Ministry of National Guard-Health Affairs, Jeddah, Saudi Arabia.
King Abdullah International Medical Research Center, Jeddah, Saudi Arabia.
BMC Fam Pract. 2020 Feb 15;21(1):37. doi: 10.1186/s12875-020-1099-0.
The implementation of the Electronic Medical Record (EMR) system initiated a significant transition in the healthcare system from traditional paper-based medical records to a digital version. Though EMR offers several benefits compared to Paper Medical Records (PMR), patient satisfaction with the EMR has been an area of concern. The objective of this study is to explore patient satisfaction with the EMR compared to the PMR of patients attending five Primary Healthcare Centers in the Western Region of Saudi Arabia.
A cross-sectional survey was conducted with patients who attended five Primary Health Care centers (PHCs) in the Western Region during 2018. A sample of 377 participants was invited to complete a self-developed structured questionnaire with multiple choice and Likert Scale questions. The questionnaire was distributed to participants in the PHC waiting areas.
The sample size realized as (n = 377) participants, the majority (65.0%) were female. The overall patient satisfaction was 3.708. Patient satisfaction with the EMR was statistically significant compared to the PMR (3.7241 vs. 3.6919, p < 0.001). Several factors provided evidence of the overall satisfaction with the implementation of the EMR, including an increase in physician attention during the clinical consultation (82.3%), increased explanation of tests and medication (85.8%), increased time spent with the patient during the consultation (80.4%) and increased active listening by the physician (77.3%). Besides, the patients felt confident to ask the physician question related to health during clinical consultation (84.0%).
Patient satisfaction during the clinical consultation and overall satisfaction with various PHC services improved with the implementation of EMR.
电子病历（EMR）系统的实施使医疗系统从传统的纸质病历向数字化病历发生了重大转变。尽管 EMR 与纸质病历（PMR）相比具有多项优势，但患者对 EMR 的满意度一直是人们关注的一个问题。本研究旨在探讨与沙特阿拉伯西部地区五家初级保健中心的 PMR 相比，患者对 EMR 的满意度。
2018 年，对西部地区五家初级保健中心（PHC）的患者进行了横断面调查。邀请 377 名参与者参加了一项自我设计的包含多项选择和李克特量表问题的结构化问卷。问卷在 PHC 等候区分发给参与者。
实现的样本量为（n=377）名参与者，其中大多数（65.0%）为女性。总体患者满意度为 3.708。与 PMR 相比，患者对 EMR 的满意度具有统计学意义（3.7241 对 3.6919，p<0.001）。有几个因素为 EMR 实施的整体满意度提供了证据，包括在临床咨询期间医生关注度增加（82.3%）、增加对测试和药物的解释（85.8%）、咨询期间与患者共度的时间增加（80.4%）和医生主动倾听增加（77.3%）。此外，患者在临床咨询期间有信心向医生询问与健康相关的问题（84.0%）。
随着 EMR 的实施，患者在临床咨询期间的满意度和对各种 PHC 服务的总体满意度得到了提高。
