Adoption of electronic health record systems to enhance the quality of healthcare in low-income countries: a systematic review.

IF 4.1 Q1 HEALTH CARE SCIENCES & SERVICES
Misganaw Tadesse Woldemariam, Worku Jimma
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引用次数: 2

Abstract

Background: Electronic health record (EHR) systems are mentioned in several studies as tools for improving healthcare quality in developed and developing nations. However, there is a research gap in presenting the status of EHR adoption in low-income countries (LICs). Therefore, this study systematically reviews articles that discuss the adoption of EHR systems status, opportunities and challenges for improving healthcare quality in LICs.

Methods: We used Preferred Reporting Items for Systematic Reviews and Meta-Analyses in articles selected from PubMed, Science Direct, IEEE Xplore, citations and manual searches. We focused on peer-reviewed articles published from January 2017 to 30 September 2022, and those focusing on the status, challenges or opportunities of EHR adoption in LICs. However, we excluded articles that did not consider EHR in LICs, reviews or secondary representations of existing knowledge. Joanna Briggs Institute checklists were used to appraise the articles to minimise the risk of bias.

Results: We identified 12 studies for the review. The finding indicated EHR systems are not well implemented and are at a pilot stage in various LICs. The barriers to EHR adoption were poor infrastructure, lack of management commitment, standards, interoperability, support, experience and poor EHR systems. However, healthcare providers' perception, their goodwill to use EMR and the immaturity of health information exchange infrastructure are key facilitators for EHR adoption in LICs.

Conclusion: Most LICs are adopting EHR systems, although it is at an early stage of implementation. EHR systems adoption is facilitated or influenced by people, environment, tools, tasks and the interaction among these factors.

Abstract Image

采用电子健康记录系统以提高低收入国家的医疗保健质量:系统审查。
背景:电子健康记录(EHR)系统在一些研究中被提到作为提高发达国家和发展中国家医疗质量的工具。然而,在介绍低收入国家采用电子病历的状况方面存在研究差距。因此,本研究系统地回顾了讨论在低收入国家采用电子病历系统的现状、机遇和挑战,以提高医疗保健质量的文章。方法:我们在PubMed、Science Direct、IEEE explore、引文和手动搜索中选择文章,使用首选报告项进行系统评价和元分析。我们重点关注2017年1月至2022年9月30日发表的同行评议文章,以及关注低收入国家采用电子病历的现状、挑战或机遇的文章。然而,我们排除了未在lic、综述或现有知识的二次表征中考虑电子病历的文章。乔安娜布里格斯研究所的检查表被用来评估文章,以尽量减少偏见的风险。结果:我们确定了12项研究。调查结果表明,电子病历系统没有得到很好的实施,在各个低收入国家还处于试点阶段。采用电子病历的障碍是基础设施差、缺乏管理承诺、标准、互操作性、支持、经验和电子病历系统差。然而,医疗保健提供者的认知、他们使用电子病历的意愿以及卫生信息交换基础设施的不成熟是推动低收入国家采用电子病历的关键因素。结论:大多数低收入国家正在采用电子病历系统,尽管还处于实施的早期阶段。电子健康档案系统的采用受到人员、环境、工具、任务以及这些因素之间的相互作用的促进或影响。
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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来源期刊
CiteScore
6.10
自引率
4.90%
发文量
40
审稿时长
18 weeks
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