SynthesisJournal of the American Medical Informatics Association : JAMIA2015
Success criteria for electronic medical record implementations in low-resource settings: a systematic review.
Synthesis in Journal of the American Medical Informatics Association : JAMIA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 3 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
60 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Clinical information system (CIS) implementation in developing countries: requirements, success factors, and recommendations.Journal of the American Medical Informatics Association : JAMIA · 2023Pooled it
- Successfully implementing a national electronic health record: a rapid umbrella review.International journal of medical informatics · 2020Pooled it
- Primary care physicians' attitudes to the adoption of electronic medical records: a systematic review and evidence synthesis using the clinical adoption framework.BMC medical informatics and decision making · 2018Pooled it
- Electronic health records in patient care: strengths, facilitators, challenges, and future directions-a scoping review.BMC health services research · 2026Article
- Hospital information systems evaluation criteria: a scoping review.BMC health services research · 2026Article
- Assessing the feasibility of solar-powered digital health infrastructure in rural and peri-urban Kenya: a mixed-methods study.Frontiers in digital health · 2026Article
- A Scoping Review of Challenges and Solutions in the Successful Implementation of Hospital Management Information Systems (HMIS).Medical journal of the Islamic Republic of Iran · 2026Review
- Bridging the data-power paradox: a conceptual-empirical analysis of solar-powered digital health systems in low-resource settings.Frontiers in digital health · 2026Article
- Mental health policy implementation in low- and middle-income countries: a realist review protocol.PloS one · 2025Article
- 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
- Artificial Intelligence (AI) Applications for Point of Care Ultrasound (POCUS) in Low-Resource Settings: A Scoping Review.Diagnostics (Basel, Switzerland) · 2024Article
- Factors Influencing Data Quality in Electronic Health Record Systems in 50 Health Facilities in Rwanda and the Role of Clinical Alerts: Cross-Sectional Observational Study.JMIR public health and surveillance · 2024Observational
- Mindfulness-based interventions to support wellbeing of adults in low socio-economic settings: a realist review.BMC complementary medicine and therapies · 2024Review
- Promoting health information system in guiding decisions for improving performance: an intervention study at the Research Institute of Ophthalmology, Giza, Egypt.Frontiers in digital health · 2024Article
- Quality of Electronic TB Register Data Compared with Paper-Based Records in the Kyrgyz Republic.Tropical medicine and infectious disease · 2023Article
- Organizational and health professional readiness for the implementation of electronic medical record system: an implication for the current EMR implementation in northwest Ethiopia.BMJ health & care informatics · 2023Article
- Factors Affecting the Successful Implementation of a Digital Intervention for Health Financing in a Low-Resource Setting at Scale: Semistructured Interview Study With Health Care Workers and Management Staff.Journal of medical Internet research · 2023Article
- What Factors Explain Low Adoption of Digital Technologies for Health Financing in an Insurance Setting? Novel Evidence From a Quantitative Panel Study on IMIS in Tanzania.International journal of health policy and management · 2023Article
- Digitalization of routine health information systems: Bangladesh, Indonesia, Pakistan.Bulletin of the World Health Organization · 2022Observational
- Implementing Electronic Health Records in Primary Care Using the Theory of Change: Nigerian Case Study.JMIR medical informatics · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveElectronic medical record (EMR) systems have the potential of supporting clinical work by providing the right information at the right time to the right people and thus make efficient use of resources. This is especially important in low-resource settings where reliable data are also needed to support public health and local supporting organizations. In this systematic literature review, our objectives are to identify and collect literature about success criteria of EMR implementations in low-resource settings and to summarize them into recommendations. MATERIALS AND
methodsOur search strategy relied on PubMed queries and manual bibliography reviews. Studies were included if EMR implementations in low-resource settings were described. The extracted success criteria and measurements were summarized into 7 categories: ethical, financial, functionality, organizational, political, technical, and training.
resultsWe collected 381 success criteria with 229 measurements from 47 articles out of 223 articles. Most papers were evaluations or lessons learned from African countries, published from 1999 to 2013. Almost half of the EMR systems served a specific disease area like human immunodeficiency virus (HIV). The majority of criteria that were reported dealt with the functionality, followed by organizational issues, and technical infrastructures. Sufficient training and skilled personnel were mentioned in roughly 10%. Political, ethical, and financial considerations did not play a predominant role. More evaluations based on reliable frameworks are needed.
conclusionsHighly reliable data handling methods, human resources and effective project management, as well as technical architecture and infrastructure are all key factors for successful EMR implementation.
Indexed as
Identifiers
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.