Using Emr In A Corporate Hospital: Healthcare Providers Perspective From Bangladesh

Journal of Preventive and Social Medicine Pub Date : 2024-01-08 DOI:10.3329/jopsom.v41i2.69541

Md Emam Hossain, B. K. Riaz, Md Ziaul Islam

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Abstract

Background: An Electronic Medical Record (EMR) is an essential tool for delivering high-quality healthcare in a hospital. In recent years, hospitals have increased their investment in EMRs to improve the level of integrated management of information. The purpose of this study was to explore the perspectives of using EMR among healthcare providers (HCPs) in a corporate hospital in Bangladesh. Methods: This cross-sectional study was conducted among 153 HCPs (doctors, nurses, lab technicians, drug dispensers, billing managers, and administrative personnel) who have access to EMR and working in a selected corporate hospital of Dhaka city. The study period was January to December 2019. HCPs were selected by convenience sampling technique. Data were collected by face-to-face interview using semi structured questionnaire. Data analysis was done by IBM SPSS software. Ethical issues were maintained strictly. Result: Study revealed that 59.5% HCPs were in the age group of 18-29 years with the mean age being 29.26 (±7.58) years. Only 32.7% HCPs had previous experience of using this type of software before working in the current hospital and 62.7% got technical training on EMR within the current hospital. The majority (81.7%) of the HCPs found that the technical training was effective for using the EMR software. The difficulty of using EMR was significantly associated with the age (p<0.001), gender (p<0.001), professional status (p<0.001) and highest level of education (p<0.001) of the HCPs. HCPs ability to overcome job related challenges was significantly associated with the professional status of them (p<0.001). HCPs perception regarding effectiveness of EMR was found significantly associated with their place of technical training (p=0.004) and duration of the training (p=0.012). Conclusion: EMR can be a helpful tool for the health service providers to provider health services at the corporate hospitals. Digital literacy need to be increased among the HCPs to ensure effective use of EMRs. Regular maintenance and upgrades of the technology infrastructure are necessary for advanced record-keeping and quality service. JOPSOM 2021; 41(2):12-19

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在企业医院使用 Emr：孟加拉国医疗服务提供者的观点

背景：电子病历（EMR）是医院提供高质量医疗服务的重要工具。近年来，医院加大了对电子病历的投资，以提高信息综合管理水平。本研究旨在探讨孟加拉国一家企业医院的医疗服务提供者（HCPs）对使用 EMR 的看法。研究方法：这项横断面研究在达卡市一家选定的企业医院工作的 153 名医疗保健提供者（医生、护士、实验室技术人员、配药员、账单管理员和行政人员）中进行，这些医疗保健提供者均可使用 EMR。研究时间为 2019 年 1 月至 12 月。研究采用便利抽样技术选取住院医师。采用半结构化问卷，通过面对面访谈收集数据。数据分析由 IBM SPSS 软件完成。严格遵守伦理问题。研究结果研究显示，59.5% 的保健医生年龄在 18-29 岁之间，平均年龄为 29.26 (±7.58) 岁。只有 32.7% 的医疗保健人员在目前的医院工作之前有过使用此类软件的经验，62.7% 的医疗保健人员在目前的医院接受过关于电子病历的技术培训。大多数（81.7%）的医疗保健人员认为技术培训对使用电子病历软件很有效。使用电子病历的难度与医生的年龄（p<0.001）、性别（p<0.001）、专业地位（p<0.001）和最高教育程度（p<0.001）有明显关系。保健医生克服工作相关挑战的能力与他们的专业地位有显著相关性（p<0.001）。研究发现，保健医生对电子病历有效性的看法与他们接受技术培训的地点（p=0.004）和培训时间（p=0.012）有明显关系。结论：电子病历可以成为医疗服务提供者在企业医院提供医疗服务的有用工具。需要提高医疗服务提供者的数字素养，以确保有效使用电子病历。技术基础设施的定期维护和升级对于先进的记录保存和优质服务是必要的。JOPSOM 2021; 41(2):12-19

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Journal of Preventive and Social Medicine

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