Exploring the Impact of Electronic Health Records Systems on the Performance of a Healthcare Organisation-A Qualitative Study in Ghana
Asian Journal of Research in Nursing and Health,
Introduction: The application of the Electronic Health Record System has been extensively acknowledged as an instrument by healthcare establishments to increase efficiency, operational effectiveness and successfully boost revenue generation.
Aim: This study aimed at empirically appraising the impact of electronic health record system on the performance of Pentecost Hospital in Madina in the La Nkwantanang-Madina Municipality in the Greater-Accra Region of Ghana.
Methodology: The study adopted a qualitative approach with a case study design. In-depth interviews and a focus group discussion of a total of thirty-five (35) respondents including ten (10) key informants of the Pentecost Hospital were purposely selected to participate in the study due to their role in the implementation of electronic health records system in the facility.
Results and Discussions: The study revealed that frequent loss of data, inadequate knowledge in the management of the system, desire to improve upon work efficiency, longing to have easy access to health records of patients, intermittent waste of client or beneficiary time were among the main factors that led to the introduction of the Electronic Health Record System. The study also identified simplification of activities of the various departments of the hospital, improvement in clients’ satisfaction, reduction in waiting time and speed delivery of healthcare, storage of information being faster and lasting, improvement in revenue generation of the hospital and improvement in quality healthcare delivering as some of the effects of the introduction of electronic patient record management on healthcare delivery at the Pentecost Hospital in Accra.
Conclusion: It is imperative to mention that efficient electronic health record system which is geared towards efficient quality healthcare provision would flourish when parity, effectiveness, efficiency and responsiveness of resource utilisation for quality healthcare are considered as the building blocks.
- electronic health record system
- resource utilization
- revenue generation
- healthcare delivery and improvement.
How to Cite
Available:http://www.wpro.who.int/publications/docs/EHRmanual.pdf. (Accessed on January 19, 2020.
Tafor V. Digital technology- Understanding the problems posed by Information Technology in generating and managing records from a third perspective. ESARBICA Journal. 2003;22:72-77.
Ajami S, Ketabi S, Saghaeiannejad S, Heidari A. Readiness Assessment of Electronic Health Records Implementation. Acta Inform Med. 2011;19:224–7.
Campanella P, Lovato E, Marone C, Fallacara L, Mancuso A, et al. The impact of electronic health records on healthcare quality: a systematic review and meta-analysis. Eur. J. Public Health 2016;26: 60–64.
Agha L. The effects of health information technology on the costs and quality of medical care. J. Health Econ. 2014;34: 19–30.
McCullough J. S., Parente S. T., & Town R. Health information technology and patient outcomes: the role of information and labor coordination. RAND J. Econ. 2016;47:207–36.
Manaktala S, Claypool SR. Evaluating the impact of a computerized surveillance algorithm and decision support system on sepsis mortality. J. Am.Med. Inform. Assoc. 2017;24:88–95.
Lammers EJ, McLaughlin CG, Barna M. Physician EHR adoption and potentially preventable hospital admissions among Medicare beneficiaries: panel data evidence, 2010–2013. Health Serv. Res. 2016;51:2056–75.
Li J, Land LPW, Chattopadhyay S, Ray P. E-health readiness framework from electronic health records perspective; 2008.
Mugo MD, Nzuki DD. Determinants of Electronic Health in Developing Countries. International Journal of Arts and Commerce. 2014;3(3).
Norman ID, Aikins, MK, Binka FN. Ethics and electronic health information technology: challenges for evidence-based medicine and the physician-patient relationship. Ghana Medical Journal, 2011;45(3):115–124.
Oak M. “A review on barriers to implementing health informatics in developing countries [Electronic Version].” Journal of Health Informatics in Developing Countries. 2007;1(1):19–22.
Sajjadi SA, Alipour V, Matlabi M, Biglari H. Consumer Perception and Preference of Drinking Water Sources. Electronic Physician. 2016;8(11): 3228–3233.
Botchwey COA, Boateng AA, Aggrey-Bluwey L, Blay I, Opoku R. A Quantitative Enquiry into the Perceived Benefits, user Satisfaction and Challenges Associated with Electronic Health Records Systems. Asian Journal of Medical Principles and Clinical Practice. 2021;4(4):139-150.
Adjorlolo S, Ellingsen G. Readiness Assessment for Implementation of Electronic Patient Record in Ghana: A Case of University of Ghana Hospital. Journal of Health Informatics in Developing Countries. 2013;7(2).
Burns P, Perkins DA, Larsen K, Dalley A. The introduction of electronic medication charts and prescribing in aged care facilities: an evaluation. Australas J Ageing Sep. 2007;26(3):131-134.
Meehan R. Electronic health records in long-term care. Journal of Applied Gerontology Oct 2015;01: 733464815608493.
Jones CD, Holmes GM, Thompson KW, Lewis SE, Cykert S, DeWalt DA. Satisfaction with electronic health records is associated with job satisfaction among primary care physicians. Informatics in Primary Care. 2013;21(1):18–20.
Privitera MR, Atallah F, Dowling F, Gomez-dicesare C, Hengerer A, Young A, Staz M. Physicians’ electronic health records use at home, job satisfaction, job stress and burnout. Journal of Hospital Administration. 2018;7(4).
Wright ED, Marvel J. Electronic Health Records Postadoption Physician Satisfaction and Continued Use. The Health Care Manager. 2012;31(3): 259–267.
Abstract View: 89 times
PDF Download: 27 times