Evidence map›Paper›PMID 32883267›Full record

ArticleBMC medical informatics and decision making2020

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.

Mohammedjud Hassen Ahmed, Adina Demissie Bogale, Binyam Tilahun, Mulugeta Hayelom Kalayou, Jorn Klein, Shegaw Anagaw Mengiste, Berhanu Fikadie Endehabtu

Open access · goldAbstract read
In one paragraph

Article in BMC medical informatics and decision making, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
14.5field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 108 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

Mohammedjud Hassen AhmedDepartment of Health Informatics, Institute of Public Health, Mettu University, P.o.box: 196, Metu Zuria, Ethiopia. judhassen423@gmail.com.ORCID 0000-0002-3909-6527
Adina Demissie BogaleDepartment of Health Informatics, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
Binyam TilahunDepartment of Health Informatics, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
Mulugeta Hayelom KalayouDepartment of Health Informatics, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
Jorn KleinUniversity of South-Eastern Norway, Post office box 235, N-3603, Kongsberg, Norway.
Shegaw Anagaw MengisteUniversity of South-Eastern Norway, Post office box 235, N-3603, Kongsberg, Norway.
Berhanu Fikadie EndehabtuDepartment of Health Informatics, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
University of Gondar · ETUniversity of South-Eastern Norway · NOMetsähallitus (Finland) · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic Medical Records (EMRs) are systems to store patient information like medical histories, test results, and medications electronically. It helps to give quality service by improving data handling and communication in healthcare setting. EMR implementation in developing countries is increasing exponentially. But, only few of them are successfully implemented. Intention to use EMRs by health care provider is crucial for successful implementation and adoption of EMRs. However, intention of health care providers to use EMR in Ethiopia is unknown.

objectiveThe aim of this study was to assess health care provider's intention to use and its predictors towards Electronic Medical Record systems at three referral hospitals in north-west, Ethiopia, 2019.

methodsInstitutional based cross-sectional explanatory study design was conducted from March to September among 420 health care providers working at three referral hospitals in north-west Ethiopia. Data were analyzed using structural equation model (SEM). Simple and multiple SEM were used to assess the determinants of health care providers intention to use EMRs. Critical ratio and standardized coefficients were used to measure the association of dependent and independent variables, 95% confidence intervals and P-value were calculated to evaluate statistical significance. Qualitative data was analyzed using thematic analysis.

resultThe mean age of the study subjects was 32.4 years ±8.3 SD. More than two-third 293(69.8%) of the participants were male. Among 420 health care providers, only 167 (39.8%) were scored above the mean of intention to use EMRs. Factors positively associated with intention to use EMRs were performance expectancy (β = 0.39, p < 0.001), effort expectancy (β = 0.24,p < 0.001),social influence (β = 0.18,p < 0.001),facilitating condition (β = 0.23,p < 0.001), and computer literacy (β = 0.08,p < 0.001). Performance expectancy was highly associated with intention to use EMRs.

conclusionGenerally, about 40 % of health care providers were scored above the mean of intention to use EMRs. Performance expectancy played a major role in determining health care providers' intention to use EMRs. The intention of health care providers to use EMRs was attributed by social influence, facilitating condition in the organization, effort expectancy, performance expectancy and computer literacy. Therefore, identifying necessary prerequisites before the actual implementation of EMRs will help to improve the implementation status.

Indexed as

Electronic Health RecordsHealth PersonnelIntentionReferral and ConsultationAdultCross-Sectional StudiesEthiopiaFemaleHospitalsHumansMaleTechnologyElectronic medical record systemEthiopiaIntention to useUTAUT2model

Identifiers

PMID32883267
PMCPMC7469309
OpenAlexW3082893665

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.