ArticlePloS one2021
Development of standard indicators to assess use of electronic health record systems implemented in low-and medium-income countries.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
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- Global, Regional, and National Epidemiology of Postpartum Hemorrhage (1990-2021): A Statistical Analysis of Incidence, Mortality, and DALYs.Health science reports · 2026Article
- Development of Quality Indicators for the Correct Use of Electronic Medical Records in Primary Care: Modified Delphi Study.JMIR medical informatics · 2026Article
- Design and implementation of a multi-country targeted health facility assessment to measure integrated, people-centered, quality of services.PLOS global public health · 2026Article
- Electronic health record and primary care physician self-reported quality of care: a multilevel study in China.Global health action · 2024Article
- Assessing the Digital Advancement of Public Health Systems Using Indicators Published in Gray Literature: Narrative Review.JMIR public health and surveillance · 2024Review
- Key Indicators for Monitoring the Efficiency of Iranian Health System: A Synthesized Design Study.Iranian journal of public health · 2024Article
- Electronic health records model to improve the quality of patients' healthcare.Health SA = SA Gesondheid · 2024Review
- Field based research in the era of the pandemic in resource limited settings: challenges and lessons for the future.Frontiers in public health · 2024Review
- Users' perception on factors contributing to electronic medical records systems use: a focus group discussion study in healthcare facilities setting in Kenya.BMC medical informatics and decision making · 2021Article
- A multivariate statistical evaluation of actual use of electronic health record systems implementations in Kenya.PloS one · 2021Article
- Digital health capacity and pediatric care quality in LMICs: A large-scale analysis of 5311 health facilities.Digital healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElectronic Health Record Systems (EHRs) are being rolled out nationally in many low- and middle-income countries (LMICs) yet assessing actual system usage remains a challenge. We employed a nominal group technique (NGT) process to systematically develop high-quality indicators for evaluating actual usage of EHRs in LMICs.
methodsAn initial set of 14 candidate indicators were developed by the study team adapting the Human Immunodeficiency Virus (HIV) Monitoring, Evaluation, and Reporting indicators format. A multidisciplinary team of 10 experts was convened in a two-day NGT workshop in Kenya to systematically evaluate, rate (using Specific, Measurable, Achievable, Relevant, and Time-Bound (SMART) criteria), prioritize, refine, and identify new indicators. NGT steps included introduction to candidate indicators, silent indicator ranking, round-robin indicator rating, and silent generation of new indicators. 5-point Likert scale was used in rating the candidate indicators against the SMART components.
resultsCandidate indicators were rated highly on SMART criteria (4.05/5). NGT participants settled on 15 final indicators, categorized as system use (4); data quality (3), system interoperability (3), and reporting (5). Data entry statistics, systems uptime, and EHRs variable concordance indicators were rated highest.
conclusionThis study describes a systematic approach to develop and validate quality indicators for determining EHRs use and provides LMICs with a multidimensional tool for assessing success of EHRs implementations.
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