Biruk Senafekesh, Yilma Tesfahun, Andualem Mulusew, Tilahun Binyam
Department of Health informatics, Teda Health Science College, Gondar, Ethiopia.
Department of Health informatics, University of Gondar, Gondar, Ethiopia.
BMC Med Inform Decis Mak. 2014 Dec 12;14:115. doi: 10.1186/s12911-014-0115-5.
Electronic medical record systems are being implemented in many countries to support healthcare services. However, its adoption rate remains low, especially in developing countries due to technological, financial, and organizational factors. There is lack of solid evidence and empirical research regarding the pre implementation readiness of healthcare providers. The aim of this study is to assess health professionals' readiness and to identify factors that affect the acceptance and use of electronic medical recording system in the pre implementation phase at hospitals of North Gondar Zone, Ethiopia.
An institution based cross-sectional quantitative study was conducted on 606 study participants from January to July 2013 at 3 hospitals in northwest Ethiopia. A pretested self-administered questionnaire was used to collect the required data. The data were entered using the Epi-Info version 3.5.1 software and analyzed using SPSS version 16 software. Descriptive statistics, bi-variate, and multi-variate logistic regression analyses were used to describe the study objectives and assess the determinants of health professionals' readiness for the system. Odds ratio at 95% CI was used to describe the association between the study and the outcome variables.
Out of 606 study participants only 328 (54.1%) were found ready to use the electronic medical recording system according to our criteria assessment. The majority of the study participants, 432 (71.3%) and 331(54.6%) had good knowledge and attitude for EMR system, respectively. Gender (AOR = 1.87, 95% CI: [1.26, 2.78]), attitude (AOR = 1.56, 95% CI: [1.03, 2.49]), knowledge (AOR = 2.12, 95% CI: [1.32, 3.56]), and computer literacy (AOR =1.64, 95% CI: [0.99, 2.68]) were significantly associated with the readiness for EMR system.
In this study, the overall health professionals' readiness for electronic medical record system and utilization was 54.1% and 46.5%, respectively. Gender, knowledge, attitude, and computer related skills were the determinants of the presence of a relatively low readiness and utilization of the system. Increasing awareness, knowledge, and skills of healthcare professionals on EMR system before system implementation is necessary to increase its adoption.
许多国家正在实施电子病历系统以支持医疗服务。然而，其采用率仍然很低，尤其是在发展中国家，这是由于技术、资金和组织因素所致。关于医疗服务提供者在实施前的准备情况，缺乏确凿的证据和实证研究。本研究的目的是评估卫生专业人员的准备情况，并确定在埃塞俄比亚北贡德尔地区医院实施前阶段影响电子病历系统接受和使用的因素。
2013年1月至7月，在埃塞俄比亚西北部的3家医院对606名研究参与者进行了一项基于机构的横断面定量研究。使用预先测试的自填式问卷收集所需数据。数据使用Epi-Info 3.5.1版软件录入，并使用SPSS 16版软件进行分析。描述性统计、双变量和多变量逻辑回归分析用于描述研究目标并评估卫生专业人员对该系统准备情况的决定因素。95%置信区间的比值比用于描述研究与结果变量之间的关联。
根据我们的标准评估，在606名研究参与者中，只有328名（54.1%）准备好使用电子病历系统。大多数研究参与者，分别有432名（71.3%）和331名（54.6%）对电子病历系统有良好的知识和态度。性别（调整后比值比=1.87，95%置信区间：[1.26, 2.78]）、态度（调整后比值比=1.56，95%置信区间：[1.03, 2.49]）、知识（调整后比值比=2.12，95%置信区间：[1.32, 3.56]）和计算机素养（调整后比值比=1.64，95%置信区间：[0.99, 2.68]）与电子病历系统的准备情况显著相关。
在本研究中，卫生专业人员对电子病历系统的总体准备情况和利用率分别为54.1%和46.5%。性别、知识、态度和计算机相关技能是该系统准备情况和利用率相对较低的决定因素。在系统实施前提高医疗专业人员对电子病历系统的认识、知识和技能，对于提高其采用率是必要的。
