scholarly journals Electronic Health Records Functionalities in Saudi Arabia: Obstacles and Major Challenges

2018 ◽  
Vol 10 (4) ◽  
pp. 50 ◽  
Author(s):  
A. Karim Jabali ◽  
Mu'taman Jarrar
Keyword(s):  
Saudi Arabia ◽  
Electronic Health Records ◽  
Resistance To Change ◽  
Public Hospitals ◽  
Current Status ◽  
Innovative Technology ◽  
Health Records ◽  
Large Size ◽  
Comprehensive Survey ◽  
Electronic Health

BACKGROUND & OBJECTIVES: Despite the innovative technology availability, however, the functionalities of usefulness are limited and not been explored in Saudi Arabian hospitals. This study aims to determine the extent and diffusion of Electronic Health Records (EHR) in public hospitals in Saudi Arabia and to explore the main obstacles, and problems of adopting EHR in these hospitals.METHODS: A comprehensive survey was developed and sent to the medium and large size hospital stakeholders to collect their opinions on the current status of the adoption and usage of EHR. Cluster random sampling has been used. The study has been conducted in the eastern province.RESULTS: Based on the 15 hospitals surveyed in the Eastern Province (EP), Saudi Arabia, a total of seven hospitals (46.6%) had an EHR system and the implementation is running. EHR is mostly used for order entry (51.11%) and char review (41.11%) in the EP in Saudi Arabia with obstacles to be used for decision support, documentation functions, communication tools. Despite the “secured” EHR system, the results shows that security mechanism did not cover all threats.CONCLUSION: The results suggest that more public hospitals are required to adopting more and more EHR and EHR functionalities. A periodic assessment of EHR status should be performed in addition to or part of an encouraging/ enforcing policies that can significantly increase the rate of adoption of EHR systems. Managers and policymakers can benefit from the study by facing obstacles and general challenges of problems like resistance to change from the medical staff in using the information technology, low and weak financing, and train technical supporting staff for adopting EHR.

scholarly journals The Adoption Level of Electronic Health Records in Turkish Hospitals and the Relation with Hospital Sizes

2019 ◽  
Author(s):  
Ilker Kose ◽  
John Rayner ◽  
Suayip Birinci ◽  
Mustafa Mahir Ulgu ◽  
Ismayil Yilmaz ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Medical Information ◽  
Clinical Care ◽  
Public Hospitals ◽  
Maturity Model ◽  
Health Records ◽  
Hospital Size ◽  
Electronic Health ◽  
Adoption Level ◽  
Better Than

Abstract Background Considering the benefits of using electronic health records (EHR) for maintaining the overall quality of clinical care, the nationwide adoption of EHR in hospitals has become a policy priority. The electronic medical record maturity model (EMRAM) is one of the most popular survey tools developed by the Healthcare Information and Management Systems Society (HIMSS) that measures the level of adoption for EHR functions in a hospital or a secondary care setting. This study aims to measure the digital capacity of public hospitals in Turkey and criticize the relation between adoption and hospital size. Methods EMRAM surveys were completed by 600 (68.9%) public hospitals of Turkey between 2014 and 2017. The availability and prevalence of medical information systems and EHR functions were measured. The association between hospital size and the availability/prevalence of EHR functions was also calculated.Results We found that 63.1% of all hospitals in Turkey have at least basic EHR functions, and 36% have comprehensive EHR functions, which is better than the results of Korean hospitals of 2017 but still lower than the USA hospitals of 2015 (1)[1]and 2017. Our findings suggest that small hospitals are better than larger hospitals at adopting certain EHR functions. Conclusion Measuring the overall adoption level of EHR functions is an emerging approach and a beneficial tool for the strategic management of countries. This study is the first one covering all public hospitals in a country by using EMRAM. The results are used by MoH of Turkey to disseminate the benefits of EHR functions overall in the country.

