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2023年埃塞俄比亚亚的斯亚贝巴部分公立医院卫生专业人员对电子病历实施的态度及其相关因素:一项多中心横断面研究

Attitudes toward implementation of electronic medical record and its associated factors among health professional workers in selected public hospitals in Addis Ababa, Ethiopia, 2023: A multi-center cross-sectional study.

作者信息

Mohammed Abdurehman Seid, Wudu Desalgn, Minda Zewdu, Diress Getachew Mekete

机构信息

Department of Public Health, Saint Peter Specialized Hospital, Addis Ababa, Ethiopia.

Department of Medicine, Saint Peter Specialized Hospital, Addis Ababa, Ethiopia.

出版信息

Digit Health. 2024 Oct 3;10:20552076241277034. doi: 10.1177/20552076241277034. eCollection 2024 Jan-Dec.

Abstract

BACKGROUND STUDY

Electronic medical record (EMR) systems in healthcare delivery have the potential to transform healthcare in terms of saving costs, reducing medical errors, and improving data quality. This study aimed to assess the Attitudes toward implementing electronic medical records and associated factors among health professional workers in selected public hospitals in Addis Ababa

METHOD

An institution-based cross-sectional study was conducted on 422 health professionals in selected hospitals in Addis Ababa, Ethiopia, in 2023. The study participants were selected using a simple random sampling technique. A binary and multivariable logistic regression model was used to identify associated factors for electronic medical record implementation. A -value < .05 was considered statistically significant.

RESULT

The overall electronic medical record implementation perceived as useful by health workers is 298 (73.6%), with an allocation of enough budget [AOR = 3.196 (1.49-6.735)] has no networking or problem with internet access [AOR = 1.794(1.089-2.954)]. Electronic medical record increases workload [AOR = 2.350 (1.302-4.243)], which was significantly associated with electronic medical record implementation.

CONCLUSION AND RECOMMENDATION

According to this study, the overall perception of health professionals toward electronic medical record implementation was high. However, it would be better to build and establish strong internet connectivity and stable power supply or internet access without networking problems, allocate enough budget, and work in collaboration with hospitals and health bureaus to strengthen and support the electronic medical record in their facilities.

摘要

背景研究

医疗保健服务中的电子病历(EMR)系统有潜力在节省成本、减少医疗差错和提高数据质量方面改变医疗保健。本研究旨在评估亚的斯亚贝巴选定公立医院的卫生专业人员对实施电子病历的态度及相关因素。

方法

2023年在埃塞俄比亚亚的斯亚贝巴选定医院对422名卫生专业人员进行了一项基于机构的横断面研究。研究参与者采用简单随机抽样技术选取。使用二元和多变量逻辑回归模型来确定电子病历实施的相关因素。P值<0.05被认为具有统计学意义。

结果

卫生工作者认为总体上有用的电子病历实施情况为298例(73.6%),有足够预算分配[AOR = 3.196(1.49 - 6.735)]且没有网络连接或互联网接入问题[AOR = 1.794(1.089 - 2.954)]。电子病历增加了工作量[AOR = 2.350(1.302 - 4.243)],这与电子病历实施显著相关。

结论与建议

根据本研究,卫生专业人员对电子病历实施的总体认知较高。然而,最好建立强大的互联网连接和稳定的电源供应,或实现无网络问题的互联网接入,分配足够的预算,并与医院和卫生局合作,以加强和支持其设施中的电子病历。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f00/11459567/806f5cf51d7b/10.1177_20552076241277034-fig1.jpg

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