◽  
Information Management ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Survey Methodology ◽  
Health Information Management ◽  
Healthcare Facilities ◽  
Staff Members ◽  
Security Breaches ◽  
Financial Pressure

Purpose: The adoption of electronic medical records (EMR) is expected to better improve overall healthcare quality and to offset the financial pressure of excessive administrative burden. However, safeguarding EMR against potentially hostile security breaches from both inside and outside healthcare facilities has created increased patients’ privacy concerns from all sides. The aim of our study was to examine the influencing factors of privacy protection for EMR by healthcare professionals. Method: We used survey methodology to collect questionnaire responses from staff members in health information management departments among nine Taiwanese hospitals active in EMR utilisation. A total of 209 valid responses were collected in 2014. We used partial least squares for analysing the collected data. Results: Perceived benefits, perceived barriers, self-efficacy and cues to action were found to have a significant association with intention to protect EMR privacy, while perceived susceptibility and perceived severity were not. Conclusion: Based on the findings obtained, we suggest that hospitals should provide continuous ethics awareness training to relevant staff and design more effective strategies for improving the protection of EMR privacy in their charge. Further practical and research implications are also discussed.

scholarly journals Implementation of Electronic Medical Records for Service Delivery in Selected State Hospitals in Southwest Nigeria

2021 ◽  
Vol 5 (2) ◽  
pp. 75-94
Author(s):  
Stephen Adekunle Ajayi ◽  
Peter Wamae ◽  
Daniel Wambiri Muthee
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Health Workers ◽  
Poor Performance ◽  
Electronic Record ◽  
Treatment Area ◽  
Medical Records Systems ◽  
Southwest Nigeria ◽  
Statistical Analysis Method

Electronic Medical Records (EMR) is an important communications channel relating to patient health conditions. Unfortunately, many hospitals in Africa, including Nigeria, have not implemented EMR. The few Hospitals that have some level of EMR continues are still struggling with the use of paper and hybrid medical records, which has led to inadequate medical follow-up, medical error, and long waiting time for patients. A sample size of three hundred and ninety-seven (397) was determined using krejcie and morgan models, comprising of strategic managers, and the operational staff drawn from a population of 2889 in the selected hospitals. At the hospital level, purposive sampling was applied in picking strategic managers, while stratified random sampling was method was used to select operational health workers. Questionnaires were used for data collection. The study adopted a descriptive statistical analysis method to describe the existing medical records systems. The finding indicated that the systems in the hospitals are mainly paper-based. The hospitals are also using hybrid system with a few treatment areas having fully electronic medical records systems. In the area where EMR has been implemented, the finding indicates poor penetration of the EMR system, limited modules, staff readiness and poor performance in the treatment area, among others. The study concluded that hospitals that have implemented, EMR is not serving the classical purpose of medical record of supporting treatment and follow up. The study recommended that the selected hospitals should ensure there is the availability of fund, staff training, and technical infrastructures like electronic record managers, ICT support staff, and computer compatible medical devices, among others.

Towards an Integrated Electronic Medical Records System for Quality Healthcare in Ghana

2017 ◽  
Vol 2 (2) ◽  
pp. 38-55
Author(s):  
Patrick Ohemeng Gyaase ◽  
Richard Darko-Lartey ◽  
Harrison William ◽  
Foster Borkloe
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Management Systems ◽  
Key Factors ◽  
Quality Healthcare ◽  
Medical Records Systems ◽  
Implementation Guidelines ◽  
Health Institutions ◽  
Medical Records System ◽  
Standardization Policy

This article explores the factors militating against the diffusion integration electronic medical records in Ghana. Structured questionnaires were used to collect data from respondents in the healthcare ecosystem and analyzed quantitatively using descriptive and inferential statistics. The findings revealed non-integration of electronic medical records systems among the stakeholders of the healthcare ecosystem mostly due to and interoperability issues. There is also substantial usage of technology in capturing and storing medical records. The key factors militating against the integration of electronic medical records systems are inadequate funds to purchase database management systems, acquisition and maintenance costs of electronic medical records systems, and an unclear return on investment on the integrated electronic medical records systems. The article recommends sustained government financial support, standardization policy and implementation guidelines to facilitate the integration of electronic medical records systems in the various health institutions.

Towards an Integrated Electronic Medical Records System for Quality Healthcare in Ghana

2020 ◽  
pp. 117-132
Author(s):  
Patrick Ohemeng Gyaase ◽  
Richard Darko-Lartey ◽  
Harrison William ◽  
Foster Borkloe
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Return On Investment ◽  
Financial Support ◽  
Key Factors ◽  
Quality Healthcare ◽  
Medical Records Systems ◽  
Implementation Guidelines ◽  
Medical Records System ◽  
Standardization Policy

This article explores the factors militating against the diffusion integration electronic medical records in Ghana. Structured questionnaires were used to collect data from respondents in the healthcare ecosystem and analyzed quantitatively using descriptive and inferential statistics. The findings revealed non-integration of electronic medical records systems among the stakeholders of the healthcare ecosystem mostly due to and interoperability issues. There is also substantial usage of technology in capturing and storing medical records. The key factors militating against the integration of electronic medical records systems are inadequate funds to purchase database management systems, acquisition and maintenance costs of electronic medical records systems, and an unclear return on investment on the integrated electronic medical records systems. The article recommends sustained government financial support, standardization policy and implementation guidelines to facilitate the integration of electronic medical records systems in the various health institutions.

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