Factors influencing implementation of electronic health records system in Nyeri level 5 hospital

Authors

  • Geoffrey M. Mukuria Department of Information Science, Kenya Methodist University, Nairobi, Kenya
  • Kezia Njoroge Department of Health System Management, Kenya Methodist University, Nairobi, Kenya
  • Daniel Muendo Department of Information Technology, Kenya Methodist University, Nairobi, Kenya
  • Catherine Nzioka Department of Information Science, Kenya Methodist University, Nairobi, Kenya

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20230212

Keywords:

Electronic, Health, Records, Implementation

Abstract

Background: The six WHO blocks can be utilized to find numerous opportunities for health improvement. Each component of the WHO structure is critical. In order to improve performance, prosperous reinforcement of the health system necessitates pertinent, well-timed, and precise information. Adoption of an EMR system has been found to increase patient safety by reducing flaws in paper-based medical records.

Methods: The study used a descriptive survey design with a quantitative methodology. The study targeted 422 healthcare workers operating within the outpatient and inpatient department with a sample of 205 respondents. Questionnaires were used to collect quantitative data. Data was analysed using the Statistical Package for Social Science computer application (SPSS) version 26. Quantitative data were organized, presented, analysed, and interpreted using descriptive and inferential statistics.

Results: The results suggested that the implementation of the electronic health records system was positively and significantly influenced by health infrastructure (β=0.402, p˂0.05), human workforce (β=0.154, p˂0.05), health leadership (β=0.452, p˂0.05), and service delivery β=0.168, p˂0.05). Health leadership was key in the implementation of the Electronic Health Records System as it is the one that carries the vision of the hospital. Based on the survey results, it was evident that there were a number of factors influencing the implementation of an electronic health records system.

Conclusions: There was a favorable and significant impact of health infrastructure, human workforce, health leadership and service delivery on implementation of electronic health records system.

References

Agniel D, Kohane S, Weber M. Biases in electronic health record data due to processes within the healthcare system: retrospective observational study. Br Med J. 2018;361(1):6-7.

Alanezi F. Factors affecting the implementation of e-health system in the Kingdom of Saudi Arabia. Int Health. 2021;13(5):456-70.

Alvandi M. Optimizing the effect of electronic health records for healthcare professionals and consumers. Am J Manag Care. 2015;3(3):2-5.

Ariffin N, Ismail A, Kamal A. Implementation of electronic medical records in developing countries: challenges and barriers. Int J Acad Res Progress Edu Dev. 2018;7(3):187-99.

Bercaw RG, Knoth KA, Snedaker ST. The Lean Electronic Health Record: A Journey toward Optimized Care. Product Press J. 2018.

Cooper R, Schinder S. Business research methods. 10th ed. USA: McGraw Hill; 2011.

Dash B. Essentials of Nursing Research & Biostatistics. India: Jaypee Brothers Medical Publisher (P) Ltd; 2009.

Destriana D, Juanda B. Influence of information technology on society. Mat Sci Eng. 2019;5(3):22-35.

Dornan L, Pinyopornpanish K, Jiraporncharoen W, Hashmi A, Dejkriengkraikul N, Angkurawaranon C. Utilization of electronic health records for public health in Asia: a review of success factors and potential challenges. Biomed Res Int. 2019;1(1):1-9.

Erickson TJ. Evidence of improved outcomes using patient-generated health data. Nurs Manag. 2022;53(6):12-5.

Evans R. Electronic Health Records: Then, Now, and in the Future. Nurs Manag. 2016;25(1), 48-61.

Halamka, D. Health Policy Brief: Electronic Health Record Standards. Health Affairs. 2010.

Isemeck S, Ngure K, Kariuki J, Muchene O. Factors influencing the adoption of electronic health records in public health facilities in Kisumu County, Kenya. J Health Med Nurs. 2019;4(1):74-101.

