Meta-Analysis: Effects of Knowledge and Training on the Readiness of Electronic Medical Record Use in Health Workers
DOI:
https://doi.org/10.26911/thejhpm.2024.09.02.12Abstract
Background: Globally, more than half of RME projects face the potential problem that only 35% of lower-middle-income countries and 15% of low-income countries have implemented national electronic health record systems. This study aims to analyze previous primary studies in assessing the influence of electronic medical record training and level of knowledge on health workers' readiness to use electronic medical records.
Subjects and Method: This research is a systematic review and meta-analysis using the PRISMA flow diagram and PICO model. Population: health workers. Intervention: RME training and level of knowledge. Comparison: no RME training and poor knowledge level. Outcome: readiness to use RME in health workers. The databases used were Google Scholar, Pubmed, ScienceDirect, Taylor & Francis, Springer Link, Plos One, and BioMed Central, with the keywords (“Willingness” OR “Readiness” OR “Utilization” AND “Electronic Medical Records” OR “EMR” AND “Training” OR “EMR Training” AND “Knowledge” AND 46 “Health Professionals” AND “Cross Sectional” AND “Adjusted Odds Ratio” OR “AOR”). There were 9 cross-sectional studies published in 2015-2023 that met the inclusion criteria. Data analysis using RevMan 5.4.
Results: Meta-analysis of 9 articles with a cross-sectional study design obtained from Ethiopia with a sample size of 3,996 health workers. The meta-analysis results show that health workers who received EMR training were 2.62 times more prepared to use electronic medical records compared to health workers who did not receive EMR training, and these results were statistically significant (aOR= 2.62; 95% CI= 2.01 to 3.42; p = 0.001), Health workers who have good knowledge can increase readiness to use electronic medical records by 1.83 times compared to health workers who have poor knowledge, and these results are statistically significant (aOR= 1.83; 95% CI= 1.50 to 2.24; p= 0.001).
Conclusion: Health workers who receive RME training and have a good level of knowledge can increase their readiness to use RME.
Keywords: RME training, level of knowledge, RME readiness, health personnel
Correspondence: Agus Syukron Ma’ruf. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: syukron.agsyma2901@itsk-soepraoen.ac.id. Mobile: +6281333387010.
References
Afolaranmi TO, Hassan ZI, Dawar BL, Wilson BD, Zakari AI, Bello KK, Ofakunrin AOD, Ogbeyi GO (2020). Knowledge of electronic medical records system among frontline health care workers in Jos University teach-ing hospital, Plateau State Nigeria. Int. J. Res. Med. Sci. 8(11): 3837-3843. Doi: 10.18203/2320-6012.ijrms202-04867.
Ahmed MH, Bogale AD, Tilahun B, Kalayou MH, Klein J, Mengiste SA, Endehabtu BF (2020). Intention to use electronic medical record and its predictors among health care providers at referral hospitals, north-West Ethiopia, 2019: using unified theory of acceptance and use technology 2(UTAUT2) model. BMC Med Inform Decis Mak. 20: 207. Doi: 10.1186/s12911-020-01222-x
Asih HA, Indrayadi (2023). Research On Electronic Medical Records in Indo-nesia: Literature Review. JPP. 6(1): 182-198. Doi: 10.47650/jpp.v6i1.736
Awol SM, Birhanu AY, Mekonnen ZA, Gashu KD, Shiferaw AM, Endehabtu BF, Kalayou MH, Guadie HA, Tilahun B (2022). Health Professionals’ Readiness and Its Associated Factors to Implement Electronic Medical Record System in Four Selected Primary Hospitals in Ethiopia. AMEP. 11: 47-54. Doi: 10.2147/AMEP.S2333-68.
Berihun B, Atnafu DD, Sitotaw G (2020). Willingness to Use Electronic Medical Record (EMR) System in Healthcare Facilities of Bahir Dar City, Northwest Ethiopia. Biomed Res. Int. 3827328: 1-9. Doi: 10.1155/2020/3827328
Bisrat A, Minda D, Assamnew B, Abebe B, Abegaz T (2021). Implementation challenges and perception of care providers on Electronic Medical Re-cords at St. Paul’s and Ayder Hospitals, Ethiopia. BMC Medical Inform. Decis. Mak., 21(1): 1-12. Doi: 10.1186/s12911-021-01670-z
Hailegebreal S, Dileba T, Haile Y, Abebe S (2023). Health professionals’ readiness to implement electronic medical record system in Gamo zone public hospitals, southern Ethiopia: an institution based cross-sectional study. BMC Health Serv Res. 23: 773. Doi: 10.1186/s12913-023-09745-5
Keleb G, Taye G, Ayele W, Tassew B, Biruk E, Habtamu T, Getachew D, Addise M (2023). Electronic Medical Record Utilization, Determinant Factors and Barriers Among Healthcare Providers at Selected Health Facilities in Addis Ababa, Ethiopia. Ethiop. J. Health Dev. 36(1): 1-13.
