Al-Otaibi Jawaher, Tolma Eleni, Alali Walid, Alhuwail Dari, Aljunid Syed Mohamed
Department of Health Policy and Management, College of Public Health, Kuwait University, Kuwait City, Kuwait.
Social Behavioral Sciences, College of Public Health, Kuwait Unviersity, Kuwait City, Kuwait.
JMIR Med Inform. 2022 Oct 7;10(10):e36313. doi: 10.2196/36313.
Electronic health record (EHR) has emerged as a backbone health care organization that aims to integrate health care records and automate clinical workflow. With the adoption of the eHealth care system, health information communication technologies and EHRs are offering significant health care advantages in the form of error reduction, improved communication, and patient satisfaction.
This study aimed to (1) investigate factors associated with physicians' EHR adoption status and prevalence of EHRs in Kuwait and (2) identify factors predicting physician satisfaction with EHRs in public hospitals in Kuwait.
This study was conducted at Kuwait's public Al-Jahra hospital from May to September 2019, using quantitative research methods. Primary data were gathered via questionnaires distributed among 295 physicians recruited using convenience sampling. Data were analyzed in SPSS using descriptive, bivariate, and multivariate linear regression, adjusted for demographics.
Results of the study revealed that the controlled variable of gender (β=-.197; P=.02) along with explanatory variables, such as training quality (β=.068; P=.005), perception of barriers (β=-.107; P=.04), and effect on physician (β=.521; P<.001) have a significant statistical relationship with physicians' EHR adoption status. Furthermore, findings also suggested that controlled variables of gender (β=-.193; P=.02), education (β=-.164; P=.03), effect on physician (β=.417; P<.001), and level of ease of use (β=.254; P<.001) are significant predictors of the degree of physician satisfaction with the EHR system.
The findings of this study had significant managerial and practical implications for creating an inductive environment for the acceptance of EHR systems across a broad spectrum of health care system in Kuwait.
电子健康记录(EHR)已成为医疗保健机构的支柱,旨在整合医疗记录并使临床工作流程自动化。随着电子医疗保健系统的采用,健康信息通信技术和电子健康记录在减少错误、改善沟通和提高患者满意度方面提供了显著的医疗保健优势。
本研究旨在(1)调查科威特医生采用电子健康记录的相关因素以及电子健康记录的普及率,(2)确定科威特公立医院中预测医生对电子健康记录满意度的因素。
本研究于2019年5月至9月在科威特的公立贾赫拉医院进行,采用定量研究方法。通过向295名使用便利抽样招募的医生发放问卷收集原始数据。在SPSS中对数据进行分析,使用描述性、双变量和多变量线性回归,并对人口统计学进行调整。
研究结果表明,性别控制变量(β = -0.197;P = 0.02)以及培训质量(β = 0.068;P = 0.005)、障碍感知(β = -0.107;P = 0.04)和对医生的影响(β = 0.521;P < 0.001)等解释变量与医生采用电子健康记录的状况有显著的统计关系。此外,研究结果还表明,性别(β = -0.193;P = 0.02)、教育程度(β = -0.164;P = 0.03)、对医生的影响(β = 0.417;P < 0.001)和易用性水平(β = 0.254;P < 0.001)等控制变量是医生对电子健康记录系统满意度程度的显著预测因素。
本研究结果对在科威特广泛的医疗保健系统中营造接受电子健康记录系统的诱导环境具有重要的管理和实践意义。