Saleh Hager, Lundborg Cecilia Stålsby, Sharma Megha
Department of Global Public Health, Health Systems and Policy, Karolinska Institutet, Stockholm, 17177, Sweden.
Department of Pharmacology, Ruxmaniben Deepchand Gardi Medical College, Surasa, Ujjain, 456006, India.
BMC Health Serv Res. 2025 May 19;25(1):719. doi: 10.1186/s12913-025-12877-5.
Electronic medical record systems (EMRS) have transformed healthcare by improving quality, efficiency, and safety through centralized patient data and streamlined workflows. Challenges such as budget constraints and staff resistance hinder its adoption, particularly in resource-limited settings like India; however, they have not been investigated thoroughly. The objective of our study is to explore the benefits and barriers perceived by medical doctors in implementing EMRS in an Indian private-sector hospital.
A cross-sectional study was conducted at a private hospital in a rural area of the Ujjain district, Madhya Pradesh, India. All 130 doctors pursuing postgraduate studies were invited to participate in person using a convenience sampling method. Responses from 105 doctors were received using a self-administered questionnaire. The survey captured participants' attitudes, perceived benefits, and barriers to EMRS implementation in the facility. Descriptive statistics were used to analyse the data.
Of the respondents, 93% expressed a desire for EMRS implementation. Identified barriers included financial constraints, insufficient infrastructure, staffing shortages, and technological challenges, such as unreliable internet access. Participants highlighted the anticipated benefits, such as improved data accessibility, enhanced operational efficiency, and preferences for digitizing lab reports and e-prescriptions.
Exploring and addressing the financial, organizational, and technological barriers as perceived by the participants are crucial steps to facilitate EMRS implementation in healthcare facilities. Larger in-depth studies are necessary to develop tailored strategies for overcoming these challenges in similar settings.
电子病历系统(EMRS)通过集中患者数据和简化工作流程,提高了医疗质量、效率和安全性,从而改变了医疗保健行业。预算限制和员工抵触等挑战阻碍了其采用,尤其是在印度这样资源有限的环境中;然而,这些问题尚未得到充分研究。我们研究的目的是探讨印度一家私立医院的医生在实施电子病历系统时所感知到的益处和障碍。
在印度中央邦乌贾因地区农村的一家私立医院进行了一项横断面研究。采用便利抽样方法,邀请了所有130名正在攻读研究生的医生亲自参与。通过自填问卷收到了105名医生的回复。该调查收集了参与者对该机构实施电子病历系统的态度、感知到的益处和障碍。使用描述性统计分析数据。
在受访者中,93%表示希望实施电子病历系统。确定的障碍包括资金限制、基础设施不足、人员短缺以及技术挑战,如网络接入不可靠。参与者强调了预期的益处,如改善数据可及性、提高运营效率以及对实验室报告和电子处方数字化的偏好。
探索并解决参与者所感知到的财务、组织和技术障碍,是促进医疗机构实施电子病历系统的关键步骤。需要进行更大规模的深入研究,以制定在类似环境中克服这些挑战的针对性策略。