Evaluating Electronic Health Records Systems in Jordan Extending EUCS With Self-Efficacy

2020 ◽  
Vol 16 (2) ◽  
pp. 1-18
Author(s):  
Ali Odeh Aljaafreh
Keyword(s):  
Electronic Health Records ◽  
Self Efficacy ◽  
Information Quality ◽  
Public Hospitals ◽  
System Quality ◽  
End User ◽  
Ministry Of Health ◽  
Health Records ◽  
Proposed Model ◽  
Electronic Health

This study empirically examines the system satisfaction of employees from the Ministry of Health in Jordan toward the enhancement of the electronic health records (EHR) named HAKEEM. The proposed model has assimilated factors from the enriched end-user computer satisfaction (EUCS) model along with self-efficacy as a new predictor. The participants were 463 respondents distributed in public hospitals through all the country of Jordan. The data were collected by means of a self-administered survey and analyzed using SEM technique. The findings revealed that EUCS is significantly and positively affected by information quality, system quality, and self-efficacy. The study is also looking forward to providing empirical results and applicable recommendations for the Ministry of Health and HAKEEM provider in order to enhance and maximize the benefit of such EHR.

scholarly journals The Adoption Level of Electronic Health Records in Turkish Hospitals and the Relation with Hospital Sizes

2020 ◽  
Author(s):  
Ilker Kose ◽  
John Rayner ◽  
Suayip Birinci ◽  
Mustafa Mahir Ulgu ◽  
Ismayil Yilmaz ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Clinical Care ◽  
Public Hospitals ◽  
Health Records ◽  
Bottom Up ◽  
Hospital Size ◽  
The Usa ◽  
Electronic Health ◽  
Adoption Level ◽  
Better Than

Abstract Background: Considering the benefits of using electronic health records (EHR) for maintaining the overall quality of clinical care, the nationwide adoption of EHR in hospitals has become a policy priority. The electronic medical record maturity model (EMRAM) is one of the most popular survey tools developed by the Healthcare Information and Management Systems Society (HIMSS) that measures the level of adoption for EHR functions in a hospital or a secondary care setting. Turkey has accomplished many standardizations and infrastructural studies in the health IT domain as a part of the first phase of the Health Transformation Program between 2003 and 2017. The Turkish MoH applied a bottom-up approach to adopting EHR in public hospitals, as the USA did. This study aims to measure the EHR adoption level of public hospitals in Turkey and criticize the relation between adoption and hospital size. Methods: EMRAM surveys were completed by 600 (68.9%) public hospitals of Turkey between 2014 and 2017. The availability and prevalence of medical information systems and EHR functions were measured. The association between hospital size and the availability/prevalence of EHR functions was also calculated. Results: We found that 63.1% of all hospitals in Turkey have at least basic EHR functions, and 36% have comprehensive EHR functions, which is better than the results of Korean hospitals of 2017 but still lower than the USA hospitals of 2015 and 2017. Our findings suggest that small hospitals are better than larger hospitals at adopting certain EHR functions. Conclusion: Measuring the overall adoption level of EHR functions is an emerging approach and a beneficial tool for the strategic management of countries. This study is the first one covering all public hospitals in a country by using EMRAM. It can be suggested that using a bottom-up approach as applied by the USA on adopting EHR in public hospital gives successful results also in Turkey. The results are used by MoH of Turkey to disseminate the benefits of EHR functions overall in the country.

scholarly journals Blockchain-Based Quality of Service for Healthcare System in the Gaza Strip

2020 ◽  
Vol 7 (2) ◽  
Keyword(s):  
Electronic Health Records ◽  
Private Information ◽  
Gaza Strip ◽  
Current Status ◽  
Health Records ◽  
Blockchain Technology ◽  
Highly Sensitive ◽  
Complete Health ◽  
Electronic Health ◽  
The Gaza Strip

Electronic Health Records EHRs are critical, highly sensitive private information in healthcare, and need to be frequently shared among different parties for example patients, physicians and administration. Blockchain provides a shared, immutable and transparent health records of all the transactions to build applications with trust, accountability, and transparency. This provides a unique opportunity to develop a secure and trustable EHR data management and sharing system using blockchain. This study aims to develop the use of health records as well as finding the current status of EHRs by designing a checklist to measure the extent of use of health records in the Gaza Strip hospitals and exploring the possibilities of using blockchain technology to develop the use of the electronic health records to share accurate and complete health data between multiple parties such as patients, doctors, and managers in an effective, transparent and secure manner.

