ArticleDigital health
Barriers and facilitators of the electronic medical record adoption among healthcare providers in Addis Ababa, Ethiopia.
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Who cites it
12 citing papers in PubMed.
- Best practices in sample management & pre-analytical quality control: overcoming challenges in resource-limited laboratory settings.Tropical medicine and health · 2026Review
- Bridging policy and practice: a scoping review of health system implementation research practice in Ethiopia.Implementation science communications · 2026Review
- Enhancing Care Coordination and Patient Engagement Through Electronic Medical Record Utilization in Primary Healthcare: A Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2026Article
- Policy, Financing, and Regulatory Barriers to Adopting AI-Powered Electrocardiography Interpretation Clinical Decision Support System in Ethiopia: A Qualitative Study.International journal of environmental research and public health · 2026Article
- Time Burden of Electronic Medical Records on Nurses and Physicians in Saudi Arabia: Occurrence, Predictors, and Challenges-A Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2026Article
- Pregnant women's and health workers' perceptions and experiences on the Rwandan ANC digital module intervention at selected health centres.PLOS 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
- Acceptance of Electronic Medical Records and Associated Factors Among Health Care Workers in Northwest Ethiopia: Cross-Sectional Study.JMIR medical informatics · 2025Article
- Organisational and management factors and related end-users' perspectives relevant to newborn and stillbirth data at different levels of the health system: findings of the IMPULSE study in Uganda, Ethiopia, Tanzania, and the Central African Republic.Journal of global health · 2025Article
- Investigating the needs of older adults with type 2 diabetes and conceptualizing a healthy diet management application: a conceptual design.BMC geriatrics · 2025Article
- User-Centered Design of an Electronic Dashboard for Monitoring Facility-Level Basic Emergency Obstetric Care Readiness in Amhara, Ethiopia: Mixed Methods Study.JMIR human factors · 2025Article
- Burden of Non-Communicable Diseases and Emerging Attention in Gandaki Province, Nepal.JNMA; journal of the Nepal Medical Association · 2025Article
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11 authors.
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Abstract
Introduction: An electronic medical record (EMR) can enhance the quality of care and patient outcomes. Ethiopia started the implementation of EMR in 2013. However, its adoption among healthcare providers has been low. Thus, this study explored the barriers and facilitators of EMR adoption among healthcare providers in Addis Ababa, Ethiopia. Methods: A descriptive-phenomenological approach was used. Data were collected from one hospital and three health centers from 5-13 June, 2023, that implemented the EMR. A total of 25 EMR users (physicians, health officers, pharmacists, nurses, laboratory technologists, radiology technicians) were included in the key informant interviews. The interviews were audio-recorded, transcribed verbatim, translated to English, and exported to OpenCode 4.03 software for analysis. Thematic analysis was applied to analyze, summarize, and present the data. Results: Healthcare providers reported barriers operating at three levels: individual, technological, and organizational. Individual barriers included lack of digital literacy, technical knowledge, skill; motivation; and favorable attitude. Technological barriers included lack of infrastructure including computers, networks, and reliable power supply; and software-related challenges such as system downtime, lack of interoperability, comprehensiveness, and decision support systems; and system security and privacy concerns. Organizational barriers included poor quality of training, lack of follow-up, supervision and technical support; poor leadership commitment; lack of incentives and motivation; and staff turnover and workload. Perceived benefits of the system, such as ease of access to quality data, improved quality of care and work efficiency; availability of onsite technical support; presence of information technology supplies; and feedback from supervisors, were identified as facilitators of EMR adoption. Conclusion: The study identified different barriers and facilitators to the adoption of the EMR. The health system should prioritize strategies to address technological, individual, and organizational factors influencing the successful adoption of the EMR to support the delivery of quality care and improve patient outcomes.
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