Komfo Anokye Teaching Hospital, Kumasi, Ashanti Region, Ghana.
Department of Epidemiology, Biostatistics and Disease Control, School of Public Health, University for Development Studies (UDS), P. O. Box TL1350, Tamale, Northern Region, Ghana.
BMC Med Inform Decis Mak. 2024 Aug 21;24(1):231. doi: 10.1186/s12911-024-02636-7.
Electronic health records (EHRs) are currently gaining popularity in emerging economies because they provide options for exchanging patient data, increasing operational efficiency, and improving patient outcomes. This study examines how service providers at Ghana's Komfo Anokye Teaching Hospital adopt and use an electronic health records (EHRs) system. The emphasis is on identifying factors impacting adoption and the problems that healthcare personnel encounter in efficiently using the EHRs system.
A quantitative cross-sectional technique was utilised to collect data from 234 trauma and emergency department staff members via standardised questionnaires. The participants were selected using the purposive sampling method. The Pearson Chi-square Test was used to examine the relationship between respondents' acceptability and use of EHRs.
The study discovered that a sizable number of respondents (86.8%) embraced and actively used the EHRs system. However, other issues were noted, including insufficient system training and malfunctions (35.9%), power outages (18.8%), privacy concerns (9.4%), and insufficient maintenance (4.7%). The respondents' comfortability in using the electronic health record system (X=11.30, p=0.001), system dependability (X=30.74, p=0.0001), and EHR's ability to reduce patient waiting time (X=14.39, p=0.0001) were all strongly associated with their degree of satisfaction with the system. Furthermore, respondents who said elects increase patient care (X= 75.59, p = 0.0001) and income creation (X= 8.48, p = 0.004), which is related to the acceptability of the electronic health records system.
The study revealed that comfort, reliability, and improved care quality all had an impact on the EHRs system's acceptability and utilization. Challenges, including equipment malfunctions and power outages, were found. Continuous professional training was emphasized as a means of increasing employee confidence, as did the construction of a power backup system to combat disruptions. Patient data privacy was highlighted. In conclusion, this study highlights the relevance of EHRs system adoption and usability in healthcare. While the benefits are obvious, addressing obstacles through training, technical support, and infrastructure improvements is critical for increasing system effectiveness.
电子健康记录（EHRs）在新兴经济体中越来越受欢迎，因为它们提供了交换患者数据、提高运营效率和改善患者结果的选择。本研究考察了加纳 Komfo Anokye 教学医院的服务提供商如何采用和使用电子健康记录（EHRs）系统。重点是确定影响采用的因素以及医疗保健人员在高效使用 EHRs 系统时遇到的问题。
采用定量横断面技术，通过标准化问卷从 234 名创伤和急诊科工作人员收集数据。使用目的抽样法选择参与者。使用 Pearson Chi-square 检验检查受访者对 EHRs 的接受程度和使用情况之间的关系。
研究发现，相当数量的受访者（86.8%）接受并积极使用 EHRs 系统。然而，还注意到其他问题，包括系统培训和故障不足（35.9%）、停电（18.8%）、隐私问题（9.4%）和维护不足（4.7%）。受访者使用电子健康记录系统的舒适度（X=11.30，p=0.001）、系统可靠性（X=30.74，p=0.0001）和减少患者等待时间的能力（X=14.39，p=0.0001）与他们对系统的满意度密切相关。此外，认为电子病历系统可以增加患者护理（X=75.59，p=0.0001）和收入创造（X=8.48，p=0.004）的受访者表示，这与电子健康记录系统的可接受性有关。
该研究表明，舒适度、可靠性和提高的护理质量都对 EHRs 系统的可接受性和使用产生了影响。发现了一些挑战，包括设备故障和停电。强调持续的专业培训是提高员工信心的一种方式，此外还建立了备用电源系统以应对中断。患者数据隐私也得到了强调。总之，本研究强调了电子健康记录系统在医疗保健中的采用和可用性的相关性。虽然好处显而易见，但通过培训、技术支持和基础设施改进来解决障碍对于提高系统效率至关重要。
