Noureldin M, Mosallam R, Hassan S Z
Hamdan Bin Mohammed e-University, Dubai, United Arab Emirates.
Department of Health Administration and Behavioural Sciences, High Institute of Public Health, University of Alexandria, Alexandria, Egypt.
East Mediterr Health J. 2014 Mar 13;20(2):105-11.
Limited data are available about the implementation of electronic records systems in primary care in developing countries. The present study aimed to assess the quality of documentation in the electronic medical records at primary health care units in Alexandria, Egypt and to elicit physician's feedback on barriers and facilitators to the system. Data were collected at 7 units selected randomly from each administrative region and in each unit 50 paper-based records and their corresponding e-records were randomly selected for patients who visited the unit in the first 3 months of 2011. Administrative data were almost complete in both paper and e-records, but the completeness of clinical data varied between 60.0% and 100.0% across different units and types of record. The accuracy rate of the main diagnosis in e-records compared with paper-based records ranged between 44.0% and 82.0%. High workload and system complexity were the most frequently mentioned barriers to implementation of the e-records system.
关于发展中国家初级保健中电子记录系统的实施情况，可用数据有限。本研究旨在评估埃及亚历山大市初级卫生保健单位电子病历中的文档质量，并收集医生对该系统障碍和促进因素的反馈。从每个行政区随机选取7个单位收集数据，在每个单位中，随机选取2011年前3个月就诊患者的50份纸质记录及其相应的电子记录。行政数据在纸质记录和电子记录中几乎都是完整的，但不同单位和记录类型的临床数据完整性在60.0%至100.0%之间有所不同。电子记录与纸质记录相比，主要诊断的准确率在44.0%至82.0%之间。高工作量和系统复杂性是电子记录系统实施中最常提到的障碍。
