Adoption of E-Health Records Management Systems as a Strategy to Improve Service Delivery in Public Hospitals in Kenya
DOI:
https://doi.org/10.47672/ijpm.2220Keywords:
I10: Electronic Records Management, L87: Service Delivery, L74: Public HospitalsAbstract
Purpose: To establish the extent to which the adoption of an electronic records management system influences service delivery in public hospitals in Kenya.
Materials and Methods: A descriptive research method, correlational research design, and mixed method of research were employed. The target population was all the 1207 professional staff working in Moi Teaching and Referral Hospital and Kenyatta National Hospital as well as 1841 outpatients treated in both hospitals between January and May. To select the 341 respondents of the research, a stratified random sampling technique was used. The researcher used secondary and primary data. Semi-structured questionnaires were distributed to the respondents to allow for the collection of primary data. Qualitative data was analyzed with the help of thematic analysis. Inferential and descriptive statistics were used in the analysis of quantitative data. Descriptive statistics that were used include mean, percentages, frequencies, and standard deviation. Inferential statistics that were used are multiple regression analysis, correlation analysis, and univariate regression analysis.
Findings: The correlation analysis results showed that there exists a positive correlation between the utilization of electronic records management and service delivery in public hospitals (r=0.733, p-value=0.000). In addition, regression analysis results showed that the utilization of electronic records management had a positive influence on service delivery in public hospitals in Kenya (β=0.715, p-value=0.000).
Implications to Theory, Practice and Policy: The study recommends that public hospitals in Kenya should fully adopt and utilize electronic record management as a way of improving efficiency in service delivery in terms of waiting time and loss of files.
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Wajid R, Calib G. Factors affecting delivery health service satisfaction of women and fear of COVID− 19: implications for maternal and child health in Pakistan. Maternal and Child Health Journal 25(6) 881-891 (2021).
Antwi M. Impact of Electronic Health Record System (EHRs) On Healthcare Quality at Asamankese Government Hospital, Ghana. General Surgery Clinical Medicine 1(1) 01-21 (2023).
Doyle-Lindrud S. State of eHealth in cancer care: review of the benefits and limitations of eHealth tools. Journal of E-Health 24(3) 10-15 (2020)
Hussain A, Asif M, Hwang J. Measuring OPD patient satisfaction with different service delivery aspects at public hospitals in Pakistan. International journal of environmental research and public health 16(13) 2340 (2019)
Litho P. ICTs and health in Uganda: benefits, challenges and contradictions. Health Informatics 21 23-35 (2020).
Shahnaz A, Qamar U, Khalid A. Using blockchain for electronic health records. IEEE Access 7 147782-147795 (2019).
Smith B, Magnani J. New technologies, new disparities: the intersection of electronic health and digital health literacy. International journal of cardiology, 292, 280-282 (2019).
Bervell B, Al-Samarraie H. A comparative review of mobile health and electronic health utilization in sub-Saharan African countries. Social Science & Medicine 232 1-16 (2019).
Muinga N, Monda J. Digital health Systems in Kenyan Public Hospitals: a mixed-methods survey. BMC medical informatics and decision making 20 1-14 (2020).
Ndemi C, Otieno G, Rucha K. Uptake of Electronic Medical Record System by Health Workers in Selected Public Hospitals in Kiambu County, Kenya. East African Journal of Health and Science 6(2) 105-115 (2023).
Pansegrouw D, McKerrow, N. Challenges of using e-health technologies to support clinical care in rural Africa: a longitudinal mixed methods study exploring primary health care nurses’ experiences of using an electronic clinical decision support system (CDSS) in South Africa. BMC health services research 23(1) 30 (2023).
World Health Organization. Health Care around the World. Geneva: World Health Organization (2021).
Kesse-Tachi A, Agbozo E. Factors influencing adoption of eHealth technologies in Ghana. Digital health 5 20-35 (2019).
