Hospitals' Readiness to Implement Sustainable SmartCare Systems in Addis Ababa, Ethiopia

Fanta, Getnet Bogale; Pretorius, Leon; Erasmus, Louwrence

doi:10.23919/picmet.2019.8893824

Cited by 4 publications

(13 citation statements)

References 15 publications

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“…Further, Ngusie et al 36 noted that, in most LICs, EHR implementation exists at the preimplementation stage. This affirms that countries should first identify organisational, technological, social and economic readiness before adopting EHR systems 46…”

Section: Discussionmentioning

confidence: 69%

“…For example, in Ethiopia, the Smart Care system, which is supported by donors, is not functioning at full scale as expected due to low economic readiness. 46 It is failing at a pilot stage in many of the hospitals where the system is implemented. 43 Further, Ngusie et al 36 noted that, in most LICs, EHR implementation exists at the preimplementation stage.…”

Section: Discussionmentioning

confidence: 99%

“…This affirms that countries should first identify organisational, technological, social and economic readiness before adopting EHR systems. 46 …”

Section: Discussionmentioning

confidence: 99%

“…In most LICs, donors provide support to establish EHR systems, which usually fail for many reasons. For example, in Ethiopia, the Smart Care system, which is supported by donors, is not functioning at full scale as expected due to low economic readiness 46. It is failing at a pilot stage in many of the hospitals where the system is implemented 43.…”

Section: Discussionmentioning

confidence: 99%

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Adoption of electronic health record systems to enhance the quality of healthcare in low-income countries: a systematic review

Woldemariam,

Jimma

2023

BMJ Health Care Inform

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BackgroundElectronic health record (EHR) systems are mentioned in several studies as tools for improving healthcare quality in developed and developing nations. However, there is a research gap in presenting the status of EHR adoption in low-income countries (LICs). Therefore, this study systematically reviews articles that discuss the adoption of EHR systems status, opportunities and challenges for improving healthcare quality in LICs.MethodsWe used Preferred Reporting Items for Systematic Reviews and Meta-Analyses in articles selected from PubMed, Science Direct, IEEE Xplore, citations and manual searches. We focused on peer-reviewed articles published from January 2017 to 30 September 2022, and those focusing on the status, challenges or opportunities of EHR adoption in LICs. However, we excluded articles that did not consider EHR in LICs, reviews or secondary representations of existing knowledge. Joanna Briggs Institute checklists were used to appraise the articles to minimise the risk of bias.ResultsWe identified 12 studies for the review. The finding indicated EHR systems are not well implemented and are at a pilot stage in various LICs. The barriers to EHR adoption were poor infrastructure, lack of management commitment, standards, interoperability, support, experience and poor EHR systems. However, healthcare providers’ perception, their goodwill to use EMR and the immaturity of health information exchange infrastructure are key facilitators for EHR adoption in LICs.ConclusionMost LICs are adopting EHR systems, although it is at an early stage of implementation. EHR systems adoption is facilitated or influenced by people, environment, tools, tasks and the interaction among these factors.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

“…This affirms that countries should first identify organisational, technological, social and economic readiness before adopting EHR systems. 46 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Adoption of electronic health record systems to enhance the quality of healthcare in low-income countries: a systematic review

Woldemariam,

Jimma

2023

BMJ Health Care Inform

View full text Add to dashboard Cite

show abstract

“…The main hindering factors that influence the readiness of healthcare professionals in the implementation of an EHR are: sex [50,68], age [50,[69][70][71], knowledge [30,45,50,[72][73][74][75], attitude [74,76,77], awareness [78,79], innovativeness [75], training [63,64,80], computer literacy [50,63,72,74], workload [81], management support [30,82], experience [40,44,46,57,63,64,72,[83][84][85][86], self-efficacy [41,68,87], perceived benefit [30,77,88,89], computer use, and internet access [90].…”

Section: Introductionmentioning

confidence: 99%

Healthcare providers’ readiness for electronic health record adoption: a cross-sectional study during pre-implementation phase

