Evidence map›Paper›PMID 40016779›Full record

ArticleBMC health services research2025

Factors influencing clinician performance post-electronic health record implementation: an empirical analysis in Moroccan hospitals.

Radouane Rhayha, Abdelhakim El Ouali Lalami, Hicham El Malki, Abdelilah Merabti, Jaouad El Hilaly, Tarik Mahla, Bouchaib Bahli, Abderrahman Alaoui Ismaili

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Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Radouane RhayhaLaboratory of Industrial Technologies and Services, Higher School of Technology, Sidi Mohamed Ben Abdellah University, P.B 2427 Route d'Imouzzer, Fez, 30000, Morocco. radouane.rhayha@usmba.ac.ma.
Abdelhakim El Ouali LalamiHigher Institute of Nursing Professions and Health Techniques of Fez, Fez, 30000, Morocco.
Hicham El MalkiLaboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy, and Dental Medicine, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
Abdelilah MerabtiHigher Institute of Nursing Professions and Health Techniques of Fez, Fez, 30000, Morocco.
Jaouad El HilalyLaboratory of Pedagogical and Didactic Engineering of Sciences and Mathematics, Regional Center of Education and Training (CRMEF) of Fez. Rue Koweit, P.B 49 Agdal, Fes, 30050, Morocco.
Tarik MahlaLISAC Laboratory, Faculty of Sciences Dhar El Mahraz, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
Bouchaib BahliInformation Technology Management Department, Toronto Metropolitan University, Toronto, ON, M5G 2C3, Canada.
Abderrahman Alaoui IsmailiLaboratory of Industrial Technologies and Services, Higher School of Technology, Sidi Mohamed Ben Abdellah University, P.B 2427 Route d'Imouzzer, Fez, 30000, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, the Moroccan Ministry of Health and Social Protection has invested considerable resources in implementing electronic health record (EHR) systems to provide citizens with quality healthcare services through efficient structures. However, the rhythm of EHR deployment across the country is very slow, requiring urgent evaluation to remove barriers to successful EHR adoption.

objectiveThis study aims to investigate the critical factors affecting healthcare providers' performance post-EHR implementation in Moroccan public hospitals.

methodsA cross-sectional study was conducted in three hospitals affiliated with Hassan II University Hospital Center in Fez. Data were collected using a questionnaire survey administered to a sample of 368 healthcare providers from March 2021 to July 2021. Clinician performance was assessed using a proposed research model that integrates the Information System Success Model and the Technology-Organization-Environment framework. The final model was analyzed and tested by using structural equation modeling. Statistical analyses were conducted using SPSS version 25 and Amos version 26.

resultsThe findings highlighted that the most critical factors influencing clinician performance are clinician satisfaction (β = 0.5, p < 0.001), followed by organization (β = 0.28, p < 0.001), and system quality (β = 0.17, p = 0.01). Additionally, information quality indirectly affects clinician performance (β = 0.19, p < 0.001). However, the environmental factor does not appear to have a significant impact (β = -0.004, p = 0.94).

conclusionThis study, performed for the first time in Morocco, identifies key factors for policymakers and healthcare organizations to enhance the successful implementation of EHR systems. Additionally, it serves as a valuable framework for future studies in this area.

Indexed as

Electronic Health RecordsHospitals, PublicAdultAttitude of Health PersonnelCross-Sectional StudiesFemaleHumansMaleMiddle AgedMoroccoSurveys and QuestionnairesClinician performanceElectronic health recordHealth information technologyMoroccan hospitalStructural equation modelingSuccess factors

Identifiers

PMID40016779
PMCPMC11869421

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LicenceCC BY-NC-ND
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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.