SynthesisInformatics in primary care2008
The role of the electronic medical record (EMR) in care delivery development in developing countries: a systematic review.
Synthesis in Informatics in primary care, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
84 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Towards Electronic Medical Record (EMR) utilization in developing countries: a conceptual model based on systematic literature review.BMC medical informatics and decision making · 2026Pooled it
- Implementing AI in Hospitals to Achieve a Learning Health System: Systematic Review of Current Enablers and Barriers.Journal of medical Internet research · 2024Pooled it
- Utilisation of Electronic Health Records for Public Health in Asia: A Review of Success Factors and Potential Challenges.BioMed research international · 2019Pooled it
- The Early Recognition and Management of Sepsis in Sub-Saharan African Adults: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2018Pooled it
- Trial
- Evaluation of computer-generated reminders to improve CD4 laboratory monitoring in sub-Saharan Africa: a prospective comparative study.Journal of the American Medical Informatics Association : JAMIATrial
- Physicians' Perceptions of, and Satisfaction with, Electronic Medical Record Systems in St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.Healthcare (Basel, Switzerland) · 2026Article
- Use and characteristics of free/libre and open source electronic health records: an overview of reviews.JAMIA open · 2026Review
- Patient tracking and retention with Malawi's electronic medical records system in antiretroviral treatment clinics.BMC digital health · 2026Article
- A research agenda for digital payments of health workers in large-scale health campaigns in sub-Saharan Africa.BMJ global health · 2026Article
- Enhancing Medical Record Quality in Psychiatric Care Through PDCA Cycle Management.Risk management and healthcare policy · 2026Article
- Electronic medical record (EMR) pre-deployment assessment for adoption readiness, acceptability, and associated factors at Hiwot Fana comprehensive specialized university hospital.BMC medical informatics and decision making · 2025Article
- Article
- National Cancer Grid initiative for electronic medical records, India.Bulletin of the World Health Organization · 2025Article
- The global burden of adverse effects of medical treatment: a 30-year socio-demographic and geographic analysis using GBD 2021 data.Frontiers in big data · 2025Review
- Barriers to the implementation of large-scale electronic health record systems in primary healthcare centers: a mixed-methods study in Saudi Arabia.Frontiers in medicine · 2025Article
- Health Information System Strengthening During Antenatal Care in Haiti: Continuous Quality Improvement Study.JMIR formative research · 2024Article
- Global trends and partial forecast of adverse effects of medical treatment from 1990 to 2019: an epidemiological analysis based on the global burden of disease study 2019.BMC public health · 2024Article
- Adoption of Electronic Medical Records for Chronic Disease Care in Kenyan Refugee Camps: Quantitative and Qualitative Prospective Evaluation.JMIR mHealth and uHealth · 2023Article
- Going paperless - Qualitative monitoring of staff morale during the transition from paper to electronic health records.Heliyon · 2023Article
24 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
objectiveMost countries in Europe and the USA are increasingly using an electronic medical record (EMR) to help improve healthcare quality. Unfortunately, most developing countries face many challenges ranging from epidemics and civil wars to disasters: they also lack a robust healthcare infrastructure in the form of information and communications technology (ICT) to ensure continuity of patient health which many research studies consider a lifesaving resource. The aim of this systematic review is to examine the benefits of an EMR and its contribution to the development of healthcare delivery in developing countries.
methodsWe searched MEDLINE, PubMed, CINAHL, COMPENDEX and Academic Search Premier as well as systematically searching the reference lists of included studies and relevant reviews. Inclusion criteria were that studies should relate to the importance and challenges of an EMR system, paper-based medical records, development and implementation of an EMR system in developing countries or EMR impact on care delivery in developing countries.
resultsA total of 23 articles were identified that met the eligibility criteria. Articles identified were grouped into five non-exclusive areas: EMR benefits (n=4), challenges (n=6), transition from paper-based to EMR (n=5), EMR in developing countries (n=8) and pilot projects (n=5). Nine articles were excluded because three were not published in English and six were studies on EMR in developed countries.
conclusionsThe potential of EMR systems to transform medical care practice has been recognised over the past decades, including the enhancement of healthcare delivery and facilitation of decision-making processes. Some benefits of an EMR system include accurate medication lists, legible notes and prescriptions and immediately available charts. In spite of challenges facing the developing world such as lack of human expertise and financial resource, most studies have shown how feasible it could be with support from developed nations to design and implement an EMR system that fits into this environment.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.