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Background Electronic health record (EHR) has emerged as a backbone health care organization that aims to integrate health care records and automate clinical workflow. With the adoption of the eHealth care system, health information communication technologies and EHRs are offering significant health care advantages in the form of error reduction, improved communication, and patient satisfaction. Objective This study aimed to (1) investigate factors associated with physicians’ EHR adoption status and prevalence of EHRs in Kuwait and (2) identify factors predicting physician satisfaction with EHRs in public hospitals in Kuwait. Methods This study was conducted at Kuwait’s public Al-Jahra hospital from May to September 2019, using quantitative research methods. Primary data were gathered via questionnaires distributed among 295 physicians recruited using convenience sampling. Data were analyzed in SPSS using descriptive, bivariate, and multivariate linear regression, adjusted for demographics. Results Results of the study revealed that the controlled variable of gender (β=–.197; P=.02) along with explanatory variables, such as training quality (β=.068; P=.005), perception of barriers (β=–.107; P=.04), and effect on physician (β=.521; P<.001) have a significant statistical relationship with physicians’ EHR adoption status. Furthermore, findings also suggested that controlled variables of gender (β=–.193; P=.02), education (β=–.164; P=.03), effect on physician (β=.417; P<.001), and level of ease of use (β=.254; P<.001) are significant predictors of the degree of physician satisfaction with the EHR system. Conclusions The findings of this study had significant managerial and practical implications for creating an inductive environment for the acceptance of EHR systems across a broad spectrum of health care system in Kuwait.

Background: With the onset of the spread of the Coronavirus around the world, the Saudi Ministry of Health has taken protective measures early to prevent the spread of the disease in the region, and the most effective of these measures is Quarantine and home isolation, which can have an impact on the individual’s mental health. The purpose of this study is to assess the compliance of Quarantine in a family with an allergic and immunologically diseased child and its psychological impact on them. Methods: A cross-sectional study conducted between June-August 2020 was conducted via a self- reported online questionnaire that includes fear of COVID-19 scale for parents, Revised children’s anxiety and depression scale to assess Quarantine’s psychological effect, fear of getting the infection and also to know the family’s attitude towards COVID-19 and public health measures. Results: This study included 4,436 participants, and the findings revealed that (13.3%) of participants had a child with allergies or immune diseases, (30.2%) had children between 6-10 years of age, the mean fear score was 18.74 ± 6.48 (7- 35) which is nearly moderate; the mean values of the Child Anxiety and Depression Sub- Scale for Parents (RCADS) were 4.81 5.61 and 18.74 ± 6.48, respectively. This study showed a highly statistically significant positiverelationship between the mean values for fear of COVID-19 Score scale and mean scores for child anxiety and depression (P = <0.001), and also showed that 73.8% of the families thought that quarantine is a necessary action that should continue until the end of the Pandemic. Conclusion: The Quarantine impacted psychologically and financially on some parents. Children are also more vulnerable to psychological effects resulting from the commitment of families to Quarantine, so we see that special attention and care is needed to prevent these effects on them, especially children with allergic or immune diseases. Key words: COVID-19, Quarantine, Saudi, children.

BACKGROUND The Electronic Health Record (EHR) is the backbone of the integration of information to help physicians in making effective decisions in patient care. The adoption of E-health care system, Health Information Communication Technologies (HICT) and EHR is raising in Kuwait OBJECTIVE This study aims to (i) identify the factors associated with physician’s current use, satisfaction, and prevalence with EHRs (ii) assess the factors’ relative importance in terms of predicting current use, satisfaction and prevalence with EHRs. METHODS This study took place at a public hospital in 2019. Using an anonymous self-administered paper-based survey, two hundred and ninety-five physicians were recruited. The survey contained 35 statements and the Technology Acceptance Model was used as the theoretical framework to guide the survey development. The dependent variables were “Physicians' current use of EHR" and “Physicians’ Satisfaction with EHR.” The independent variables were the demographics factors, Length of use of EHR, training quality, perceptions of barriers toward using EHR, the EHR effect on physicians’ Work, and level of ease of EHR function. Descriptive analysis, followed by bivariate, and multivariate linear regression adjusted for demographics were conducted. RESULTS Among the 295 research participants, 75% indicated that they are currently using the EHR system. The effect that the EHR use had on physician’s work was the most significant predictor of physician’s satisfaction using EHR (β=.377, p=0.000), followed by the level of ease of EHR function and (β=.341, p=.00) and barriers to using EHR (β=.170, p=0.000). Regarding the prediction of the current use of EHR it was found that the perceptions of barriers to using EHR was the most significant predictor (β= .145, p=0.000) followed by the effect on physician’s work (β=.645, p=0.01) and length of EHR (β= .111, p=0.03). CONCLUSIONS In the promotion of EHR current use and related satisfaction, enhancing and promoting the positive effect of EHR use on the physicians’work while making the implementation of the EHR system as easy as possible by removing barriers seem to be key factors. CLINICALTRIAL Not applicable .

Introduction Electronic Health Records (EHR) help physicians make effective decisions in patient care. With limited research in this area in Kuwait, we sought to identify the factors that contribute to the current use and satisfaction of EHR in Kuwait. Methods This cross-sectional study took place in a public hospital in 2019. Three-hundred ten physicians were recruited through convenience sampling (response rate: 95%). The survey which was translated into Arabic, was self-administered and it contained 48 statements. The Technology Acceptance Model was used as the theoretical framework. The dependent variables were satisfaction with EHR and current use of EHR. The main independent variables were barriers of using the EHR, perceived level of ease for using EHR, and effect of EHR on the physicians' work. Descriptive analysis, followed by bivariate, multivariate linear regression adjusted for demographics were conducted. Results The study sample consisted of predominantly males (82%), non-Kuwaiti (84%), and of young age (42% were 30-39 years old). The majority of the participants (76%) were currently using the EHR system. The physicians' satisfaction with use of EHR system was moderate (Mean: 3.47, SD: 0.81, range 1.33-5). The EHR effect on the physicians' work was the most significant predictor of satisfaction (β = 0.491, p = 0.000), followed by the level of ease (β = 0.274, p = 0.000), and length of use of EHR (β = 0.100, p = 0.006). Perceptions of barriers was the strongest predictor of current use of EHR (β=-0. 417, p = 0.000), followed by level of ease (β = 0.227, p = 0.000) and quality of a related training (β = 0.195, p = 0.000). Conclusions In the promotion of EHR use and related satisfaction, making the use of EHR functions (e.g. registration of clinical notes) as easy as possible seems to be a key factor. Other factors to consider are removing the barriers physicians face, making the benefits of use of EHR visible, and ensuring a high quality related training. Key messages Most physicians in a Kuwaiti public hospital use the EHR system. Perceived barriers, effect of EHR on the physicians’ work, and user-friendly application of EHR are associated with satisfaction and EHR use.