Ngusie

Kassie

Chereka

et al. 2022

BMC Health Serv Res

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Background The adoption of an electronic health record (EHR) in the healthcare system has the potential to make healthcare service delivery effective and efficient by providing accurate, up-to-date, and complete information. Despite its great importance, the adoptions of EHR in low-income country settings, like Ethiopia, were lagging and increasingly failed. Assessing the readiness of stakeholders before the actual adoption of EHR is considered the prominent solution to tackle the problem. However, little is known about healthcare providers’ EHR readiness in this study setting. Accordingly, this research was conducted aiming at examining healthcare providers’ readiness for EHR adoption and associated factors in southwestern Ethiopia. Methods An institutional-based cross-sectional study was conducted from September 1 to October 30, 2021. A total of 423 healthcare providers working in public hospitals were selected using a simple random sampling technique. Multivariable logistic regression was fitted to identify determinant factors of overall healthcare providers’ readiness after the other covariates were controlled. Result In this study, the overall good readiness level of EHR adoption was 52.8% (n = 204) [95% CI of 47.9% to 56.6%]. Age, computer literacy, computer access at health facilities, attitude towards EHRs, awareness about EHRs, perceived benefit, and perceived technology self-efficacy were significantly associated with the overall health care providers’ readiness for the adoption of EHR using a cut point of P-value less than 0.05. Conclusion Around half of the respondents had a good level of overall healthcare providers’ readiness for the adoption of EHR which was considered inadequate. This finding implied that a huge effort is required to improve readiness before the actual implementation of EHRs. The finding implied that younger-aged groups were more ready for such technology which in turn implied; the older one needs more concern. Enhancing computer literacy, confidence building to raise self-efficacy of such technology, addressing the issue of computer availability at health facilities, building a positive attitude, awareness campaign of EHR, and recognizing the usefulness of such systems were the necessary measures to improve EHR readiness in this setting. Additionally, further studies are recommended to encompass all types of EHR readiness such as organizational readiness, technology readiness, societal readiness, and so on. Additionally, exploring the healthcare provider opinion with qualitative study and extending the proposed study to other implementation settings are recommended to be addressed by future works.

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Mapping Digital Public Health Interventions Among Existing Digital Technologies and Internet-Based Interventions to Maintain and Improve Population Health in Practice: Scoping Review

Maaß,

Angoumis,

Freye

et al. 2024

J Med Internet Res

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Background:The rapid progression and integration of digital technologies into public health have reshaped the global landscape of healthcare delivery and disease prevention. In pursuit of better population health and healthcare accessibility, many countries have integrated digital interventions into their healthcare systems, such as online consultations, electronic health records, and telemedicine. Despite the increasing prevalence and relevance of digital technologies in public health and their varying definitions, there has been a shortage of studies examining whether these technologies align with the established definition and core characteristics of digital public health (DiPH) interventions. Hence, the imperative need for a scoping review emerges to explore the breadth of literature dedicated to this subject.Objective: This scoping review aims to outline DiPH interventions from different implementation stages for health promotion, primary to tertiary prevention, including healthcare and disease surveillance and monitoring. Additionally, we aim to map the reported intervention characteristics, including their technical features and non-technical elements.Methods: Original studies or reports of DiPH intervention focused on population health were eligible for this review. PubMed, Web of Science, the Cochrane Central Register of Controlled Trials, IEEE Xplore, and the ACM Full-text collection were searched for relevant literature (last updated October 5, 2022). Intervention characteristics of each identified DiPH intervention, such as target groups, level of prevention or healthcare, digital health functions, intervention types, and public health functions, were extracted and used to map DiPH interventions. MAXQDA 2022.7 was used for qualitative data analysis of such interventions' technical functions and non-technical characteristics. Results:In total, we identified and screened 15,701 records. Of these, 1,562 full-texts were considered relevant and were assessed for eligibility. Finally, we included 185 references, which reported 179 different DiPH interventions. Our analysis revealed a diverse landscape of interventions, with telemedical services, health apps, and electronic health records as dominant types. These interventions target a wide range of populations and settings, demonstrating their adaptability. The analysis highlighted the multifaceted nature of digital interventions, necessitating precise definitions and standardized terminologies for effective collaboration and evaluation.

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Hospitals' Readiness to Implement Sustainable SmartCare Systems in Addis Ababa, Ethiopia

Cited by 4 publications

References 15 publications

Adoption of electronic health record systems to enhance the quality of healthcare in low-income countries: a systematic review

Adoption of electronic health record systems to enhance the quality of healthcare in low-income countries: a systematic review

Healthcare providers’ readiness for electronic health record adoption: a cross-sectional study during pre-implementation phase

Mapping Digital Public Health Interventions Among Existing Digital Technologies and Internet-Based Interventions to Maintain and Improve Population Health in Practice: Scoping Review

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