Electronic Medical Records: A Review Comparing the Challenges in Developed and Developing Countries

Sood, Swati; Nwabueze, S.N.; Mbarika, Victor; Prakash, Nupur; Chatterjee, Samir; Ray, Pradeep; Mishra, SB

doi:10.1109/hicss.2008.141

Cited by 63 publications

(55 citation statements)

References 26 publications

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“…Sood et al [43] conducted a systematic review to compare different facilitators and barriers in developed and developing countries for successful electronic medical record implementation and use and found a major difference in barriers in those two settings. However, with respect to the implementation of mobile health intervetnions, this type of analysis is lacking and this study aims to fill this evidence gap.…”

Section: Discussionmentioning

confidence: 99%

Identifying Barriers and Facilitators of 13 mHealth Projects in North America and Africa: Protocol for a 5-Year Implementation Science Study (Preprint)

Tilahun¹,

Smillie²,

Bardosh³

et al. 2017

Preprint

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BACKGROUND Although many mHealth interventions have shown efficacy in research, few have been effectively implemented and sustained in real-world health system settings. Despite this programmatic gap, there is limited conclusive evidence identifying the factors that affect the implementation and successful integration of mHealth into a health system. OBJECTIVE The aim of this study is to examine the individual, organizational, and external level factors associated with the effective implementation of WelTel, an mHealth intervention designed to support outpatient medication adherence and engagement in care in Africa and North America. METHODS We will adopt the Consolidated Framework for Implementation Research (CFIR) constructs for evaluation of mHealth implementation including a scoring and monitoring system. We will apply the adapted tool to identify facilitators and barriers to implementation of the WelTel mHealth intervention in order to determine how the technology platform is perceived, diffused, adapted, and used by different mHealth project teams and health system actors in Africa and North America. We will use a mixed-methods approach to quantitatively test whether the factors identified in the CFIR framework are associated with the successful uptake of the mHealth intervention toward implementation goals. We will triangulate these data through interviews and focus group discussion with project stakeholders, exploring factors associated with successful implementation and sustainment of these interventions. RESULTS The development of the customized CFIR is finalized and currently is in pilot testing. The initial results of the use of the tool in those 13 implementations will be available in 2019. Continuous conference and peer- reviewed publications will be published in the coming years. CONCLUSIONS The results of this study will provide an in-depth understanding of individual, organizational, and external level factors that influence the successful implementation of mHealth in different health systems and geographic contexts over time. Via the tool’s unique scoring system connected to qualitative descriptors, these data will inform the most critical implementation targets and contribute to the tailoring of strategies that will assist the health system in overcoming barriers to implementation, and ultimately, improve treatment adherence and engagement in care. REGISTERED REPORT IDENTIFIER RR1-10.2196/9633

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Section: Discussionmentioning

confidence: 99%

Identifying Barriers and Facilitators of 13 mHealth Projects in North America and Africa: Protocol for a 5-Year Implementation Science Study (Preprint)

Tilahun¹,

Smillie²,

Bardosh³

et al. 2017

Preprint

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“…When integrating IS it is integral to be aware of the cultural aspects involved (Pliskin et al, 1993). Research has shown that cultures differ between developed and developing countries (Sood et al 2008) which must be incorporated within software development projects. Research in other areas has shown that this integrative approach is effective (cf.…”

Section: Figure 3 Integration Requirements For His In Nigeriamentioning

confidence: 99%

“…Research in other areas has shown that this integrative approach is effective (cf. Chrispin & Katzenstein, 2006;Sood et al, 2008;Biswas et al, 2014;Farag, 2015).…”

Section: Figure 3 Integration Requirements For His In Nigeriamentioning

confidence: 99%

Trends, Findings, and Opportunities: An Archival Review of Health Information Systems Research in Nigeria

