Perceived benefits and barriers of medical doctors regarding electronic medical record systems in an Indian private-sector healthcare facility

印度私营医疗机构中医生对电子病历系统益处和障碍的认知

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Abstract

BACKGROUND: Electronic medical record systems (EMRS) have transformed healthcare by improving quality, efficiency, and safety through centralized patient data and streamlined workflows. Challenges such as budget constraints and staff resistance hinder its adoption, particularly in resource-limited settings like India; however, they have not been investigated thoroughly. The objective of our study is to explore the benefits and barriers perceived by medical doctors in implementing EMRS in an Indian private-sector hospital. METHODS: A cross-sectional study was conducted at a private hospital in a rural area of the Ujjain district, Madhya Pradesh, India. All 130 doctors pursuing postgraduate studies were invited to participate in person using a convenience sampling method. Responses from 105 doctors were received using a self-administered questionnaire. The survey captured participants' attitudes, perceived benefits, and barriers to EMRS implementation in the facility. Descriptive statistics were used to analyse the data. RESULTS: Of the respondents, 93% expressed a desire for EMRS implementation. Identified barriers included financial constraints, insufficient infrastructure, staffing shortages, and technological challenges, such as unreliable internet access. Participants highlighted the anticipated benefits, such as improved data accessibility, enhanced operational efficiency, and preferences for digitizing lab reports and e-prescriptions. CONCLUSION: Exploring and addressing the financial, organizational, and technological barriers as perceived by the participants are crucial steps to facilitate EMRS implementation in healthcare facilities. Larger in-depth studies are necessary to develop tailored strategies for overcoming these challenges in similar settings.

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