Katurura MC, Cilliers L. Electronic health record system in the public health care sector of South Africa: A systematic literature review. Afr J Primary Health Care Family Med. 2018;10(1):1-8.

Katuu S. Managing records in South Africa’s public sector a review of the literature. J Soulitican Soc Arch. 2015;48(1):4-8.

Kavuma, M. The usability of electronic medical record systems implemented in sub-Saharan Africa: A literature review of the evidence. J Med Internet Res Human Fact. 2019;6(1):8-9.

Kenya Health Policy. Kenya National e-Health Policy 2016-2030. Policy Doc J. 2016;3:13-9.

Kruk M, Gage D, Arsenault C, Jordan K, Leslie H, Roder-DeWan S, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Global Health. 2018;6(11):1196- 252.

Kruse S, Stein A, Thomas H, Kaur H. The use of electronic health records to support population health: a systematic review of the literature. J Med Systems. 2018;42(11):13-4.

Lanier C, Cerutti B, Dao D, Hudelson P. What factors influence the use of electronic health records during the first 10 minutes of the clinical encounter? International J Gen Med. 2018;11(1):393-8.

Mandal A, Dumaru P, Bhandari S, Shrestha S, Shakya, S. Decentralized electronic health record system. J Eng. 2020;15(1):77-80.

Manyazewal T. Using the world health organization health system building blocks through survey of healthcare professionals to determine the performance of public healthcare facilities. Arch Public Health. 2017;75(1):1-7.

McCrorie C. Staff expectations for the implementation of an electronic health record system: A qualitative study using normalisation process theory. Bio Med Central Med Inform Dec. 2019;19(1):1-14.

Muinga N, Magare S, Monda J, English M, Fraser H, Powell J, et al. Digital health systems in Kenyan public hospitals: A mixed-methods survey. Bio Med Central Med Inform Dec. 2020;20(1):8-9.

Ngugi P, Babic A, Kariuki J, Santas X, Naanyu V, Were MC. Development of standard indicators to assess the see the f electronic health record systems implemented in low-and medium-income countries. Public Lib Sci. 2021;16 (1):1-15.

Oleribe OE, Momoh J, Uzochukwu BS, Mbofana F, Adebiyi A, Barbera T, et al. Identifying key challenges facing healthcare systems in Africa and potential Solutions. Int J Gen Med. 2019;12(1):395-403.

Omoleke A, Tadesse G. A pilot study of routine immunization data Hunzabonzanza local government area: Causes and possible remedies. Pan Afr Med J. 2017;27(239):1-9.

Pai M, Ganiga R, Pai R, Sinha K. Standard electronic health record (EHR frame work for the Indian healthcare system. Health Ser Outcomes Res Method. 2021;21(3):339-62.

Salameh B, Eddy L, Batran A, Hijaz A, Jaser S. Nurses’ Attitudes toward the Use of an Electronic Health Information System in a Developing Country. Nurs J. 2019;5(1):1-8.

Vos J, Boonstra A, Kooistra A, Seelen M, Van M. The influence of electronic health record use on collaboration among medical specialties. Bio Med Central Health Ser Res. 2020;20(1):1-11.

Winter A, Takabayashi K, Jahn F, Kimura E, Engelbrecht R, Haux R, et al. Quality Requirements for Electronic Health Record Systems. Method Inform Med. 2017;56(1):92-104.

WHO guideline on recommendations on digital interventions for health system strengthening. Available at: http:// doi.org/10.665/311941/ 9789241550505-eng.pdf?ua=1. Accessed on 20 November 2021.

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Published

2023-01-27

How to Cite

Mukuria, G. M., Njoroge, K., Muendo, D., & Nzioka, C. (2023). Factors influencing implementation of electronic health records system in Nyeri level 5 hospital. International Journal Of Community Medicine And Public Health, 10(2), 612–618. https://doi.org/10.18203/2394-6040.ijcmph20230212

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Original Research Articles