scholarly journals Factors influencing Adoption of Electronic Medical Records in Government Hospitals of Sri Lanka

2020 ◽  
pp. 190-199
Author(s):  
Maheesa Dayananda
Keyword(s):  
Developing Countries ◽  
Sri Lanka ◽  
Human Factors ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Digital Health ◽  
Health Sector ◽  
Organizational Factors ◽  
Primary Data ◽  
Government Hospitals

Electronic medical records (EMR) is a popular topic in the literature with the increasing use of EMR in both developed and developing countries. It supports to achieve health sector goals including but not limited to; improved quality, efficiency, cost reduction and patients’ safety and contributes to the sustainable development goal “ensure healthy lives and wellbeing for all at all ages”. Developing countries like Sri Lanka have a critical requirement of having innovative solutions to improve health outcomes while controlling the cost. EMR identified as a better solution to fulfil this requirement. However, it is questionable whether the rate of adoption is at a satisfactory level compared to the importance and benefits of the EMR. This study aimed at identifying critical success and failure factors in adopting EMR in Sri Lanka and propose strategies for successful adoption. Both primary and secondary data were used for the study. The study focused on experience of forty Government hospitals where the EMR systems established under the Digital Health Project, Sri Lanka. Primary data were collected from the health professionals and the regional project officers of Information and Communication Technology Agency of Sri Lanka who managed and coordinated the EMR implementation process in the hospitals. Focus group discussions (FGD), key informant interviews (KII) were mainly used as data collection tools. Further, the research papers published in peer-reviewed journals were reviewed. During the study, twenty-six factors that influence the success and failure of EMR adoption were identified. These factors were categorized and analyzed under six themes – i.e., human factors, technical factors, organizational factors, financial factors, legal factors and change management factors. The most influential category of factors was human factors. Even though the EMR implementation involves applying technology in the health sector, ‘people’ factor should not be forgotten. Ideally, the future EMR implementations should be based on the lessons learnt and best practices of the previous projects in order to achieve successful adoption and to avoid waste of resources.

The Impact of Web 2.0 on the Doctor-Patient Relationship

2010 ◽  
Vol 38 (1) ◽  
pp. 17-26 ◽  
Author(s):  
Bernard Lo ◽  
Lindsay Parham
Keyword(s):  
Health Information ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Digital Health ◽  
The Internet ◽  
Office Visits ◽  
Internet Users ◽  
The Impact ◽  
E Mail ◽  
Stimulus Package

The hypothetical case of Mr. Jenkins illustrates innovations in digital health information technology that may profoundly change medical care and the doctorpatient relationship. The Internet contains enormous amounts of health information, and about threequarters of Internet users look online for health information. 1 Sometimes patients bring information they found on the Internet to their physicians. Physicians and patients can also now communicate by e-mail rather than by telephone or office visits, although these e-mail communications may not be integrated into the patient’s medical record. Furthermore, electronic medical records are slowly being adopted, particularly in hospitals and large integrated health systems. Funding to promote the adoption of electronic medical records (EMRs) has been included in the 2009 federal stimulus package under the Obama Administration.

scholarly journals Emerging from Smoke and Mirrors

2021 ◽  
Author(s):  
Lo Fu Tan
Keyword(s):  
Electronic Medical Records ◽  
Data Storage ◽  
Medical Records ◽  
Digital Health ◽  
Patient Centered ◽  
Cloud Data ◽  
Letting Go ◽  
Cloud Data Storage ◽  
Available Technology ◽  
Remote Patient

Digital Health promises to transform healthcare in this decade. We have gone from “low tech” telephones, fax machines, dictation lines, desk-top electronic medical records, and data storage centers to video visits, texting, emails, smart phones and other mobile devices, and to higher forms including artificial intelligence, cloud data storage, and blockchain. However, letting go of legacy applications and then implementing the best available technology for clinical use has been challenging. This chapter will review the factors that contribute to the difficulty of moving from old to new tools. Specific examples will be video, electronic medical records and remote patient monitoring. The process of evaluating a new technological application will be described and a standardized framework proposed. We will finish with a discussion around local and scaled steps that can facilitate, support and sustain a patient-centered application of the best technology in healthcare. A call to action for the reader will be presented.