scholarly journals Identifying patterns of non-communicable diseases in developed eastern coastal China: a longitudinal study of electronic health records from 12 public hospitals

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e016007 ◽  
Author(s):  
Dehua Yu ◽  
Jianwei Shi ◽  
Hanzhi Zhang ◽  
Zhaoxin Wang ◽  
Yuan Lu ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Age Groups ◽  
Total Sample ◽  
Communicable Diseases ◽  
Public Hospitals ◽  
Health Records ◽  
Non Communicable Diseases ◽  
Chronic Respiratory Diseases ◽  
Electronic Health ◽  
Coastal China

ObjectiveFew studies have examined the spectrum and trends of non-communicable diseases (NCDs) in inpatients in eastern coastal China, which is transforming from an industrial economy to a service-oriented economy and is the most economically developed region in the country. This study aimed to dynamically elucidate the spectrum and characteristics of severe NCDs in eastern coastal China by analysing patients’ longitudinal electronic health records (EHRs).SettingTo monitor the spectrum of NCDs dynamically, we extracted the EHR data from 12 general tertiary hospitals in eastern coastal China from 2003 to 2014. The rankings of and trends in the proportions of different NCDs presented by inpatients in different gender and age groups were calculated and analysed.ParticipantsWe obtained a total sample of 1 907 484 inpatients with NCDs from 2003 to 2014, 50.05% of whom were men and 81.53% were aged 50 years or older.ResultsThere was an increase in the number of total NCD inpatients in eastern coastal China from 2003 to 2014. However, the proportion of chronic respiratory diseases and cancer inpatients decreased over the 12-year period. Compared with men, women displayed a significant increase in the proportion of mental and behavioural disorders (p<0.001) over time. Additionally, digestive diseases and sensory organ diseases significantly decreased among men, but not women. The older group accounted for a larger and growing proportion of the NCD inpatients, and the most common conditions in this group were cerebral infarctions, coronary heart disease and hypertension. In addition, the proportion of 21-year-old to 50-year-old inpatients with diabetes, blood diseases or endocrine diseases skyrocketed from 2003 to 2014 (p<0.001).ConclusionsThe burden of inpatients’ NCDs increased rapidly, particularly among women and younger people. The NCD spectrum observed in eastern coastal China is a good source of evidence for developing prevention guides for regions experiencing transition.

scholarly journals Rural–urban disparities in caesarean section rates in minority areas in China: evidence from electronic health records

2019 ◽  
Vol 48 (2) ◽  
pp. 030006051987799 ◽  
Author(s):  
Lili Kang ◽  
Hai Gu ◽  
Shangyuan Ye ◽  
Biao Xu ◽  
Kangzhen Jing ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Electronic Health Records ◽  
Urban Areas ◽  
Significant Risk ◽  
Public Hospitals ◽  
Rural Hospital ◽  
Regression Analyses ◽  
Multinomial Regression ◽  
Health Records ◽  
Electronic Health

Objective To assess the rural–urban disparity in caesarean section rates using electronic health records from hospitals located in the Province of Inner Mongolia, which is a minority area in Northeastern China. Methods The study examined the electronic health records of women that gave birth in three major public hospitals between January 2012 and December 2016. Multinomial regression analyses were used to estimate rural–urban disparities in caesarean section rates. Results Data from 61 903 women were examined. Caesarean section rates increased slightly over the study period and the rate was significantly higher in rural compared with urban hospitals (48% versus 38%). This disparity consistently increased over time. Multinomial regression analyses showed that maternal age, ethnicity, health insurance type, employment status, reproductive history and the newborn’s sex were significant risk factors associated with caesarean section rate. Furthermore, stratified analysis of first-time pregnancies, minorities and different age groups showed that the odds of undergoing an emergency caesarean section was lower in the rural hospital, but the odds of undergoing a planned caesarean section was higher in the rural hospital. Conclusions Caesarean section rates have increased in rural areas and the disparity in rural–urban areas has increased substantially over the years.

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