Implementation challenges and perception of care providers on Electronic Medical Records at St. Paul’s and Ayder Hospitals, Ethiopia

Abstract Background In resources constrained settings, effectively implemented Electronic Medical Record systems have numerous benefits over paper-based record keeping. This system was implemented in the 2009 Gregorian Calendar in the two Ethiopian territory hospitals, Ayder and St. Paul’s. The pilo...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Alemayehu Bisrat, Dagne Minda, Bekalu Assamnew, Biruk Abebe, Teshome Abegaz
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Electronic Medical Record Medical record EMR implementation Ethiopia Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/2dfa6251adfa448faa0a8443d5a7f642
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:2dfa6251adfa448faa0a8443d5a7f642
record_format	dspace
spelling	oai:doaj.org-article:2dfa6251adfa448faa0a8443d5a7f6422021-11-08T10:59:23ZImplementation challenges and perception of care providers on Electronic Medical Records at St. Paul’s and Ayder Hospitals, Ethiopia10.1186/s12911-021-01670-z1472-6947https://doaj.org/article/2dfa6251adfa448faa0a8443d5a7f6422021-11-01T00:00:00Zhttps://doi.org/10.1186/s12911-021-01670-zhttps://doaj.org/toc/1472-6947Abstract Background In resources constrained settings, effectively implemented Electronic Medical Record systems have numerous benefits over paper-based record keeping. This system was implemented in the 2009 Gregorian Calendar in the two Ethiopian territory hospitals, Ayder and St. Paul’s. The pilot implementation and similar re-deployment efforts done in 2014 and 2017 Gregorian Calendar failed at St. Paul's. This study aimed to assess the current status, identify challenges, success factors and perception of health care providers to the system to inform on future roll-outs and scale-up plans. Methods A cross sectional study design with quantitative and qualitative methods was employed. A survey was administered October to December 2019 using a structured questionnaire. A total of 240 health care providers participated in the study based on a stratified random sampling technique. An interview was conducted with a total of 10 persons that include IT experts and higher managements of the hospital. Descriptive statistics were employed to summarize the survey data using SPSS V.21. Qualitative data were thematically presented. Results St. Paul’s hospital predominantly practiced the manual medical recording system. The majority of respondents (30.6%) declared that a lack of training and follow up, lack of management commitment, poor network infrastructure and hardware/software-related issues were challenges and contributed to EMR system failure at St. Paul’s. Results from the qualitative data attested to the above results. The system is found well-functioning at Ayder, and the majority of respondents (38%) noted that lack of training and follow-up was the most piercing challenge. As per the qualitative findings, ICT infrastructure, availability of equipment, incentive mechanisms, and management commitment are mentioned as supportive for successful implementation. At both hospitals, 70 to 95% of participants hold favorable perceptions and are willing to use the system. Conclusion Assessing the readiness of the hospital, selecting and acquiring standard and certified EMR systems, provision of adequate logistic requirements including equipment and supplies, and upgrading the hospital ICT infrastructure will allow sustainable deployment of an EMR system.Alemayehu BisratDagne MindaBekalu AssamnewBiruk AbebeTeshome AbegazBMCarticleElectronic Medical RecordMedical recordEMR implementationEthiopiaComputer applications to medicine. Medical informaticsR858-859.7ENBMC Medical Informatics and Decision Making, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Electronic Medical Record Medical record EMR implementation Ethiopia Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Electronic Medical Record Medical record EMR implementation Ethiopia Computer applications to medicine. Medical informatics R858-859.7 Alemayehu Bisrat Dagne Minda Bekalu Assamnew Biruk Abebe Teshome Abegaz Implementation challenges and perception of care providers on Electronic Medical Records at St. Paul’s and Ayder Hospitals, Ethiopia
description	Abstract Background In resources constrained settings, effectively implemented Electronic Medical Record systems have numerous benefits over paper-based record keeping. This system was implemented in the 2009 Gregorian Calendar in the two Ethiopian territory hospitals, Ayder and St. Paul’s. The pilot implementation and similar re-deployment efforts done in 2014 and 2017 Gregorian Calendar failed at St. Paul's. This study aimed to assess the current status, identify challenges, success factors and perception of health care providers to the system to inform on future roll-outs and scale-up plans. Methods A cross sectional study design with quantitative and qualitative methods was employed. A survey was administered October to December 2019 using a structured questionnaire. A total of 240 health care providers participated in the study based on a stratified random sampling technique. An interview was conducted with a total of 10 persons that include IT experts and higher managements of the hospital. Descriptive statistics were employed to summarize the survey data using SPSS V.21. Qualitative data were thematically presented. Results St. Paul’s hospital predominantly practiced the manual medical recording system. The majority of respondents (30.6%) declared that a lack of training and follow up, lack of management commitment, poor network infrastructure and hardware/software-related issues were challenges and contributed to EMR system failure at St. Paul’s. Results from the qualitative data attested to the above results. The system is found well-functioning at Ayder, and the majority of respondents (38%) noted that lack of training and follow-up was the most piercing challenge. As per the qualitative findings, ICT infrastructure, availability of equipment, incentive mechanisms, and management commitment are mentioned as supportive for successful implementation. At both hospitals, 70 to 95% of participants hold favorable perceptions and are willing to use the system. Conclusion Assessing the readiness of the hospital, selecting and acquiring standard and certified EMR systems, provision of adequate logistic requirements including equipment and supplies, and upgrading the hospital ICT infrastructure will allow sustainable deployment of an EMR system.
format	article
author	Alemayehu Bisrat Dagne Minda Bekalu Assamnew Biruk Abebe Teshome Abegaz
author_facet	Alemayehu Bisrat Dagne Minda Bekalu Assamnew Biruk Abebe Teshome Abegaz
author_sort	Alemayehu Bisrat
title	Implementation challenges and perception of care providers on Electronic Medical Records at St. Paul’s and Ayder Hospitals, Ethiopia
title_short	Implementation challenges and perception of care providers on Electronic Medical Records at St. Paul’s and Ayder Hospitals, Ethiopia
title_full	Implementation challenges and perception of care providers on Electronic Medical Records at St. Paul’s and Ayder Hospitals, Ethiopia
title_fullStr	Implementation challenges and perception of care providers on Electronic Medical Records at St. Paul’s and Ayder Hospitals, Ethiopia
title_full_unstemmed	Implementation challenges and perception of care providers on Electronic Medical Records at St. Paul’s and Ayder Hospitals, Ethiopia
title_sort	implementation challenges and perception of care providers on electronic medical records at st. paul’s and ayder hospitals, ethiopia
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2dfa6251adfa448faa0a8443d5a7f642
work_keys_str_mv	AT alemayehubisrat implementationchallengesandperceptionofcareprovidersonelectronicmedicalrecordsatstpaulsandayderhospitalsethiopia AT dagneminda implementationchallengesandperceptionofcareprovidersonelectronicmedicalrecordsatstpaulsandayderhospitalsethiopia AT bekaluassamnew implementationchallengesandperceptionofcareprovidersonelectronicmedicalrecordsatstpaulsandayderhospitalsethiopia AT birukabebe implementationchallengesandperceptionofcareprovidersonelectronicmedicalrecordsatstpaulsandayderhospitalsethiopia AT teshomeabegaz implementationchallengesandperceptionofcareprovidersonelectronicmedicalrecordsatstpaulsandayderhospitalsethiopia
_version_	1718442408758214656

Implementation challenges and perception of care providers on Electronic Medical Records at St. Paul’s and Ayder Hospitals, Ethiopia

Ejemplares similares