SynthesisAfrican journal of primary health care & family medicine2018
Electronic health record system in the public health care sector of South Africa: A systematic literature review.
Synthesis in African journal of primary health care & family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 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
37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 98 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
- Clinical information system (CIS) implementation in developing countries: requirements, success factors, and recommendations.Journal of the American Medical Informatics Association : JAMIA · 2023Pooled it
- Exploring Factors Associated With the Stalled Implementation of a Ground-Up Electronic Health Record System in South Africa: Qualitative Insights From the E-Tick Case Study Using the Consolidated Framework for Implementation Research (CFIR).JMIR medical informatics · 2026Article
- Governing digital health transformation in South Africa: are policies, standards, and legislation fit for purpose?Oxford open digital health · 2026Article
- Occupational Therapy Referral Pathways for Upper Limb Conditions in Tygerberg, South Africa: Stakeholder Perspectives.Occupational therapy international · 2026Article
- Secure federated transfer learning with enhanced secure multiparty computation for privacy preserving smart EHR systems.Scientific reports · 2025Article
- Data science and artificial intelligence for maternal, newborn and child health: scoping review and thematic analysis.BMC public health · 2025Article
- Attitudes and readiness of nurses towards digitalisation.Curationis · 2025Article
- Understanding patient perception of digital value co-creation in electronic health record through clustering approach.Scientific reports · 2025Article
- Using Machine Learning to Improve Readmission Risk in Surgical Patients in South Africa.International journal of environmental research and public health · 2025Article
- Digital health readiness - insights from healthcare leaders in operational management: a cross-sectional survey.BMC health services research · 2025Article
- 'A tough nut to crack': inconsistent standards as roadblocks to data interoperability of health information systems in public hospitals in the Gauteng Province of South Africa.Oxford open digital health · 2025Article
- Article
- The Effects of Electronic Health Records on Medical Error Reduction: Extension of the DeLone and McLean Information System Success Model.JMIR medical informatics · 2024Article
- The extent of interruptions to primary care medical officers' consultations in the Western Cape.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Experiential Learning to Enhance Global Health Collaboration and Student Opportunity.Annals of global health · 2024Article
- Going paperless - Qualitative monitoring of staff morale during the transition from paper to electronic health records.Heliyon · 2023Article
- Assessing the efficient use of the lightwave health information management system for health service delivery in Ghana.BMJ health & care informatics · 2023Article
- Assessing the cost and utilization of SMS printers by primary health care facilities: lessons learned from South Africa.Journal of public health in Africa · 2023Article
- The completeness of adverse drug reaction reports in South Africa: An analysis in VigiBase®.African journal of primary health care & family medicine · 2023Article
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 at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSouth Africa is planning to implement the National Health Insurance (NHI) scheme in the near future. The NHI is intended to improve the accessibility of quality health care services for all South African citizens. For the NHI to achieve this objective, an electronic health record (EHR) system to register and track patients who visit different health care providers will have to be developed.
aimTo identify critical success factors for the implementation of EHRs in South Africa's public health care sector.
settingThis study reviewed studies on EHR implementation in African countries published between 2006 and 2017.
methodsThe study made use of a systematic literature review to identify barriers to the implementation of EHRs in the public health care sector.
resultsFifteen articles were included in the study. The study identified technical, social and environmental barriers to the implementation of EHRs. The barriers could further be broken down into lack of supporting infrastructure; user training and commitment; political influence or strategy; legislation and regulations; and the lack of a framework for implementation and management of EHRs. The study suggests six main recommendations for the successful implementation of EHRs in South Africa's public health care sector.
conclusionThe study recommended investing in alternative infrastructure facilities, incentivising the health informatics field to attract and retain information and communication technology professionals and to encourage the participation of all stakeholders in the development process to develop context-relevant e-health implementation strategies, legislation and frameworks. Government should also allocate separate budgets for e-health projects.
Indexed as
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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.