Factors associated with adoption of electronic health record sharing system (eHRSS) among private physicians

IF 3.4 3区医学 Q1 HEALTH POLICY & SERVICES

Health Policy and Technology Pub Date : 2025-02-09 DOI:10.1016/j.hlpt.2025.100995

Junjie Huang , Wing Sze Pang , Fung Yu Mak , Yuet Yan Wong , Sze Chai Chan , Yingxin Guan , Jonathan Poon , Ellen Tong , Clement SK Cheung , Wing Nam Wong , Ngai Tseung Cheung , Chung Ping Ho , Martin CS Wong

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Abstract

Objective

This study aims to examine the adoption level of the electronic Medical Record (eMR) and Electronic Health Record Sharing System (eHRSS) among private physicians, and to establish areas for service improvement by evaluating the perception of the eHealth App.

Methods

Invitation emails containing the self-administered questionnaires link were sent out to private physicians, by referring to the eHRSS list and internet resources. A descriptive analysis was performed, the outcome variables (eMR, eHRSS, eHealth App) were expressed as proportions. Binary logistic regression models were constructed for the primary outcome variable and the secondary outcome variable.

Results

A total of 744 surveys were received. 78.5 % of the respondents adopted the eMR and 91.9 % joined the eHRSS. Among them, more than 90 % visited eHRSS regularly. ‘More technical support on data upload (61.7 %), ‘improve the friendliness of the interface (46.2 %), and ‘more cooperation between eHRSS and other medical systems’ (45.0 %) were potential factors that encourage data uploading. Type of practising [with partners/group practice: adjusted odd rate (aOR): 2.64, p<0.001], and participation in eHRSS (aOR: 6.66, p<0.001) were significant factors that increased the adoption of the eMR. Younger (aged≤ 30, aOR: 0.157, p<0.041) and older age group (aged≥ 61, aOR: 0.403, p<0.001) were less likely to adopt eMR. 79.9 % of them were aware of the eHealth App.

Conclusions

A generally high recognition of the eHRSS was found among physicians. Most physicians had an understanding and positive perception towards the eHealth App. It was noted that participation in eHRSS was significantly associated with the adoption of eMR.

Public Interest Summary

This study aims to examine the adoption level of the electronic Medical Record (eMR) and eHRSS among private physicians, and to establish areas for service improvement by evaluating the perception of the eHealth App. The study adopts the form of questionnaire survey, and we will analyze the collected data. A generally high recognition of the eHRSS was found among physicians. Most physicians had an understanding and positive perception towards the eHealth App. Physicians demonstrated strong confidence in privacy and security, but were less satisfied with the technical support of the eHRSS. It was noted that participation in eHRSS was significantly associated with the adoption of eMR.

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来源期刊

Health Policy and Technology Medicine-Health Policy

CiteScore

9.20

自引率

3.30%

发文量

审稿时长

88 days

期刊介绍： Health Policy and Technology (HPT), is the official journal of the Fellowship of Postgraduate Medicine (FPM), a cross-disciplinary journal, which focuses on past, present and future health policy and the role of technology in clinical and non-clinical national and international health environments. HPT provides a further excellent way for the FPM to continue to make important national and international contributions to development of policy and practice within medicine and related disciplines. The aim of HPT is to publish relevant, timely and accessible articles and commentaries to support policy-makers, health professionals, health technology providers, patient groups and academia interested in health policy and technology. Topics covered by HPT will include: - Health technology, including drug discovery, diagnostics, medicines, devices, therapeutic delivery and eHealth systems - Cross-national comparisons on health policy using evidence-based approaches - National studies on health policy to determine the outcomes of technology-driven initiatives - Cross-border eHealth including health tourism - The digital divide in mobility, access and affordability of healthcare - Health technology assessment (HTA) methods and tools for evaluating the effectiveness of clinical and non-clinical health technologies - Health and eHealth indicators and benchmarks (measure/metrics) for understanding the adoption and diffusion of health technologies - Health and eHealth models and frameworks to support policy-makers and other stakeholders in decision-making - Stakeholder engagement with health technologies (clinical and patient/citizen buy-in) - Regulation and health economics