ArticleMalawi medical journal : the journal of Medical Association of Malawi2017
Factors affecting the utilisation of electronic medical records system in Malawian central hospitals.
Article in Malawi medical journal : the journal of Medical Association of Malawi, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Adoption of electronic health record systems to enhance the quality of healthcare in low-income countries: a systematic review.BMJ health & care informatics · 2023Pooled it
- Digital Health Data Quality Issues: Systematic Review.Journal of medical Internet research · 2023Pooled it
- Investigating Strategies for Sustaining Modern Health Information Systems for Enhanced Care Delivery in Fragile Resource-Constrained Settings Through Electronic Medical Record Implementation in Haiti: Qualitative Study.Online journal of public health informatics · 2026Article
- Patient tracking and retention with Malawi's electronic medical records system in antiretroviral treatment clinics.BMC digital health · 2026Article
- Electronic medical record-generated data use for decision-making and associated factors among healthcare managers in Somali public health facilities: a multicenter cross-sectional study.Frontiers in digital health · 2026Article
- Assessing electronic medical record usage in private healthcare facilities of Amhara region, Ethiopia.Scientific reports · 2025Article
- 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
- Factors influencing the availability and use of electronic medical records systems in public health facilities in Uganda: a cross-sectional assessment.BMC medical informatics and decision making · 2025Article
- Revisiting the use and effectiveness of patient-held records in rural Malawi.BMC health services research · 2025Article
- Missed opportunities for digital health data use in healthcare decision-making: A cross-sectional digital health landscape assessment in Homa Bay county, Kenya.PLOS digital health · 2025Article
- Dementia prevalence and risk factors in people with and without HIV in Malawi: A medical record review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- End user experiences of an electronic health records platform in a tertiary hospital system in Kenya.PloS one · 2025Article
- Assessment of implementation challenges of electronic medical record in Yekatit 12 hospital medical college.PloS one · 2025Article
- Development and validation of an instrument to evaluate the perspective of using the electronic health record in a hospital setting.BMC medical informatics and decision making · 2024Article
- Healthcare Professionals' Perceptions, Barriers, and Facilitators towards Adopting Computerised Clinical Decision Support Systems in Antimicrobial Stewardship in Jordanian Hospitals.Healthcare (Basel, Switzerland) · 2023Article
- Electronic Medical Record System Use and Determinants in Ethiopia: Systematic Review and Meta-Analysis.Interactive journal of medical research · 2023Review
- Electronic medical record systems data use in decision-making and associated factors among health managers at public primary health facilities, Dodoma region: a cross-sectional analytical study.Frontiers in digital health · 2023Article
- Implementation challenges and perception of care providers on Electronic Medical Records at St. Paul's and Ayder Hospitals, Ethiopia.BMC medical informatics and decision making · 2021Article
- Barriers to the Digitization of Health Information: A Qualitative and Quantitative Study in Kenya and Lao PDR Using a Cloud-Based Maternal and Child Registration System.International journal of environmental research and public health · 2021Article
- Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: In Malawi, paper-based medical record-keeping has been observed to exacerbate challenges related to accessing patient records and patient tracking. Despite the introduction of electronic medical record (EMR) systems in 2001, paper-based records continue to be in use. Some health workers prefer paper-based records to EMRs. This study assessed factors that affect the use of EMRs in Malawi, particularly at Queen Elizabeth and Kamuzu Central Hospitals. It further investigated the reasons why paper-based records are still in use despite the numerous associated disadvantages. The extent to which EMRs contribute to patient care was also analysed. Methods: In this cross-sectional study, 111 randomly selected health workers were interviewed, using a semistructured questionnaire, at the 2 largest central hospitals in Malawi, where EMRs were first introduced in the country. Focus group discussions were conducted to gather further information on factors identified during the individual interviews. Results and conclusions: Differences in age, gender, and previous computer experience were not associated with differences in EMR usage. However, education and employment levels has a positive association with EMR usage. Hardware and connectivity problems, as well as lack of training and managerial support negatively affected the use of EMRs. EMRs were found to improve data quality and efficiency in patient management.
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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.