Department of Public Health, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Ethiopia.
Biomed Res Int. 2021 Nov 8;2021:2230618. doi: 10.1155/2021/2230618. eCollection 2021.
A lot of effort is being done in the electronic medical record (EMR) system. However, it has not been implemented and used at the expected scale for maximal effectiveness. There is limited evidence on the factors affecting the utilization of EMR in this particular context, which are critical for targeted strategies.
To assess the magnitude and factors affecting the utilization of EMR among health professionals in eastern Ethiopia.
An institutional-based cross-sectional study was conducted among randomly selected 412 health professionals from Harari and Dire Dawa, eastern Ethiopia, using a pretested self-administered questionnaire. The tool was developed from previous literature, and a pilot survey was done before the actual study. Bivariable and multivariable binary logistic regression were done to assess the relationship between an independent variable with EMR use. Crude and an adjusted odds ratio with a 95% confidence interval were reported. A value of less than 0.05 was used to declare a statistically significant association.
A total of 412 health professionals with a mean age of 29 years (±6.4 years) were included. A total of 229 (55.6%) and 300 (72.8%) of them had good knowledge and attitude towards the EMR, while 279 (67.7%) used the service (54% used it on a daily basis). About 272 (66%) of the respondents reported that they prefer EMRs to paper-based systems. Health professionals with more than five years of experience had two times higher odds of using the service (AOR = 2.22; 95% CI; 1.12-4.42) than early-career workers. Health professionals trained in EMR would use the service more (AOR = 5.88; 95% CI; 2.93-11.88) compared to those who did not take the training. In addition, having good knowledge (AOR = 1.52; 95% CI; 0.92-1.5) and a good attitude towards the EMR system (AOR = 2.4; 95% CI; 1.35-4.31) showed to use EMR as compared to counterparts.
The utilization of EMR was found to be optimal. Age, work experience, knowledge, attitude, and training of professionals were positively associated with the use of the service in their facility.
在电子病历（EMR）系统中投入了大量的努力。然而，其并未以最大效果所预期的规模进行实施和使用。在这一特定背景下，有关影响 EMR 使用的因素的证据有限，这些因素对于有针对性的策略至关重要。
评估在埃塞俄比亚东部，卫生专业人员使用 EMR 的程度和影响其使用的因素。
在埃塞俄比亚东部的哈拉里和 Dire Dawa ，对随机抽取的 412 名卫生专业人员进行了一项基于机构的横断面研究，使用了预先测试的自我管理问卷。该工具是从前人的文献中开发的，在实际研究之前进行了试点调查。采用单变量和多变量二项逻辑回归来评估独立变量与 EMR 使用之间的关系。报告了未经调整和调整后的比值比及其 95%置信区间。使用 值小于 0.05 来表示具有统计学意义的关联。
共纳入了 412 名平均年龄为 29 岁（±6.4 岁）的卫生专业人员。其中 229 名（55.6%）和 300 名（72.8%）对 EMR 有较好的知识和态度，而 279 名（67.7%）使用了该服务（54%的人每天都在使用）。约 272 名（66%）的受访者表示，他们更喜欢 EMR 而不是纸质系统。拥有超过五年工作经验的卫生专业人员使用该服务的可能性是早期职业者的两倍（AOR = 2.22；95%CI；1.12-4.42）。接受过 EMR 培训的卫生专业人员比未接受培训的人员更有可能使用该服务（AOR = 5.88；95%CI；2.93-11.88）。此外，与其他人员相比，具有良好的知识（AOR = 1.52；95%CI；0.92-1.5）和对 EMR 系统的良好态度（AOR = 2.4；95%CI；1.35-4.31）的卫生专业人员更倾向于使用 EMR。
发现 EMR 的使用率很高。专业人员的年龄、工作经验、知识、态度和培训与他们在医疗机构中使用该服务呈正相关。
