Effective use of electronic health records system for healthcare delivery in Ghana

Edward Agyemang, Addae Boateng Adu-Gyamfi, K. Esia-Donkoh, E. Achampong
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Abstract

Introduction: In the pursuit of improving effective health service delivery, developing nations including Ghana are progressively integrating electronic health record systems into healthcare frameworks. This research explored the proficient utilization of an EHR called the Lightwave Health Information Management System used by healthcare professionals in Ghana.Material and Methods: A descriptive cross-sectional study design and a multi-stage sampling technique (stratified and simple random sampling) were used to recruit 1126 respondents for this study. Weighted averages were computed to determine scores for all the indicators measuring the effectiveness construct.Results: The study found that LHIMS improved productivity, patient data gathering, sharing of patient information among service providers, care continuity, data exchange among facilities, decision-making, and coordination/organization of care. Also, health professionals’ work experience, educational qualification, and training status were statistically significant predictors of effective use of the LHIMS at the multivariate level. Age and professional type were statistically significant only at the bivariate level.Conclusion: The study concludes that incorporating the LHIMS improves healthcare professionals' effectiveness in gathering patient information while reducing the likelihood of errors by promptly notifying them of any inaccuracies. The study emphasized the importance of training for effectively using the LHIMS.
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在加纳有效利用电子健康记录系统提供医疗服务
导言:为了提高医疗服务的效率,包括加纳在内的发展中国家正逐步将电子健康记录系统纳入医疗保健框架。本研究探讨了加纳医疗保健专业人员对名为 Lightwave 健康信息管理系统的电子健康记录系统的熟练使用情况:本研究采用描述性横截面研究设计和多阶段抽样技术(分层抽样和简单随机抽样),共招募了 1126 名受访者。研究计算了加权平均值,以确定衡量有效性的所有指标的得分:研究发现,LHIMS 提高了工作效率、患者数据收集、服务提供者之间的患者信息共享、护理的连续性、设施之间的数据交换、决策以及护理的协调/组织。此外,在多变量水平上,医护人员的工作经验、学历和培训状况对有效使用 LHIMS 有显著的统计学预测作用。年龄和专业类型仅在双变量水平上具有统计学意义:该研究得出结论,使用 LHIMS 可以提高医护人员收集患者信息的效率,同时通过及时通知他们任何不准确的信息来降低出错的可能性。研究强调了培训对有效使用 LHIMS 的重要性。
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