DETERMINANTS OF ELECTRONIC MEDICAL RECORDS USE AMONG HEALTH CARE WORKERS IN HIV CARE FACILITIES IN KENYA IN NAIROBI COUNTY
Keywords:
Electronic medical records, health system and HIV care facilitiesAbstract
Purpose: Recognizing that high-quality data are essential to HIV prevention, the study investigated the use of EMR and its determinants among healthcare workers in HIV care in Nairobi County, Kenya. The study's aim was to assess the determinants of electronic medical records use among health care workers in HIV care facilities in Nairobi County.
Methods: The study adopted a cross-sectional study design. Five sub-counties within Nairobi County were randomly selected and in each two health facilities with EMR systems were randomly selected. A total of 64 respondents from health information departments of the selected facilities were purposively recruited into the study. A self-administered structured questionnaire was used for data collection. Statistical Package for Social Science (SPSS) version 22 was employed during data analysis. Spearman correlation test was used to find relationships at a significance level of 0.05.
Results: From the findings, over a half (58%) of the respondents used EMR data. Less than a third (28%) and a third (33%) of the respondents reported to have fully and partially utilised the EMR data respectively. Functionality of the system was significantly (rs=0.251, p=0.045) related with the type EMR tool. Update of records was significantly (rs=0.283, p=0.023) associated with EMR data use. Further, integration of EMR with other systems was significantly (rs=0.296, p=0.018) associated with extent of EMR utilisation. Other factors were not significantly (p>0.05) associated with use of EMR. A fair proportion of health care providers use EMR system in HIV care.
Unique Contribution to Theory, Practice and Policy: The study recommend that the whole aspect of HIS and EMR be considered as a study area in the curriculum of all healthcare workers to help ensure a seamless transition at the workplace and at the same time dealing with the issue of the human barrier.
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References
Andresen, J., Baldwin, A., Betts, M., Carter, C., Hamilton, A., Stokes, E. and Thorpe, T. (2000). A framework for measuring IT innovation benefits, Electronic Journal of Information Technology in Construction, 5, 57-72.
Berndt, D.J., Fisher, J.W., Hevner, A.R., Studnicki, J., (2001). Healthcare data warehousing and quality assurance. Computer, Volume 34, Issue 12, Dec 2001 Page(s):56 - 65.
Bleich, H., And Slack, W. V. (2010). Reflections on Emergency Medical Records: When doctors will use them and when they will not. International Journal of Medical Informatics 79:1 (1-4).
Carter, J. H., & American College of Physicians--American Society of Internal Medicine. (2010). Electronic medical records: A guide for clinicians and administrators.
Chetley, A. (2006). Improving health, connecting people: the role of ICT in the health sectors of developing countries a framework paper. InfoDev, 31 May 2006.
Chibole, G. C. (2015). Factors influencing adoption of electronic
medical record systems in public health facilities
in Kenya: a case of Nakuru County. Thesis; erepository.uonbi.ac.ke.
Engeström,Y. (2001). Expansive learning at work: toward an activity theoretical reconceptualization. Journal of Education and Work, 14(1), 133-156.
Gladwin, J., Dixon, R., Wilson, T., (2001). Using external training materials to strengthen health information management in East Africa, Information Research, Vol. 5 No. 4, July.
Glandon, G. L., Smaltz, D. H., and Slovensky, D. J., (2008). Austin and Boxerman's Information Systems for Healthcare Management. Arlington, VA: AUPHA Press.
Godlee, F. et al., (2004). Can we achieve health information for all by 2015?, Lancet 264, 295 - 300. When doctors will use them and when they will not. International Journal of Medical Informatics 79:1 (1-4).
Skolnik, N. S. (2011). Electronic medical records: A practical guide for primary care. New York: Humana.
Stansfield, S. (2005). Structuring information and incentives to improve health. Bulletin of the World Health Organization, 83(8):562.
Talisuna, A.O. et al. (2000). HMIS: Is it tailored to Monitoring the Health Sector Strategic Plan, Uganda Health Bulletin, Volume 7, Number 2.
Thompson, A. A., and Strickland, A. (2003). Strategic Management Concept and Cases edition, New York, USA.
Wang'ombe, J. K. et al (1998): Capacity of Non-Governmental Providers in Delivery of Healthcare in Kenya; Nairobi: DANIDA
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