THE EVALUATION OF ELECTRONIC HEALTH RECORD ADOPTION AMONG HEALTH PROFESSIONALS IN HOSPITAL SETTING

Riza Septiani, Tiara Mairani
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Abstract

Background: Electronic Health Record (EHR) utilization has been improved nowadays and it is believed that the adoption of Information Technology (IT) that has been implemented in various setting may also accelerate qualified implementation in health care setting. This study aimed to evaluate EHR utilization in various settings by systemic literature review. Methods: systemic literature research was conducted with keywords “(evaluat* model OR evaluat* framework) AND (health professional* OR health staff*) AND (electronic health record OR EHR) AND (us* OR engagement OR implementation OR adoption) AND hospital”. Result: 833 literatures found at the beginning of literature search, after apply limitations, remove duplicates and exclude of irrelevant literatures, finally total 7 articles were included in the review. Conclusion: there are benefits and drawbacks of EHR utilization among health professional in different healthcare settings in some countries that included in this review. Some health professionals had positive experience of using EHR that its use can improve clinicians’ involvement, better clinicians’ representation and decrease workload. Meanwhile, others had different views that EHR use are ineffectiveness due to inability of the systems to meet users’ need, poor integration with existing workflows, poor IT skills among users and limited resources and training of EHR. Recommendation: Therefore, it is important to improve better design of EHR system with customized functionalities so it could improve the implementation and adoption of EHR by health professionals as end user.
医院卫生专业人员对电子健康档案采用的评估
背景:电子健康记录(EHR)的使用在今天已经得到了改善,人们相信信息技术(it)的采用已经在各种环境中实施,也可以加速在卫生保健环境中的合格实施。本研究旨在通过系统的文献回顾来评估不同环境下电子病历的使用情况。方法:以“(评估模型或评估框架)、(卫生专业人员或卫生工作人员)、(电子健康档案或EHR)、(us*或参与或实施或采用)和医院”为关键词进行系统文献研究。结果:文献检索开始时共检索到833篇文献,经过应用限制、去除重复和排除不相关文献,最终共纳入7篇文献。结论:在一些纳入本综述的国家中,不同卫生保健机构的卫生专业人员使用电子病历有利有弊。一些卫生专业人员对电子病历的使用有积极的体验,认为使用电子病历可以提高临床医生的参与度,提高临床医生的代表性,减少工作量。与此同时,也有不同的观点认为,由于系统无法满足用户的需求,与现有工作流程的集成较差,用户的IT技能较差,以及EHR的资源和培训有限,因此EHR的使用效率低下。建议:因此,改进具有定制功能的EHR系统的更好设计是很重要的,这样它可以改善作为最终用户的卫生专业人员对EHR的实施和采用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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