| Peer-Reviewed

Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria

Received: 15 August 2023     Accepted: 4 September 2023     Published: 13 September 2023
Views:       Downloads:
Abstract

Electronic health record (EHR) is an efficient ICT tool for processing health data in real-time. Nigeria lacks an active e-health profile owing to financial, organizational and human factors such as poor computer literacy, resistance to change etc. This was a cross-sectional descriptive study which sought to determine healthcare providers’ knowledge and perceptions of electronic health records and their perceived effect on health service delivery in tertiary health facilities in Uyo, Nigeria. A semi-structured questionnaire was distributed to 400 healthcare providers recruited via proportionate sampling technique from two tertiary health facilities in the study location. Data was analyzed using SPSS 25, hypotheses were tested using chi-square statistics. Findings showed that majority, 335 (83.6%) of the respondents had fair to good (16% and 65% respectively) knowledge of the EHR. Of the 121 respondents who had used the EHR, 94 (77.6%) had positive perceptions of the technology, 82 (67.8%) reported improvement in patients’ outcomes. Eased access to patient data, 91 (81.0%); reduced waiting time, 74 (61.2%); secured means of data storage, 88 (72.7%); lessened workload, 75 (61.9%); improved patients’ satisfaction of services rendered, 79 (65.3%) and reduced health cost, 41 (34.7%). A relationship was established between healthcare providers’ perceptions of EHRs and perceived effect on health service delivery (p = 0.007 < 0.05). There was no relationship between healthcare providers’ knowledge of the EHR and perceived effect on health service delivery whereas, their positive perceptions of the system had an equal positive perceived effect on health service delivery in the study location.

Published in World Journal of Public Health (Volume 8, Issue 3)
DOI 10.11648/j.wjph.20230803.18
Page(s) 243-251
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

EHR, Healthcare Providers, Knowledge, Perceived Effect, Perception

References
[1] McGinn, C. A., Gagnon, M., Shaw, N., Sicotte, C., Mathieu, L., Leduc, Y., Legare, F. (2012). User's perspectives of key factors to implementing electronic health records in Canada: A Delphi study. BMC Medical Informatics and Decision Making, 12 (105), 1-13.
[2] Dover, L. L. (2019). Improved Diagnostics and Patient Outcomes. Retrieved from Healthit.Gov: https://healthit.gov/topic/health-it-and-health-information-exchange-basics/improved-diagnostics-patient-outcomes
[3] Lei, W., Xin, W., Zubedi, A., & Hashim, M. (2020). DANP-based method for the adoption of hospital information system. International Journal of Computer Applications in Technology, 62 (1), 57-65.
[4] Razzaque, A., & Jalal-Karim, A. (2010). Conceptual healthcare knowledge management model for adaptability and interoperability of EHR. European Mediterranean & Middle Eastern Conference on Information Systems, 1-23.
[5] Ajami, S., & Bagheri-Tadi, T. (2013). Barriers for adopting Electronic health records (EHRs) by physicians. Acta Informatica Medica, 21 (2), 129-134.
[6] Akanbi, M., Ocheke, A., Agaba, P., Daniyam, C., Agaba, E., Okeke, E., & Ukoli, C. (2012). Use of electronic health records in sub-Saharan Africa: Progress and Challenges. Journal of Medicine in the Tropics, 14 (1), 1-6. Retrieved August 28, 2018, from NCBI database.
[7] Bello, O. W., Faruk, N., Oloyode, A. A., & Popoola, S. I. (2016). Driving electronic health record system implementation in Nigeria: A proposal. Retrieved from Research Gate: https://www.researchgate.net/publication/317844683
[8] FMOH. (2018). NSHDP. Second National Strategic Health Development Plan 2018-2022. Nigeria: FGN.
[9] Bal, P. (2016). Interoperability Project. (Department of Health and Human Services) Retrieved from http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html
[10] Dobrev, A., Stroetmann, K., Stroetmann, V., Artmann, J., Jones, T., & Hammerschmidt, R. (2008). The conceptual framework of interoperable electronic health record and ePrescribing systems. Germany: European Commission, Information Society & Media.
[11] Gonzalez, C., Blobel, B. G., & Lopez, D. M. (2011). Ontology-based Framework for Electronic Health Records Interoperability. European Federation for Medical Informatics. Germany: IOS Press. doi: 10.3233/978-1-60750-806-9-694.
[12] Davis, F. D. (1989). Perceived usefulness, perceived ease of use and user acceptance of information technology. MIS Quarterly, 319-340.
[13] Ajibade, P. (2018). Technology acceptance model limitations and sriticisms: Exploring the practical applications and use in technology-related studies, mixed method, and qualitative researches. Library Philosophy and Practice, 1-13.
[14] Cochran, W. (1977). Samping techniques. New York: John Wiley & Sons.
[15] Adams, S. L. (2015). Nurses knowlege, skills, and attitude toward electronic health records (EHR). Proquest Dissertations and Theses. Retrieved from https://scholarworks.waldenu.edu/dissertations/875
[16] Berihun, B., Debalkie, D., & Getachew, S. (2020). Willingness to use electronic medical record (EMR) system in healthcare facilities of Bahir Dar City, northwest Etiopia. Biomed Research International, 4 (21), 1-9.
[17] Tubaishat, A. (2017). Perceived usefulness and perceived ease of use of electronic health records among nurses: Application of technology acceptance model. Informatics for Health and Social Care, 43 (3), 1-11.
[18] Legg, L., & Arnold, K. (2019). Improved Diagnostics and Patient Outcomes. Retrieved from Health IT.gov: https://www.healthit.gov/topic/health-it-and-health-information-exchange-basics/improved-diagnostics-patient-outcomes
[19] Fridsma, D. (2013). EHR Interoperability: The Structured Data Capture Initiative. (Office of the National Coordinator for Health Information Technology) Retrieved from HealthITBuzz: ww.healthIT.gov.
[20] Hoover, R. (2017). Benefits of using an electronic health record. Nursing Critical Care, 12 (1), 9-10.
Cite This Article
  • APA Style

