健康与医学信息学杂志

Utilization and Determinants of Electronic Medical Record System among Health Professionals in Public Health Facilities of Harari Regional State, Eastern Ethiopia

Abstract

Gediyon Mekonnen1 *, Tesfaye Gobena1 , Zelalem Bekele2 , Zelalem T Mariam3 , Alemeshet Taddese3 , Behailu Hawulte4 , Tesfaye Digafe5 and Admas Abera6

Background: Electronic medical record systems are increasingly incorporated into the healthcare systems of developing countries, including Ethiopia, to improve the effectiveness and efficiency of the healthcare institutions.

Objective: The level of utilization and determinants of electronic medical record use among health professionals working in public health facilities in Harari Regional State, Eastern Ethiopia

Methods: A facility- based cross-sectional study was conducted on 498 randomly selected health professionals at public health facility of Harari Regional State, Eastern Ethiopia. Pre-tested, structured, and self-administered questionnaire was used to collect data. Data collection facilitators were participated in the data collection process. Data were entered into Epi Data Version3.1, and exported to STATA version 14.2 for data processing and analysis. Descriptive statistics were computed to describe the study variables. Bivariate and multivariate logistic regression analyses were used to identify the predictors of the outcome variable. A p-value <0.05 at a 95% confidence level were considered as statistically significant.

Results: Of the total 551 approached health professionals, 498(90.3%) were returned the questionnaire. Out of this, 211(42.3%, 95% CI: 38, 46) were using the electronic medical recording system. Females (AOR=0.40, 95% CI: .251-.66), professionals with good attitude (AOR=1.71, 95% CI: 1.07, 2.72), professionals with good knowledge (AOR=2.48, 95% CI: 1.53- 4.00), and those having basic computer course (AOR= 4.45, 95% CI: 2.17 – 9.10) were significantly associated with the EMR system utilization.

Conclusion and Recommendations: In the present study the utilization of Electro medical record system was low. Health professional with basic computer courses, having good knowledge and a good attitude, were found to use an electronic medical record system. Therefore improving knowledge and awareness of health professionals is important for scaling up the electronic medical record system used in facilities.