Rhayha Radouane, El Ouali Lalami Abdelhakim, El Malki Hicham, Merabti Abdelilah, El Hilaly Jaouad, Mahla Tarik, Bahli Bouchaib, Alaoui Ismaili Abderrahman
Laboratory of Industrial Technologies and Services, Higher School of Technology, Sidi Mohamed Ben Abdellah University, P.B 2427 Route d'Imouzzer, Fez, 30000, Morocco.
Higher Institute of Nursing Professions and Health Techniques of Fez, Annex of Meknes, Rue Omar El Farouk Hamria, 50000, Meknes, Morocco.
BMC Health Serv Res. 2025 Feb 28;25(1):324. doi: 10.1186/s12913-025-12438-w.
In recent years, the Moroccan Ministry of Health and Social Protection has invested considerable resources in implementing electronic health record (EHR) systems to provide citizens with quality healthcare services through efficient structures. However, the rhythm of EHR deployment across the country is very slow, requiring urgent evaluation to remove barriers to successful EHR adoption.
This study aims to investigate the critical factors affecting healthcare providers' performance post-EHR implementation in Moroccan public hospitals.
A cross-sectional study was conducted in three hospitals affiliated with Hassan II University Hospital Center in Fez. Data were collected using a questionnaire survey administered to a sample of 368 healthcare providers from March 2021 to July 2021. Clinician performance was assessed using a proposed research model that integrates the Information System Success Model and the Technology-Organization-Environment framework. The final model was analyzed and tested by using structural equation modeling. Statistical analyses were conducted using SPSS version 25 and Amos version 26.
The findings highlighted that the most critical factors influencing clinician performance are clinician satisfaction (β = 0.5, p < 0.001), followed by organization (β = 0.28, p < 0.001), and system quality (β = 0.17, p = 0.01). Additionally, information quality indirectly affects clinician performance (β = 0.19, p < 0.001). However, the environmental factor does not appear to have a significant impact (β = -0.004, p = 0.94).
This study, performed for the first time in Morocco, identifies key factors for policymakers and healthcare organizations to enhance the successful implementation of EHR systems. Additionally, it serves as a valuable framework for future studies in this area.
近年来，摩洛哥卫生和社会保护部投入了大量资源来实施电子健康记录（EHR）系统，以便通过高效的架构为公民提供优质的医疗服务。然而，EHR在全国的部署节奏非常缓慢，需要进行紧急评估以消除成功采用EHR的障碍。
本研究旨在调查影响摩洛哥公立医院实施EHR后医疗服务提供者绩效的关键因素。
在非斯的哈桑二世大学医院中心附属的三家医院进行了一项横断面研究。2021年3月至2021年7月，通过对368名医疗服务提供者进行问卷调查来收集数据。使用一个整合了信息系统成功模型和技术-组织-环境框架的拟议研究模型来评估临床医生的绩效。通过结构方程模型对最终模型进行分析和测试。使用SPSS 25版和Amos 26版进行统计分析。
研究结果突出表明，影响临床医生绩效的最关键因素是临床医生满意度（β = 0.5，p < 0.001），其次是组织（β = 0.28，p < 0.001）和系统质量（β = 0.17，p = 0.01）。此外，信息质量间接影响临床医生绩效（β = 0.19，p < 0.001）。然而，环境因素似乎没有显著影响（β = -0.004，p = 0.94）。
这项在摩洛哥首次进行的研究为政策制定者和医疗组织确定了增强EHR系统成功实施的关键因素。此外，它为该领域未来的研究提供了一个有价值的框架。
