Electronical Medical Records Systems
Gwara, M, Tsang, VL, Thompson, CA, Smith, S, Bo, J, Fletcher, S, Janusz, N, Chew, SY, Janusz, M, Thompson, CK, Bertrand, M, Woods, H, Thompson, C (2018). Use of Centralized Electronic Medical Records System in Paediatric Care. In American Academy of Pediatrics 2017.
Abstract:
Centralized Electronic Medical Record systems (EMR) have potential to provide a variety of benefits to national healthcare systems worldwide. However, their implementation has proven to be challenging and raised several concerns. Although previous work has analyzed the successes and limitations of centralized EMR systems, statistical analysis to quantify user perspective has not yet been conducted. In order to gain a better understanding of the opinions of medical professionals and others in the field regarding their perceived support, benefits, and barriers for a centralized EMR system, a survey was conducted on the participants of the International Paediatrics Association (IPA) 2016 Conference in Vancouver, BC. The survey contained Likert Scale questions, asking participants to rate the importance of listed benefits and barriers, as well as indicate their overall support for centralized EMR systems on a scale of 1 to 5. The data was analyzed using a one-way ANOVA, with a focus on the countries with the greatest number of respondents (USA, Canada, Nigeria, and Mexico). The responses were also categorized and analyzed based on country development. The results indicated that Mexico, as well as other non-developed countries were shown to be most in favour of the EMR system. Fast record access and efficiency were rated as the most significant benefits of a centralized EMR system, while cost and implementation time were perceived as the largest barriers. Implementation time was also rated significantly higher as a barrier by developed countries than non-developed countries. These findings provide useful guidelines for consideration in the implementation of a centralized EMR system, and help in the drive towards improving national healthcare systems worldwide.