Accepted for/Published in: Interactive Journal of Medical Research
Date Submitted: Jul 2, 2022
Date Accepted: Nov 17, 2022
Utilization and Determinants of Electronic Medical Record System in Ethiopia: A systematic review and meta-analysis
ABSTRACT
Background:
The strategic plan of the Ethiopian Ministry of Health recommends an electronic medical record system to enhance healthcare delivery and streamline data systems. However, only a few exhaustive systematic reviews and meta-analyses have been conducted on the degree of EMR use in Ethiopia and the factors influencing success. This will emphasize the factors that make EMR effective and increase awareness of its widespread use among future implementers in Ethiopia.
Objective:
This study aims to determine the pooled estimate of EMR utilization and success determinants among health professionals in Ethiopia.
Methods:
We developed a protocol and searched PubMed, Web of Sciences, African journal online, Embase, MEDLINE and Scopus to identify relevant studies. To assess the quality of each included study, we used the Joanna Briggs Institute quality assessment tool using nine criteria. The applicable data were extracted using Microsoft Excel 2019, and the data was then analyzed using STATA Version 11 software. The presence of total heterogeneity across included studies was calculated using the index of heterogeneity I2 statistics. The pooled size of EMR utilization was estimated using a random-effect model with a 95% confidence interval.
Results:
After reviewing 11026 research, five papers with a combined total of 2439 health workers were included in the evaluation and meta-analysis. The pooled estimate of EMR utilization in Ethiopia was 51.85 % (95% CI, 37.14 to 66.55%). The subgroup study found that the northern Ethiopian region had the greatest EMR utilization rate (58.75%) and that higher (54.99%) utilization was also seen in publications published after 2016. Age groups <30 years, access to an EMR manual, EMR-related training, and managerial support were identified factors associated with EMR utilization among health workers.
Conclusions:
The utilization of electronic medical record systems in Ethiopia is relatively low. Being a young age group, accessing an EMR manual, getting EMR-related training, and managerial support were identified factors associated with EMR utilization among health workers. As a result, in order to increase the utilization of EMRs by healthcare providers, it is essential to give management support, an EMR training program, and make the EMR manual accessible to health professionals. Clinical Trial: Prospero Id: CRD42022339726
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