Abstract
Perspectives on the pioneering work of Electronic Health Recording (EHR) system in Nigeria was studied. To determine health workers perception, challenges, motivation and satisfaction with EHR. This was a descriptive cross sectional study using structured questionnaire to assess health workers perspective on EHR system at Kogi State Specialist Hospital. A total of 35 consenting health workers with an mean age of 39.4(± 7.6) years using EHR were assessed. The mean daily work hour was 8.0(± 2.4 hours) and median client load per participant was 20 daily. On perceptions, 74.3%, 52.9%, 45.5% and 60.0% were comfortable, well-motivated, satisfied and competent with EHR. The advantages were reduction in transcription cost (88.5%), Paper work (97.1%), administrative cost (91.4%), errors (82.9%) and it captures, provides more services including timely access and ease research in 94.3%, 74.3%, 94.3% and 82.9% respectively. Challenges were threat to patient privacy, poor internet, information overload, power outages, incomplete and inaccurate information in 17.0%, 65.7%, 31.5%, 62.9%, 37.1% and 22.9% respectively. Health workers were comfortable and satisfied with EHR and it eased their work.Scaling up EHR would reduce administrative cost, transcription errors and paper works to mitigate poor quality data from Nigeria a great contributor to global morbidities/mortalities.
Highlights
One of the World Health Organizations six building blocks of effective health strengthening is the health information system
The features of the Electronic registration of patients include, National Health Insurance Scheme (NHIS) management, Cashless payment integration, Easy integration with Short Message Service (SMS) servers for messaging, Electronic Identification for patients, Bed assignment, Electronic prescription, Laboratory management for orders, reporting and consumables, Electronic X-RAY, Purchase Order, Easy and quick retrieval of patient records, Diagnosis based on World Health Organization (WHO) International Classification of Disease (ICD) 10 standard, Drug inventory control, Integrated reporting Intelligence System and HL7 Support via Mirth Connect which puts the hospital at HIMSS stage 5
A total of 35 health workers who were trained and are using Electronic Health Recording (EHR) and gave consent were recruited into the study
Summary
One of the World Health Organizations six building blocks of effective health strengthening is the health information system. The need for a functional well led automated health data management has been advocated to strengthen the health system.[5] Meeting this is often a challenge due to low manpower, infrastructures, inadequate financing mechanism, inadequate political will and poor knowledge of computers and information technology for health recording. Perspectives on the pioneering work of Electronic Health Recording (EHR) system in Nigeria was studied Objectives: To determine health workers perception, challenges, motivation and satisfaction with EHR. Methodology: This was a descriptive cross sectional study using structured questionnaire to assess health workers perspective on EHR system at Kogi State Specialist Hospital. Conclusion: Health workers were comfortable and satisfied with EHR and it eased their work.Scaling up EHR would reduce administrative cost, transcription errors and paper works to mitigate poor quality data from Nigeria a great contributor to global morbidities/mortalities Keywords: Electronic health records; perception; Kogi state; Nigeria.
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