Kenny¹,

Connor²,

Eze³

et al. 2017

JMWAIS

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Type of publicationArticle (peer-reviewed) AbstractLow and middle income countries continue to struggle with limited availability of healthcare capability and resources. Recently, a variety of health information systems (HIS) projects have been piloted in an attempt to overcome these challenges by improving the quality of data to support the delivery of healthcare services from the community to hospital settings. Indeed, existing literature considers a breath of pilot HIS studies that have been undertaken in African countries. This study focuses on HIS interventions in the West African country of Nigeria. This paper conducts an archival analysis of existing literature on HIS in Nigeria published in premier Information Systems (IS) and Health Informatics outlets. This analysis provides a comprehensive picture of existing literature by identifying trends, discussing findings, and proposing new research opportunities. The 18 articles meeting the inclusion criteria are reviewed. Using a framework developed by Leon, Schneider, and Daviaud (2012), we consider current trends to elucidate the factors influencing health IS implementation in developing countries. Several challenges face IS implementation in Nigeria such as the lack of policy guidance, resistance among end users, and cultural barriers. Existing studies are limited in scope, theory, and level of analysis applied. The paper contributes to the literature by providing practical recommendations to better navigate future HIS implementations in developing countries, while also identifying avenues through which IS researchers can advance the HIS literature in an empirical, theoretical, and practical sense.

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“…The implementation and use of EMR systems has been explored in developed countries for more than three decades, but the progress has been slow such that there continues to be limited adoption and use of the systems in healthcare institutions (Boonstra and Broekhuis, 2010;Chaudhry et al, 2006;Sood et al, 2008). This indicates that successful design and implementation of EMR systems continues to be a challenging task (Chaudhry et al, 2006;Fitzpatrick and Ellingsen, 2012;Vikkelsø, 2005).…”

Section: Introductionmentioning

confidence: 99%

“…These studies have identified various design and implementation challenges such as poor electricity and ICT infrastructures, lack of back-up systems, limited health care budget, low staffing levels, high risk of theft, lack of local technical expertise to support the systems, and poor systems security leading to viruses (Douglas, 2009, Fraser et al, 2005, Sood et al, 2008. However, studies are lacking that analyse and discuss the EMR design process and the complexities of balancing the work practices and protocols in the context of developing countries (Fitzpatrick and Ellingsen, 2012).…”

Section: Introductionmentioning

confidence: 99%

Balancing Work Practices and Protocols in the Design of EMR Systems: The Case of Developing an EMR System for Antenatal Care Services in Malawi

Chawani

Kaasbøll

Finken

et al. 2014

E J Info Sys Dev Countries

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Implementing ICTs in healthcare settings has proved to be very challenging such that progress towards widespread adoption and use of Electronic Medical Record (EMR) systems has been slow. The challenges of implementing these technologies have been described as complex, diverse, and locally situated. One of the challenging aspects of designing EMR systems is the need for inscribing standardised protocols whilst taking into account local work practices. Previous research has called for the need to balance work practices and protocols in the design of EMR systems. We present an attempt to balance the work practices and protocols in the development of an EMR system for antenatal care in a developing country, Malawi. This was done through implementing weak inscriptions of the protocols in some cases and strong inscriptions in other cases. The study highlights the important role that clients play in healthcare work and thus, influence the design of EMR systems.

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Electronic Medical Records: A Review Comparing the Challenges in Developed and Developing Countries

Cited by 63 publications

References 26 publications

Identifying Barriers and Facilitators of 13 mHealth Projects in North America and Africa: Protocol for a 5-Year Implementation Science Study (Preprint)

Identifying Barriers and Facilitators of 13 mHealth Projects in North America and Africa: Protocol for a 5-Year Implementation Science Study (Preprint)

Trends, Findings, and Opportunities: An Archival Review of Health Information Systems Research in Nigeria

Balancing Work Practices and Protocols in the Design of EMR Systems: The Case of Developing an EMR System for Antenatal Care Services in Malawi

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