Barriers to the Adoption of Electronic Medical Records in Select Philippine Hospitals

Ebardo, Ryan; Celis, Nelson J.

doi:10.1145/3330482.3330503

Cited by 18 publications

(6 citation statements)

References 32 publications

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“…In terms of management of HISs, the most common reasons for not regularly updating the web-based database are a lack of or inadequate trained personnel to maintain and manage the information system, an unstable internet connection, the use of an offline system, and technical issues. These barriers are also consistent with the findings of other studies, such as a lack of standards, the use of different information systems, infrastructure issues for electricity and connectivity [ 35 ], a lack of human expertise [ 41 ], the need for training and support for human resources [ 41 , 42 ], and technical complexity [ 43 , 44 ]. In Malaysia, several issues have influenced overall HIS implementation in public hospitals, such as limited financial sources, maintenance by different departments, HIS implementation orders by the Malaysian Ministry of Health, addition of new systems, confidentiality issues, low acceptance levels, low satisfaction levels, different vendors, infrastructure issues, system breakdown, duplication of data, and different systems [ 45 ].…”

Section: Discussionsupporting

confidence: 88%

Health Information Systems for Older Persons in Select Government Tertiary Hospitals and Health Centers in the Philippines: Cross-sectional Study

Garcia¹,

Vega²,

Mercado³

2022

J Med Internet Res

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Background The rapid aging of the world’s population requires systems that support health facilities’ provision of integrated care at multiple levels of the health care system. The use of health information systems (HISs) at the point of care has shown positive effects on clinical processes and patient health in several settings of care. Objective We sought to describe HISs for older persons (OPs) in select government tertiary hospitals and health centers in the Philippines. Specifically, we aimed to review the existing policies and guidelines related to HISs for OPs in the country, determine the proportion of select government hospitals and health centers with existing health information specific for OPs, and describe the challenges related to HISs in select health facilities. Methods We utilized the data derived from the findings of the Focused Interventions for Frail Older Adults Research and Development Project (FITforFrail), a cross-sectional and ethics committee–approved study. A facility-based listing of services and human resources specific to geriatric patients was conducted in purposively sampled 27 tertiary government hospitals identified as geriatric centers and 16 health centers across all regions in the Philippines. We also reviewed the existing policies and guidelines related to HISs for OPs in the country. Results Based on the existing guidelines, multiple agencies were involved in the provision of services for OPs, with several records containing health information of OPs. However, there is no existing HIS specific for OPs in the country. Only 14 (52%) of the 27 hospitals and 4 (25%) of the 16 health centers conduct comprehensive geriatric assessment (CGA). All tertiary hospitals and health centers are able to maintain medical records of their patients, and almost all (26/27, 96%) hospitals and all (16/16, 100%) health centers have data on top causes of morbidity and mortality. Meanwhile, the presence of specific disease registries varied per hospitals and health centers. Challenges to HISs include the inability to update databases due to inadequately trained personnel, use of an offline facility–based HIS, an unstable internet connection, and technical issues and nonuniform reporting of categories for age group classification. Conclusions Current HISs for OPs are characterized by fragmentation, multiple sources, and inaccessibility. Barriers to achieving appropriate HISs for OPs include the inability to update HISs in hospitals and health centers and a lack of standardization by age group and disease classification. Thus, we recommend a 1-person, 1-record electronic medical record system for OPs and the disaggregation and analysis across demographic and socioeconomic parameters to inform policies and programs that address the complex needs of OPs. CGA as a required routine procedure for all OPs and its integration with the existing HISs in the country are also recommended.

