Alobo Igbo Gabriel, Soyannwo Tolulope, Ukponwan Godwin, Akogu Simon, Akpa Abubakar Matthew, Ayankola Kazeem
Maternal Health Department Jhpiego an affiliate of Johns Hopkins University Nigeria field office.
Newborn Health Department Save the Children International Nigeria Field Office.
Afr Health Sci. 2020 Jun;20(2):948-954. doi: 10.4314/ahs.v20i2.50.
Perspectives on the pioneering work of Electronic Health Recording (EHR) system in Nigeria was studied.
To determine health workers perception, challenges, motivation and satisfaction with EHR.
This was a descriptive cross sectional study using structured questionnaire to assess health workers perspective on EHR system at Kogi State Specialist Hospital.
A total of 35 consenting health workers with an mean age of 39.4(± 7.6) years using EHR were assessed. The mean daily work hour was 8.0(± 2.4 hours) and median client load per participant was 20 daily. On perceptions, 74.3%, 52.9%, 45.5% and 60.0% were comfortable, well-motivated, satisfied and competent with EHR. The advantages were reduction in transcription cost (88.5%), Paper work (97.1%), administrative cost (91.4%), errors (82.9%) and it captures, provides more services including timely access and ease research in 94.3%, 74.3%, 94.3% and 82.9% respectively. Challenges were threat to patient privacy, poor internet, information overload, power outages, incomplete and inaccurate information in 17.0%, 65.7%, 31.5%, 62.9%, 37.1% and 22.9% respectively.
Health workers were comfortable and satisfied with EHR and it eased their work.Scaling up EHR would reduce administrative cost, transcription errors and paper works to mitigate poor quality data from Nigeria a great contributor to global morbidities/mortalities.
对尼日利亚电子健康记录（EHR）系统的开创性工作进行了研究。
确定卫生工作者对电子健康记录的看法、挑战、动机和满意度。
这是一项描述性横断面研究，使用结构化问卷评估科吉州专科医院卫生工作者对电子健康记录系统的看法。
共评估了35名使用电子健康记录的同意参与的卫生工作者，平均年龄为39.4（±7.6）岁。平均每日工作时长为8.0（±2.4小时），每位参与者的每日客户负荷中位数为20。在看法方面，74.3%、52.9%、45.5%和60.0%的人对电子健康记录感到舒适、积极性高、满意且有能力使用。其优点包括转录成本降低（88.5%）、文书工作减少（97.1%）、行政成本降低（91.4%）、错误减少（82.9%），并且它分别在94.3%、74.3%、94.3%和82.9%的情况下能够捕获、提供更多服务，包括及时获取信息和便于研究。挑战分别是对患者隐私的威胁（17.0%）、网络不佳（65.7%）、信息过载（31.5%）、停电（62.9%）、信息不完整和不准确（37.1%和22.9%）。
卫生工作者对电子健康记录感到舒适和满意，并且它简化了他们的工作。扩大电子健康记录的使用将降低行政成本、转录错误和文书工作，以减轻来自尼日利亚的劣质数据，而尼日利亚是全球发病率/死亡率的重要贡献者。
