Knowledge of electronic medical records system among frontline health care workers in Jos University teaching hospital, Plateau State Nigeria

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Abstract

Background:

Electronic Medical Records system (EMRs) in any healthcare system has the potential to transform healthcare in terms of saving costs, reducing medical errors, improving service quality, increasing patients’ safety, decision-making, saving time, data confidentiality, and sharing medical. Evidence on the current state of EMR system in Nigeria health system particularly its knowledge among health professionals is limited. Hence, this study was conducted to assess the level of knowledge EMRs among frontline health care workers in a tertiary health institution in Jos, Plateau State.

Methods:

This was a cross-sectional study conducted between April and August 2019 among 228 frontline health care workers in Jos University Teaching Hospital using quantitative method of data collection. SPSS version 20 was used for data analysis and a p-value of ≤ 0.05 considered statistically significant.

Results:

The mean age of the respondents in this study was 35±8 years with 93 (40.8%) being 36 years and above. The overall level of knowledge of EMRs was adjudged to be good among 163 (71.5%) of the participants. Category (pharmacists) of the respondents was found to influence good knowledge of EMRs (OR=1.37; 95% CI=1.007–1.865; p=0.045).

Conclusions:

This study has demonstrated a relatively high level of good knowledge of EMRs with variation existing along the categories of health care workers bringing to light the existence of a good knowledge base in the light of future EMRs implementation.

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Most cited references 23

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Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions

Albert Boonstra, Manda Broekhuis (2010)

Background The main objective of this research is to identify, categorize, and analyze barriers perceived by physicians to the adoption of Electronic Medical Records (EMRs) in order to provide implementers with beneficial intervention options. Methods A systematic literature review, based on research papers from 1998 to 2009, concerning barriers to the acceptance of EMRs by physicians was conducted. Four databases, "Science", "EBSCO", "PubMed" and "The Cochrane Library", were used in the literature search. Studies were included in the analysis if they reported on physicians' perceived barriers to implementing and using electronic medical records. Electronic medical records are defined as computerized medical information systems that collect, store and display patient information. Results The study includes twenty-two articles that have considered barriers to EMR as perceived by physicians. Eight main categories of barriers, including a total of 31 sub-categories, were identified. These eight categories are: A) Financial, B) Technical, C) Time, D) Psychological, E) Social, F) Legal, G) Organizational, and H) Change Process. All these categories are interrelated with each other. In particular, Categories G (Organizational) and H (Change Process) seem to be mediating factors on other barriers. By adopting a change management perspective, we develop some barrier-related interventions that could overcome the identified barriers. Conclusions Despite the positive effects of EMR usage in medical practices, the adoption rate of such systems is still low and meets resistance from physicians. This systematic review reveals that physicians may face a range of barriers when they approach EMR implementation. We conclude that the process of EMR implementation should be treated as a change project, and led by implementers or change managers, in medical practices. The quality of change management plays an important role in the success of EMR implementation. The barriers and suggested interventions highlighted in this study are intended to act as a reference for implementers of Electronic Medical Records. A careful diagnosis of the specific situation is required before relevant interventions can be determined.

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E-health technologies show promise in developing countries.

Joaquin Blaya, Hamish S.F. Fraser, Brian Holt (2010)

Is there any evidence that e-health-using information technology to manage patient care-can have a positive impact in developing countries? Our systematic review of evaluations of e-health implementations in developing countries found that systems that improve communication between institutions, assist in ordering and managing medications, and help monitor and detect patients who might abandon care show promise. Evaluations of personal digital assistants and mobile devices convincingly demonstrate that such devices can be very effective in improving data collection time and quality. Donors and funders should require and sponsor outside evaluations to ensure that future e-health investments are well-targeted.

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Why sub-Saharan Africa lags in electronic health record adoption and possible strategies to increase its adoption in this region

Florence Odekunle, Raphael Oluseun Odekunle, Srinivasan Shankar (2017)

Poor health information system has been identified as a major challenge in the health-care system in many developing countries including sub-Saharan African countries. Electronic health record (EHR) has been shown as an important tool to improve access to patient information with attendance improved quality of care. However, EHR has not been widely implemented/adopted in sub-Saharan Africa. This study sought to identify factors that affect the adoption of an EHR in sub-Saharan Africa and strategies to improve its adoption in this region. A comprehensive literature search was conducted on three electronic databases: PubMed, Medline, and Google Scholar. Articles of interest were those published in English that contained information on factors that limit the adoption of an EHR as well as strategies that improve its adoption in sub-Saharan African countries. The available evidence indicated that there were many factors that hindered the widespread adoption of an EHR in sub-Saharan Africa. These were high costs of procurement and maintenance of the EHR system, lack of financial incentives and priorities, poor electricity supply and internet connectivity, and primary user’s limited computer skills. However, strategies such as implementation planning, financial supports, appropriate EHR system selection, training of primary users, and the adoption of the phased implementation process have been identified to facilitate the use of an EHR. Wide adoption of an EHR in sub-Saharan Africa region requires a lot more effort than what is assumed because of the current poor level of technological development, lack of required computer skills, and limited resources.

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Author and article information

Journal

Journal ID (nlm-journal-id): 101772888

Journal ID (pubmed-jr-id): 50109

Journal ID (nlm-ta): Int J Res Med Sci

Journal ID (iso-abbrev): Int J Res Med Sci

Title: International journal of research in medical sciences

ISSN (Print): 2320-6071

ISSN (Electronic): 2320-6012

Publication date Nihms-submitted: 11 November 2020

Publication date (Electronic): 30 October 2020

Publication date (Print): November 2020

Publication date PMC-release: 08 June 2021

Volume: 8

Issue: 11

Pages: 3837-3843

Affiliations

[1 ]Department of Community Medicine, University of Jos and Jos University Teaching Hospital, Jos Plateau State Nigeria

[2 ]Department of Community Medicine, Abubakar Tafawa Balewa University, Bauchi, Bauchi State Nigeria

[3 ]College of Health Sciences, University of Jos, Jos Plateau State Nigeria

[4 ]Department of Community Medicine, Jos University Teaching Hospital, Jos Plateau State Nigeria

[5 ]Department of Epidemiology and Community Health, College of Health Sciences, Benue State University Makurdi, Nigeria

Author notes

[* ] Correspondence: Dr. Tolulope O Afolaranmi, toluene42002@ 123456yahoo.com

Article

Manuscript ID: NIHMS1642665

DOI: 10.18203/2320-6012.ijrms20204867

PMC ID: 8186285

SO-VID: 784c97e2-69d5-497d-bfe2-61c836e8ea5c

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Knowledge of electronic medical records system among frontline health care workers in Jos University teaching hospital, Plateau State Nigeria

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Abstract

Background:

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Blockchain in Healthcare Today

Most cited references 23

Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions

E-health technologies show promise in developing countries.

Why sub-Saharan Africa lags in electronic health record adoption and possible strategies to increase its adoption in this region

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