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Section: Discussionsupporting

confidence: 88%

Health Information Systems for Older Persons in Select Government Tertiary Hospitals and Health Centers in the Philippines: Cross-sectional Study

Garcia¹,

Vega²,

Mercado³

2022

J Med Internet Res

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“…Previous studies highlighted user resistance as a primary issue with EHRs. 5, [34][35][36][37] On the part of the health facilities, EHRs implementation warrants major challenges directing towards the capability of the organization to maintain highly expensive technology, establish a regulation in its use, and provide relevant training for the staff.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness and Challenges: The Current Situation of Electronic Health Records (EHRs) to Improve Health Care Outcomes

Britiller,

Amponin,

Pring

2023

SEANR

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Background. In the Philippines, although software for Electronic Health Records (EHRs) is still new, knowledge about EHRs benefits is increasing.Objective: This study investigated the effectiveness of electronic health records to health care outcomes at selected health facilities in the National Capital Region (NCR) and CALABARZON regions of the Philippines. The effectiveness of the current EHRs in government and private health facilities were determined in terms of quality patient care, patient engagement, support team-based care, workload, and data liquidity; and the challenges facing health providers in the implementation of electronic health records were identified.Methods. The research utilized the descriptive, cross-sectional design. Three hundred seven (N=307) health providers from the medical, nursing, and paramedical departments were the study participants. A three-part adapted questionnaire was the main tool used for data collection. Mean, standard deviation, and Mann-Whitney & Kruskal-Wallis’s tests were utilized for data analysis.Results. The results revealed that in the Philippines, EHRs are moderately effective in improving health care outcomes. EHRs effectiveness is primarily achieved through better access and retrieval of health information. EHRs implementation poses major challenges in the Philippines’ health facilities which are central to socio-economic and organizational factors.Conclusions. The more effective the use of EHR systems, the greater the challenges experienced by care providers and health facilities.

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“…Confirmation was found to positively influence health information technicians’ utilization of cloud technology. IT personnel have to be equipped with modern tools and technological advances in order for them to effectively perform their job [ 97 ]. Khayer et al [ 53 ] extended this assumption, confirming that users’ expectation confirmation has an essential role in the successful adoption of cloud computing.…”

Section: Discussionmentioning

confidence: 99%

Organizational and behavioral attributes’ roles in adopting cloud services: An empirical study in the healthcare industry

Meri,

Hasan,

Dauwed

et al. 2023

PLoS ONE

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The need for cloud services has been raised globally to provide a platform for healthcare providers to efficiently manage their citizens’ health records and thus provide treatment remotely. In Iraq, the healthcare records of public hospitals are increasing progressively with poor digital management. While recent works indicate cloud computing as a platform for all sectors globally, a lack of empirical evidence demands a comprehensive investigation to identify the significant factors that influence the utilization of cloud health computing. Here we provide a cost-effective, modular, and computationally efficient model of utilizing cloud computing based on the organization theory and the theory of reasoned action perspectives. A total of 105 key informant data were further analyzed. The partial least square structural equation modeling was used for data analysis to explore the effect of organizational structure variables on healthcare information technicians’ behaviors to utilize cloud services. Empirical results revealed that Internet networks, software modularity, hardware modularity, and training availability significantly influence information technicians’ behavioral control and confirmation. Furthermore, these factors positively impacted their utilization of cloud systems, while behavioral control had no significant effect. The importance-performance map analysis further confirms that these factors exhibit high importance in shaping user utilization. Our findings can provide a comprehensive and unified guide to policymakers in the healthcare industry by focusing on the significant factors in organizational and behavioral contexts to engage health information technicians in the development and implementation phases.

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Barriers to the Adoption of Electronic Medical Records in Select Philippine Hospitals

Cited by 18 publications

References 32 publications

Health Information Systems for Older Persons in Select Government Tertiary Hospitals and Health Centers in the Philippines: Cross-sectional Study

Health Information Systems for Older Persons in Select Government Tertiary Hospitals and Health Centers in the Philippines: Cross-sectional Study

Effectiveness and Challenges: The Current Situation of Electronic Health Records (EHRs) to Improve Health Care Outcomes

Organizational and behavioral attributes’ roles in adopting cloud services: An empirical study in the healthcare industry

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