Munawaroh SM, Murti B (2023). Penilaian kritis (critical appraisal) studi cross-sectional analitik (bukan survei) untuk penelitian meta-analisis (Critical appraisal of analytical cross-sectional studies (not surveys) for meta-analysis research)
Ngusie HS, Kassie SY, Chereka AA, Enyew EB (2022). Healthcare providers’ readiness for electronic health record adoption: a cross-sectional study during pre-implementation phase. BMC Health Serv Res. 22: 282. Doi: 10.1186/s12913-022-07688-x
Oumer A, Muhye A, Dagne I, Ishak N, Ale A, Bekele A (2021). Utilization, Determinants, and Prospects of Electronic Medical Records in Ethiopia. Biomed Res. Int. 1-11. Doi: 10.1155/2021/2230618
Ratnaningsih DA, Sanjaya GY, Asikin A (2023). Rekam Medis Elektronik (RME) untuk Pelayanan Gizi Rumah Sakit. JMPK. 26(2): 32-37. Doi: 10.22146/jmpk.v26i2.8557
Sabran S, Santi MW, Putra DSH, Roziqin MC (2023). Gambaran Budaya Kerja Organisasi Terhadap Adaptasi Rekam Medis Elektronik dalam Pelayanan Kesehatan di Rumah Sakit (Overview of Organizational Work Culture on Adaptation of Electronic Medical Records in Health Services in Hos-pitals). ARTERI. 4(3): 200-205. Doi: 10.37148/arteri.v4i3.380
Senishaw AF, Tilahun BC, Nigatu AM, Mengiste SA, Standal K (2023). Willingness to use electronic medical record (EMR) system and its asso-ciated factors among health pro-fessionals working in Amhara region Private Hospitals 2021, Ethiopia. J. Pone. 1-13. Doi: 10.1371/journal.pone.-0282044
Sinaga N, Ngarawula B, Fristin Y (2023). Analysis of the Readiness of Electronic Medical Records at the Cahaya Sangatta Mother and Child Hospital, East Kutai, Indonesia: The Imple-mentation of the Minister of Health Regulation Number 24 of 2022 con-cerning Medical Records. IJRSS, 4(5): 20-32. Doi: 10.47505/IJRSS.2023.-V4.5.2
Walle AD, Shibabaw AA, Tilahun KN, Atinafu WT, Adem JB, Demsash AW, Baykemagn ND, Kebede SD, Ferede TA, Tegegne MD, Wubante SM (2023). Readiness to use electronic medical record systems and its associated factors among health care professionals in Ethiopia: A systematic review and meta-analysis. Inform. Med. Unlocked. 36: 1-7. Doi: 10.1016-/j.imu.2022.101140
Wubante SM, Tegegne MD, Melaku MS, Mengiste ND, Fentahun A, Zemene W, Fikadie M, et al. (2023). Healthcare professionals' knowledge, attitude and its associated factors toward electronic personal health record system in a resource-limited setting: A cross-sectional study. Front. Public Health. 11: 1114456. Doi: 10.3389/fpubh.2023.1114456
Yehualashet G, Asemahagn M, Tilahun B (2015). The Attitude towards and Use of Electronic Medical Record System by Health Professionals at a Referral Hospital in Northern Ethiopia: Cross-Sectional Study. JHIA. 3(1): 19-29. Doi: 10.12856/JHIA-2015-v3-i1-124
Yilma TM, Tilahun B, Marnuye A, Kerie H, Nurhussien F, Zemen E, Mebratu A, Abebaw T, Gebeyehu H, Abay S, Sisay G, Getacew R, Zemene W, Tesfaye S, Tegegne MD (2023). Organizational and health professional readiness for the implementation of electronic medical record system: an implication for the current EMR implementation in northwest Ethiopia. BMJ. (30)1: 1-7. Doi: 10.1136/bmjhci-2022-100723