scholarly journals The Role of DICOM in Artificial Intelligence for Skin Disease

2021 ◽  
Vol 7 ◽  
Author(s):  
Liam J. Caffery ◽  
Veronica Rotemberg ◽  
Jochen Weber ◽  
H. Peter Soyer ◽  
Josep Malvehy ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Electronic Medical Records ◽  
Skin Disease ◽  
Medical Records ◽  
Digital Health ◽  
Dicom Standard ◽  
Considerable Effort ◽  
Technological Transformation ◽  
Clinical Dermatology

There is optimism that artificial intelligence (AI) will result in positive clinical outcomes, which is driving research and investment in the use of AI for skin disease. At present, AI for skin disease is embedded in research and development and not practiced widely in clinical dermatology. Clinical dermatology is also undergoing a technological transformation in terms of the development and adoption of standards that optimizes the quality use of imaging. Digital Imaging and Communications in Medicine (DICOM) is the international standard for medical imaging. DICOM is a continually evolving standard. There is considerable effort being invested in developing dermatology-specific extensions to the DICOM standard. The ability to encode relevant metadata and afford interoperability with the digital health ecosystem (e.g., image repositories, electronic medical records) has driven the initial impetus in the adoption of DICOM for dermatology. DICOM has a dedicated working group whose role is to develop a mechanism to support AI workflows and encode AI artifacts. DICOM can improve AI workflows by encoding derived objects (e.g., secondary images, visual explainability maps, AI algorithm output) and the efficient curation of multi-institutional datasets for machine learning training, testing, and validation. This can be achieved using DICOM mechanisms such as standardized image formats and metadata, metadata-based image retrieval, and de-identification protocols. DICOM can address several important technological and workflow challenges for the implementation of AI. However, many other technological, ethical, regulatory, medicolegal, and workforce barriers will need to be addressed before DICOM and AI can be used effectively in dermatology.

scholarly journals The Impact of the Digital Health Interventions in Curbing COVID-19 in Zimbabwe

2021 ◽  
Vol 3 (1) ◽  
pp. 40-52
Author(s):  
Stephen Chidhau ◽  
Bismark Mutizwa ◽  
Tinashe R. Muzama
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Digital Health ◽  
Information And Communications Technology ◽  
Health Interventions ◽  
Ongoing Research ◽  
Healthcare Information Systems ◽  
Qualitative Research Design ◽  
Use Of Social Media ◽  
The Impact

Amid ongoing research about, Digital Health Interventions (DHI) in Zimbabwe, is the largely overlooked impact of DHI to mitigate the spread of COVID-19. To contribute towards filling this knowledge gap, the study seeks to examine the DHI strategies that have been adopted to curb the inimical effects of COVID-19 in Zimbabwe. DHI such as telemedicine, use of social media, Electronic Medical Records (EMRs), Mobile Health (mHealth), and Healthcare Information Systems (HIS) have been disposed to curtail the spread of COVID-19. The limitations and hurdles crippling DHI are discussed extensively. This study adopts a qualitative research design, comprising personal and targeted interviews and documentary review. Preliminary findings are that DHIs are effectively working for employing routine and innovative forms of Information and Communications Technology (ICT) to address health needs. However, the research noted that various factors such as corruption lack of funding, shortage of qualified workforce and medical expertise, and weak healthcare infrastructure are militating against robust deployment of DHIs. This study includes measures that can be adopted to address these challenges.

