Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria

Mfonobong Udoh; Humphrey Okeke; Lucy Edet; Nelson Osuchukwu

doi:doi:10.11648/j.wjph.20230803.18

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Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria

Mfonobong Udoh, Humphrey Okeke, Lucy Edet, Nelson Osuchukwu

Published in World Journal of Public Health (Volume 8, Issue 3)

Received: 15 August 2023 Accepted: 4 September 2023 Published: 13 September 2023

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Abstract

Electronic health record (EHR) is an efficient ICT tool for processing health data in real-time. Nigeria lacks an active e-health profile owing to financial, organizational and human factors such as poor computer literacy, resistance to change etc. This was a cross-sectional descriptive study which sought to determine healthcare providers’ knowledge and perceptions of electronic health records and their perceived effect on health service delivery in tertiary health facilities in Uyo, Nigeria. A semi-structured questionnaire was distributed to 400 healthcare providers recruited via proportionate sampling technique from two tertiary health facilities in the study location. Data was analyzed using SPSS 25, hypotheses were tested using chi-square statistics. Findings showed that majority, 335 (83.6%) of the respondents had fair to good (16% and 65% respectively) knowledge of the EHR. Of the 121 respondents who had used the EHR, 94 (77.6%) had positive perceptions of the technology, 82 (67.8%) reported improvement in patients’ outcomes. Eased access to patient data, 91 (81.0%); reduced waiting time, 74 (61.2%); secured means of data storage, 88 (72.7%); lessened workload, 75 (61.9%); improved patients’ satisfaction of services rendered, 79 (65.3%) and reduced health cost, 41 (34.7%). A relationship was established between healthcare providers’ perceptions of EHRs and perceived effect on health service delivery (p = 0.007 < 0.05). There was no relationship between healthcare providers’ knowledge of the EHR and perceived effect on health service delivery whereas, their positive perceptions of the system had an equal positive perceived effect on health service delivery in the study location.

Published in	World Journal of Public Health (Volume 8, Issue 3)
DOI	10.11648/j.wjph.20230803.18
Page(s)	243-251
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

EHR, Healthcare Providers, Knowledge, Perceived Effect, Perception

References

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[2]	Dover, L. L. (2019). Improved Diagnostics and Patient Outcomes. Retrieved from Healthit.Gov: https://healthit.gov/topic/health-it-and-health-information-exchange-basics/improved-diagnostics-patient-outcomes
[3]	Lei, W., Xin, W., Zubedi, A., & Hashim, M. (2020). DANP-based method for the adoption of hospital information system. International Journal of Computer Applications in Technology, 62 (1), 57-65.
[4]	Razzaque, A., & Jalal-Karim, A. (2010). Conceptual healthcare knowledge management model for adaptability and interoperability of EHR. European Mediterranean & Middle Eastern Conference on Information Systems, 1-23.
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[6]	Akanbi, M., Ocheke, A., Agaba, P., Daniyam, C., Agaba, E., Okeke, E., & Ukoli, C. (2012). Use of electronic health records in sub-Saharan Africa: Progress and Challenges. Journal of Medicine in the Tropics, 14 (1), 1-6. Retrieved August 28, 2018, from NCBI database.
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[14]	Cochran, W. (1977). Samping techniques. New York: John Wiley & Sons.
[15]	Adams, S. L. (2015). Nurses knowlege, skills, and attitude toward electronic health records (EHR). Proquest Dissertations and Theses. Retrieved from https://scholarworks.waldenu.edu/dissertations/875
[16]	Berihun, B., Debalkie, D., & Getachew, S. (2020). Willingness to use electronic medical record (EMR) system in healthcare facilities of Bahir Dar City, northwest Etiopia. Biomed Research International, 4 (21), 1-9.
[17]	Tubaishat, A. (2017). Perceived usefulness and perceived ease of use of electronic health records among nurses: Application of technology acceptance model. Informatics for Health and Social Care, 43 (3), 1-11.
[18]	Legg, L., & Arnold, K. (2019). Improved Diagnostics and Patient Outcomes. Retrieved from Health IT.gov: https://www.healthit.gov/topic/health-it-and-health-information-exchange-basics/improved-diagnostics-patient-outcomes
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APA Style

Mfonobong Udoh, Humphrey Okeke, Lucy Edet, Nelson Osuchukwu. (2023). Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria. World Journal of Public Health, 8(3), 243-251. https://doi.org/10.11648/j.wjph.20230803.18

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ACS Style

Mfonobong Udoh; Humphrey Okeke; Lucy Edet; Nelson Osuchukwu. Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria. World J. Public Health 2023, 8(3), 243-251. doi: 10.11648/j.wjph.20230803.18

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AMA Style

Mfonobong Udoh, Humphrey Okeke, Lucy Edet, Nelson Osuchukwu. Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria. World J Public Health. 2023;8(3):243-251. doi: 10.11648/j.wjph.20230803.18