Dannhauser T, Philip N. A systematic review of reviews to identify key research opportunities within the field of eHealth implementation. Journal of telemedicine and telecare 25(5) 276-285 (2019).
Obwoge R, Kahoro E W. Effects of Electronic Medical Records in Service Delivery at Kijabe Mission Hospital, Kiambu County, Kenya. International Journal of Scientific Research and Innovative Technology 6(9) 1-11 (2019).
Njomo D, Bukania Z. Health systems' capacity in availability of human resource for health towards implementation of Universal Health Coverage in Kenya. PLoS One 19(1) e0297438 (2024)
Kiboi G. Determinants of Effective Monitoring and Evaluation in Health Service Delivery: A Case of Nairobi City County Health Facilities. International journal of general medicine 1(4) 395-403 (2021).
Kenya National Bureau of Statistics. Kenya Demographic and Health Survey 2014: Key Indicators. Nairobi: Ministry of Health (2014).
Setyadi D, Nadjib M. The Effect of Electronic Medical Records on Service Quality and Patient Satisfaction: A Literature Review. Journal Research of Social Science, Economics, and Management 2(12) 2780–2791 (2023).
Akhu‐Zaheya L, Al‐Maaitah R., Bany S. Quality of nursing documentation: Paper‐based health records versus electronic‐based health records. Journal of clinical nursing 27(4) e578-e589 (2018).
Hawash B, Mukred M, Nofal M I. The Influence of big data management on organizational performance in organizations: The role of electronic records management system potentiality. Interdisciplinary Journal of Information, Knowledge, and Management 18 59-86 (2023).
Ajayi S, Wamae P, Muthee D. Implementation of Electronic Medical Records for Service Delivery in Selected State Hospitals in Southwest Nigeria. International Journal of Current Aspects 5(2) 75-94 (2021).
Elikwu M, Igbokwe A, Emokhare G. Effect of Electronic Health Information System on Medical Records Management in Public Healthcare Institutions. Unizik Journal of Business 3 10-36 (2020).
Ondieki F. Effects of Health Records Management on Service Delivery: A Case Study of Kisii Teaching and Referral Hospital. Risk Management Health Policy 4 47-55 (2019).
Venkatesh V, Morris M G, Davis, G B, Davis, F D. User acceptance of Information Technology: Toward a unified view. MIS Quarterly 17(3) 34-39 (2003).
Philippi P, Terhorst Y. Acceptance towards digital health interventions–model validation and further development of the unified theory of acceptance and use of technology. Internet Interventions 26 100459 (2021).
Oladosu J B. A modified unified theory of acceptance and use of technology (Utaut) model For E-health services. Journal of Experimental Research 7(3) 90-112 (2021)
Klappe E S, de Keizer N F, Cornet R. Factors influencing problem list use in electronic health records—application of the unified theory of acceptance and use of technology. Applied Clinical Informatics 11(3) 415-426 (2020).
Maimaitijiang R, Hao Y. Using the unified theory of acceptance and use of technology (UTAUT) to investigate the intention to use physical activity apps: cross-sectional survey. JMIR mHealth and uHealth, 7(9), e13127 (2021).
Renindra I S, Nurmansyah M I. An application of the Unified Theory of Acceptance and Use of Technology (UTAUT) model for understanding patient perceptions on using hospital mobile application. Clinical Nursing 30 110-113 (2020).
Kenyatta National Hospital. Kenyatta National Hospital Annual report. Nairobi: KNH (2022).
Moi Teaching and Referral Hospital. Moi Teaching and Referral Hospital. Nairobi: MTRH (2022).
Babbie E R. Survey research methods. Wadsworth Publishing Company (2020).
Kariuki M J, Muchene M O. Factors influencing the adoption of electronic health records in public health facilities in Kisumu County, Kenya. Journal of Health, Medicine and Nursing 4(1) 74-101 (2019).
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Copyright (c) 2024 Lawrence Nduva Munyaka, Ndunge Kyalo, Raphael Nyonje, Mulwa Angeline
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