Readiness of Application of Electronic Medical Records in Health Services (Literature Study)

2022 ◽  
Vol 2 (1) ◽  
pp. 1-12
Author(s):  
Lilis Masyfufah ◽  
Mrs. Sriwati ◽  
Amir Ali ◽  
Bambang Nudji
Keyword(s):  
Health Services ◽  
Electronic Medical Records ◽  
Communication Technology ◽  
Medical Records ◽  
Critical Appraisal ◽  
Health Sector ◽  
Background Information ◽  
Literature Study ◽  
Information And Communication ◽  
Scientific Research Articles

Background: Information and Communication Technology is advancing rapidly and has a major impact on all life, especially in the health sector, especially medical records. This is manifested in the Electronic Medical Record (EMR), which has now been further developed into an Electronic Health Record (EHR). This technology is used to replace or complement paper medical records. The purpose of this literature study is to determine the readiness to apply electronic medical records in health services.Methods: This study uses a literature study obtained from searching scientific research articles from the 2010–2020 range. Keywords used in this study is readiness and DOQ-IT. The database used comes from Google Sholar, Garuda, Neliti, and One Search. The search found 130 articles, then a critical appraisal process was carried out to produce 10 suitable manuscripts.Results: Various literatures found that the readiness to apply electronic medical records using the DOQ-IT method was influencedby 4 factors including the readiness of human resources, orgnizational culture, insfrastructure, and leadership governance. It can be concluded that the readiness for the application of  electronic medical recors in health services with the very ready category is 30%, the moderately ready category is 50%, then the unready category is 20%.Conclusions: From the discussion above, it can be concluded that EMR readiness in health services is categorized as quite ready (50%), very ready (30%), and not ready (20%).

Perceived Tourist Harassment in Tourist Destinations

2021 ◽  
pp. 299-313
Author(s):  
Shamila Rasanjani Wijesundara ◽  
Athula Gnanapala
Keyword(s):  
Developing Countries ◽  
Factor Analysis ◽  
Sri Lanka ◽  
Tourism Development ◽  
Tourism Industry ◽  
Primary Data ◽  
Fast Growing ◽  
Tourist Destinations ◽  
Coastal Belt ◽  
The World

Tourism is a fast-growing industry in the world. Many developing countries have recognized the economic contribution of the tourism industry towards to country; therefore, it has been included as an integral part of their development strategies. Sri Lanka continues to use tourism as one of the incomes earning strategy of its nation. At present, a huge tourism development is continued while accepting severe issues occurs itself like tourist harassment. The nature of the harassment is different from destination to destination, and this study mainly aims to identify the harassment in Sri Lanka. The study carried out in Southern Coastal Belt, considering foreign tourists as the sample to the study. A pretested questionnaire was distributed among 600 foreigners to collect primary data for the study, and 530 questionnaires were valid for the analysis. The collected data was analyzed through exploratory factor analysis, which revealed six major types of harassment in Sri Lanka as a result of tourist consumption process throughout the vacation.

scholarly journals Synchronization of Electronic Medical Record Implementation Guidelines in National E-Health Strategies

SOEPRA ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 209
Author(s):  
Rezky Ami Cahyaharnita
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Records ◽  
Time Management ◽  
Medical Records ◽  
Service Providers ◽  
Health Sector ◽  
Health Strategy ◽  
Implementation Guidelines ◽  
The Government

Medical records are made in writing, complete and clear or electronically. Medical records are the basis of medical services to patients. Paper medical records increase the amount of paper waste in Indonesia. A national e-health strategy is a comprehensive approach to efforts in the national health sector. Electronic medical records are more effective because of better time management. The formulation of the problem in this article covers the reasons, criteria, and implementation of electronic medical records. The research method used is descriptive qualitative research with a statute approach. The criteria for a good electronic medical record are integrated data from various sources, data collected at the service point, and supporting service providers in decision making. The expected electronic medical record is to be integrated with the health service facility information system program without neglecting the confidentiality aspect. Therefore, the government needs to make regulations on the technical implementation of electronic medical records.

Electronic Medical Records: A Review Comparing the Challenges in Developed and Developing Countries

2008 ◽  
Author(s):  
Sanjay P. Sood ◽  
Stacie N. Nwabueze ◽  
Victor W.A. Mbarika ◽  
Nupur Prakash ◽  
Samir Chatterjee ◽  
...  
Keyword(s):  
Developing Countries ◽  
Electronic Medical Records ◽  
Medical Records
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