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@article{10.11648/j.wjph.20230803.18,
  author = {Mfonobong Udoh and Humphrey Okeke and Lucy Edet and Nelson Osuchukwu},
  title = {Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria},
  journal = {World Journal of Public Health},
  volume = {8},
  number = {3},
  pages = {243-251},
  doi = {10.11648/j.wjph.20230803.18},
  url = {https://doi.org/10.11648/j.wjph.20230803.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20230803.18},
  abstract = {Electronic health record (EHR) is an efficient ICT tool for processing health data in real-time. Nigeria lacks an active e-health profile owing to financial, organizational and human factors such as poor computer literacy, resistance to change etc. This was a cross-sectional descriptive study which sought to determine healthcare providers’ knowledge and perceptions of electronic health records and their perceived effect on health service delivery in tertiary health facilities in Uyo, Nigeria. A semi-structured questionnaire was distributed to 400 healthcare providers recruited via proportionate sampling technique from two tertiary health facilities in the study location. Data was analyzed using SPSS 25, hypotheses were tested using chi-square statistics. Findings showed that majority, 335 (83.6%) of the respondents had fair to good (16% and 65% respectively) knowledge of the EHR. Of the 121 respondents who had used the EHR, 94 (77.6%) had positive perceptions of the technology, 82 (67.8%) reported improvement in patients’ outcomes. Eased access to patient data, 91 (81.0%); reduced waiting time, 74 (61.2%); secured means of data storage, 88 (72.7%); lessened workload, 75 (61.9%); improved patients’ satisfaction of services rendered, 79 (65.3%) and reduced health cost, 41 (34.7%). A relationship was established between healthcare providers’ perceptions of EHRs and perceived effect on health service delivery (p = 0.007 < 0.05). There was no relationship between healthcare providers’ knowledge of the EHR and perceived effect on health service delivery whereas, their positive perceptions of the system had an equal positive perceived effect on health service delivery in the study location.},
 year = {2023}
}

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TY  - JOUR
T1  - Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria
AU  - Mfonobong Udoh
AU  - Humphrey Okeke
AU  - Lucy Edet
AU  - Nelson Osuchukwu
Y1  - 2023/09/13
PY  - 2023
N1  - https://doi.org/10.11648/j.wjph.20230803.18
DO  - 10.11648/j.wjph.20230803.18
T2  - World Journal of Public Health
JF  - World Journal of Public Health
JO  - World Journal of Public Health
SP  - 243
EP  - 251
PB  - Science Publishing Group
SN  - 2637-6059
UR  - https://doi.org/10.11648/j.wjph.20230803.18
AB  - Electronic health record (EHR) is an efficient ICT tool for processing health data in real-time. Nigeria lacks an active e-health profile owing to financial, organizational and human factors such as poor computer literacy, resistance to change etc. This was a cross-sectional descriptive study which sought to determine healthcare providers’ knowledge and perceptions of electronic health records and their perceived effect on health service delivery in tertiary health facilities in Uyo, Nigeria. A semi-structured questionnaire was distributed to 400 healthcare providers recruited via proportionate sampling technique from two tertiary health facilities in the study location. Data was analyzed using SPSS 25, hypotheses were tested using chi-square statistics. Findings showed that majority, 335 (83.6%) of the respondents had fair to good (16% and 65% respectively) knowledge of the EHR. Of the 121 respondents who had used the EHR, 94 (77.6%) had positive perceptions of the technology, 82 (67.8%) reported improvement in patients’ outcomes. Eased access to patient data, 91 (81.0%); reduced waiting time, 74 (61.2%); secured means of data storage, 88 (72.7%); lessened workload, 75 (61.9%); improved patients’ satisfaction of services rendered, 79 (65.3%) and reduced health cost, 41 (34.7%). A relationship was established between healthcare providers’ perceptions of EHRs and perceived effect on health service delivery (p = 0.007 < 0.05). There was no relationship between healthcare providers’ knowledge of the EHR and perceived effect on health service delivery whereas, their positive perceptions of the system had an equal positive perceived effect on health service delivery in the study location.
VL  - 8
IS  - 3
ER  -

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Author Information

Mfonobong Udoh

Department of Physiotherapy, University of Uyo Teaching Hospital, Uyo, Nigeria
Humphrey Okeke

Department of Physiotherapy, Faculty of Allied Medical Sciences, University of Calabar, Calabar, Nigeria
Lucy Edet

Department of Physiotherapy, Faculty of Basic Clinical Sciences, University of Uyo, Uyo, Nigeria
Nelson Osuchukwu

Department of Public Health, Faculty of Allied Medical Sciences, University of Calabar, Calabar, Nigeria

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APA Style

Mfonobong Udoh, Humphrey Okeke, Lucy Edet, Nelson Osuchukwu. (2023). Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria. World Journal of Public Health, 8(3), 243-251. https://doi.org/10.11648/j.wjph.20230803.18