    Mfonobong Udoh, Humphrey Okeke, Lucy Edet, Nelson Osuchukwu. (2023). Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria. World Journal of Public Health, 8(3), 243-251. https://doi.org/10.11648/j.wjph.20230803.18

    Copy | Download

    ACS Style

    Mfonobong Udoh; Humphrey Okeke; Lucy Edet; Nelson Osuchukwu. Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria. World J. Public Health 2023, 8(3), 243-251. doi: 10.11648/j.wjph.20230803.18

    Copy | Download

    AMA Style

    Mfonobong Udoh, Humphrey Okeke, Lucy Edet, Nelson Osuchukwu. Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria. World J Public Health. 2023;8(3):243-251. doi: 10.11648/j.wjph.20230803.18

    Copy | Download

  • @article{10.11648/j.wjph.20230803.18,
      author = {Mfonobong Udoh and Humphrey Okeke and Lucy Edet and Nelson Osuchukwu},
      title = {Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria},
      journal = {World Journal of Public Health},
      volume = {8},
      number = {3},
      pages = {243-251},
      doi = {10.11648/j.wjph.20230803.18},
      url = {https://doi.org/10.11648/j.wjph.20230803.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20230803.18},
      abstract = {Electronic health record (EHR) is an efficient ICT tool for processing health data in real-time. Nigeria lacks an active e-health profile owing to financial, organizational and human factors such as poor computer literacy, resistance to change etc. This was a cross-sectional descriptive study which sought to determine healthcare providers’ knowledge and perceptions of electronic health records and their perceived effect on health service delivery in tertiary health facilities in Uyo, Nigeria. A semi-structured questionnaire was distributed to 400 healthcare providers recruited via proportionate sampling technique from two tertiary health facilities in the study location. Data was analyzed using SPSS 25, hypotheses were tested using chi-square statistics. Findings showed that majority, 335 (83.6%) of the respondents had fair to good (16% and 65% respectively) knowledge of the EHR. Of the 121 respondents who had used the EHR, 94 (77.6%) had positive perceptions of the technology, 82 (67.8%) reported improvement in patients’ outcomes. Eased access to patient data, 91 (81.0%); reduced waiting time, 74 (61.2%); secured means of data storage, 88 (72.7%); lessened workload, 75 (61.9%); improved patients’ satisfaction of services rendered, 79 (65.3%) and reduced health cost, 41 (34.7%). A relationship was established between healthcare providers’ perceptions of EHRs and perceived effect on health service delivery (p = 0.007 < 0.05). There was no relationship between healthcare providers’ knowledge of the EHR and perceived effect on health service delivery whereas, their positive perceptions of the system had an equal positive perceived effect on health service delivery in the study location.},
     year = {2023}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria
    AU  - Mfonobong Udoh
    AU  - Humphrey Okeke
    AU  - Lucy Edet
    AU  - Nelson Osuchukwu
    Y1  - 2023/09/13
    PY  - 2023
    N1  - https://doi.org/10.11648/j.wjph.20230803.18
    DO  - 10.11648/j.wjph.20230803.18
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 243
    EP  - 251
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20230803.18
    AB  - Electronic health record (EHR) is an efficient ICT tool for processing health data in real-time. Nigeria lacks an active e-health profile owing to financial, organizational and human factors such as poor computer literacy, resistance to change etc. This was a cross-sectional descriptive study which sought to determine healthcare providers’ knowledge and perceptions of electronic health records and their perceived effect on health service delivery in tertiary health facilities in Uyo, Nigeria. A semi-structured questionnaire was distributed to 400 healthcare providers recruited via proportionate sampling technique from two tertiary health facilities in the study location. Data was analyzed using SPSS 25, hypotheses were tested using chi-square statistics. Findings showed that majority, 335 (83.6%) of the respondents had fair to good (16% and 65% respectively) knowledge of the EHR. Of the 121 respondents who had used the EHR, 94 (77.6%) had positive perceptions of the technology, 82 (67.8%) reported improvement in patients’ outcomes. Eased access to patient data, 91 (81.0%); reduced waiting time, 74 (61.2%); secured means of data storage, 88 (72.7%); lessened workload, 75 (61.9%); improved patients’ satisfaction of services rendered, 79 (65.3%) and reduced health cost, 41 (34.7%). A relationship was established between healthcare providers’ perceptions of EHRs and perceived effect on health service delivery (p = 0.007 < 0.05). There was no relationship between healthcare providers’ knowledge of the EHR and perceived effect on health service delivery whereas, their positive perceptions of the system had an equal positive perceived effect on health service delivery in the study location.
    VL  - 8
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • Department of Physiotherapy, University of Uyo Teaching Hospital, Uyo, Nigeria

  • Department of Physiotherapy, Faculty of Allied Medical Sciences, University of Calabar, Calabar, Nigeria

  • Department of Physiotherapy, Faculty of Basic Clinical Sciences, University of Uyo, Uyo, Nigeria

  • Department of Public Health, Faculty of Allied Medical Sciences, University of Calabar, Calabar, Nigeria

  • Sections