Catching up with rapid technology implementation: mobilities, electronic medical records, and primary care work in the Philippines

Macabasag, Romeo Luis A.; Mallari, Eunice; Pascual, Patrick Joshua C.; Marcelo, Portia Grace F.

doi:10.1080/23800127.2022.2087014

Cited by 4 publications

(3 citation statements)

References 38 publications

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“…A qualitative study pointed out the lack of appreciation of some health care workers as they likened EMRs to "electronic cash registers in supermarkets that manage the flow of money towards or outside the health facility." 25 We also did not see evidence of features used related to referrals which imply that electronic data exchange between facilities did not yet occur in our study. Indeed, interoperability, which should facilitate easier data transfer across health facilities is still a strategic challenge for the government and other key sectors.…”

Section: Discussionmentioning

confidence: 57%

“…This may have occurred when a user logged in, but provided clinical care first then used the EMR post-clinical work, like the practice shared by health care workers in a local study. 25 As workflow measures were not mapped, it was not possible to allocate time spent per feature used, from log in to log out in the system. This could have provided information on activities which when altered, could affect efficiency in health practice.…”

Section: Discussionmentioning

confidence: 99%

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Understanding Adoption of Electronic Medical Records (EMRs) during a Health Emergency: An Analysis of EMR Usage Logs from Rural Health Facilities in the Philippines

2024

Acta Med Philipp

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Background and Objective. The adoption of electronic medical records (EMRs) in the Philippines has been initiated and adjusted since the last decade through the Philippine eHealth Agenda framework. EMRs are known to improve clinical management and have been widely adopted in advanced economies. However, empirical research on EMR implementation remains limited. This study aims to determine how public primary health care facilities in the country interacted with EMRs before and during the COVID-19 pandemic to understand EMR adoption.Methods. More than 270,000 records generated from EMR usage logs in six rural primary health facilities in Western Visayas were analyzed. Average time of EMR use during work hours was estimated and compared before and during the pandemic. EMR adoption based on specific EMR features used was also determined. Results.In 2020, EMR use ranged from less than one hour to more than eight hours in selected rural health units (RHUs). There was a statistical increase and decrease in use of features during the pandemic. Some EMR users had efficient use indicated by complete adoption of EMR features although such features were not as frequently used as those pertaining to basic adoption. Conclusion.This study demonstrates that for EMR use in rural settings, progressive use from basic to complete may vary among users. Public health emergencies such as a pandemic may also affect EMR use. Future research directions should explore other mechanisms which affect user behavior and encourage full adoption of technology such as use of games or non-monetary incentives.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Understanding Adoption of Electronic Medical Records (EMRs) during a Health Emergency: An Analysis of EMR Usage Logs from Rural Health Facilities in the Philippines

2024

Acta Med Philipp

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“…The demand for the quick adoption of technology that can meet the health sector's ongoing and changing needs is rising. However, mutual alignment between technologies and the local environment is required to function in local health contexts (Macabasag et al, 2023). A higher level of knowledge, Intelligence, recognition of technology, and artificial Intelligence is required for nurses to render quality care.…”

Section: Technology In the Nursing Practicementioning

confidence: 99%

Building the Capacity of Future Filipino Nurses: An Integrative Review

2024

IJFMR

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This study envisions future Filipino nurses' capacity-building skills. It delves into the capabilities of a "Future Filipino Nurse," determining what makes them globally competitive and how technology might help them even more. The research examines significant themes and creates a capacity-building framework through content analysis of seven seminal publications. The study reveals three critical pillars for strengthening Filipino nursing: a Conducive Nursing Environment, Creating a supportive ecosystem through recognition, mentorship, flexible work arrangements, and collaborative initiatives to nurture skilled and resilient nurses; Enhancing Nurse Capacity and Performance: Equipping nurses with the tools and skills required for excellence, such as critical thinking, patient-centered care, leadership, ethical behavior, and This recalls Amartya Sen's emphasis on individual autonomy and full potential. To cultivate a future-oriented nursing landscape and foster continuous learning, adaptation, and innovation through seamless integration of education and practice, new skill development, and ongoing research, this is consistent with Donald Schon's ideas about reflective practice and continuous progress. By putting these pillars in place, the Philippines can raise a generation of competent, globally competitive, and mobile nurses who will be critical champions for patient well-being and architects of a resilient healthcare future. Further study is required to apply and assess these capacity-building measures, particularly in exploring the impact of technology and revising training curricula to educate Filipino nurses for the developing healthcare sector effectively. Investing in future Filipino nurses' capacity building is vital for improving the healthcare system and assuring quality treatment for future generations. The Philippines can build a strong nursing workforce that will prosper in the global healthcare arena by providing a supportive atmosphere, enhancing individual talents, and embracing a future-oriented perspective.

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Normalisation of electronic medical records in routine healthcare work amidst ongoing digitalisation of the Philippine health system

Macabasag

Mallari²,

Pascual³

et al. 2022

Social Science & Medicine

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Catching up with rapid technology implementation: mobilities, electronic medical records, and primary care work in the Philippines

Cited by 4 publications

References 38 publications

Understanding Adoption of Electronic Medical Records (EMRs) during a Health Emergency: An Analysis of EMR Usage Logs from Rural Health Facilities in the Philippines

Understanding Adoption of Electronic Medical Records (EMRs) during a Health Emergency: An Analysis of EMR Usage Logs from Rural Health Facilities in the Philippines

Building the Capacity of Future Filipino Nurses: An Integrative Review

Normalisation of electronic medical records in routine healthcare work amidst ongoing digitalisation of the Philippine health system

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