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ACS Style

Mfonobong Udoh; Humphrey Okeke; Lucy Edet; Nelson Osuchukwu. Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria. World J. Public Health 2023, 8(3), 243-251. doi: 10.11648/j.wjph.20230803.18

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AMA Style

Mfonobong Udoh, Humphrey Okeke, Lucy Edet, Nelson Osuchukwu. Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria. World J Public Health. 2023;8(3):243-251. doi: 10.11648/j.wjph.20230803.18

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@article{10.11648/j.wjph.20230803.18,
  author = {Mfonobong Udoh and Humphrey Okeke and Lucy Edet and Nelson Osuchukwu},
  title = {Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria},
  journal = {World Journal of Public Health},
  volume = {8},
  number = {3},
  pages = {243-251},
  doi = {10.11648/j.wjph.20230803.18},
  url = {https://doi.org/10.11648/j.wjph.20230803.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20230803.18},
  abstract = {Electronic health record (EHR) is an efficient ICT tool for processing health data in real-time. Nigeria lacks an active e-health profile owing to financial, organizational and human factors such as poor computer literacy, resistance to change etc. This was a cross-sectional descriptive study which sought to determine healthcare providers’ knowledge and perceptions of electronic health records and their perceived effect on health service delivery in tertiary health facilities in Uyo, Nigeria. A semi-structured questionnaire was distributed to 400 healthcare providers recruited via proportionate sampling technique from two tertiary health facilities in the study location. Data was analyzed using SPSS 25, hypotheses were tested using chi-square statistics. Findings showed that majority, 335 (83.6%) of the respondents had fair to good (16% and 65% respectively) knowledge of the EHR. Of the 121 respondents who had used the EHR, 94 (77.6%) had positive perceptions of the technology, 82 (67.8%) reported improvement in patients’ outcomes. Eased access to patient data, 91 (81.0%); reduced waiting time, 74 (61.2%); secured means of data storage, 88 (72.7%); lessened workload, 75 (61.9%); improved patients’ satisfaction of services rendered, 79 (65.3%) and reduced health cost, 41 (34.7%). A relationship was established between healthcare providers’ perceptions of EHRs and perceived effect on health service delivery (p = 0.007 < 0.05). There was no relationship between healthcare providers’ knowledge of the EHR and perceived effect on health service delivery whereas, their positive perceptions of the system had an equal positive perceived effect on health service delivery in the study location.},
 year = {2023}
}

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TY  - JOUR
T1  - Healthcare Providers’ Knowledge and Perceptions of Electronic Health Records and Perceived Effect on Health Service Delivery in Tertiary Health Facilities in Uyo, Nigeria
AU  - Mfonobong Udoh
AU  - Humphrey Okeke
AU  - Lucy Edet
AU  - Nelson Osuchukwu
Y1  - 2023/09/13
PY  - 2023
N1  - https://doi.org/10.11648/j.wjph.20230803.18
DO  - 10.11648/j.wjph.20230803.18
T2  - World Journal of Public Health
JF  - World Journal of Public Health
JO  - World Journal of Public Health
SP  - 243
EP  - 251
PB  - Science Publishing Group
SN  - 2637-6059
UR  - https://doi.org/10.11648/j.wjph.20230803.18
AB  - Electronic health record (EHR) is an efficient ICT tool for processing health data in real-time. Nigeria lacks an active e-health profile owing to financial, organizational and human factors such as poor computer literacy, resistance to change etc. This was a cross-sectional descriptive study which sought to determine healthcare providers’ knowledge and perceptions of electronic health records and their perceived effect on health service delivery in tertiary health facilities in Uyo, Nigeria. A semi-structured questionnaire was distributed to 400 healthcare providers recruited via proportionate sampling technique from two tertiary health facilities in the study location. Data was analyzed using SPSS 25, hypotheses were tested using chi-square statistics. Findings showed that majority, 335 (83.6%) of the respondents had fair to good (16% and 65% respectively) knowledge of the EHR. Of the 121 respondents who had used the EHR, 94 (77.6%) had positive perceptions of the technology, 82 (67.8%) reported improvement in patients’ outcomes. Eased access to patient data, 91 (81.0%); reduced waiting time, 74 (61.2%); secured means of data storage, 88 (72.7%); lessened workload, 75 (61.9%); improved patients’ satisfaction of services rendered, 79 (65.3%) and reduced health cost, 41 (34.7%). A relationship was established between healthcare providers’ perceptions of EHRs and perceived effect on health service delivery (p = 0.007 < 0.05). There was no relationship between healthcare providers’ knowledge of the EHR and perceived effect on health service delivery whereas, their positive perceptions of the system had an equal positive perceived effect on health service delivery in the study location.
VL  - 8
IS  - 3
ER  -

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