Evaluating the effects of electronic health records system adoption on the performance of Malaysian health care providers

BackgroundThe Ministry of Health of Malaysia has invested significant resources to implement an electronic health record (EHR) system to ensure the full automation of hospitals for coordinated care delivery. Thus, evaluating whether the system has been effectively utilized is necessary, particularly...

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Main Authors: Salleh, Mohd Idzwan Mohd, Abdullah, Rosni, Zakaria, Nasriah
Format: Article
Published: BioMed Central 2021
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Online Access:http://eprints.um.edu.my/27007/
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spelling my.um.eprints.270072022-04-08T05:57:50Z http://eprints.um.edu.my/27007/ Evaluating the effects of electronic health records system adoption on the performance of Malaysian health care providers Salleh, Mohd Idzwan Mohd Abdullah, Rosni Zakaria, Nasriah Medical technology BackgroundThe Ministry of Health of Malaysia has invested significant resources to implement an electronic health record (EHR) system to ensure the full automation of hospitals for coordinated care delivery. Thus, evaluating whether the system has been effectively utilized is necessary, particularly regarding how it predicts the post-implementation primary care providers' performance impact. MethodsConvenience sampling was employed for data collection in three government hospitals for 7 months. A standardized effectiveness survey for EHR systems was administered to primary health care providers (specialists, medical officers, and nurses) as they participated in medical education programs. Empirical data were assessed by employing partial least squares-structural equation modeling for hypothesis testing.ResultsThe results demonstrated that knowledge quality had the highest score for predicting performance and had a large effect size, whereas system compatibility was the most substantial system quality component. The findings indicated that EHR systems supported the clinical tasks and workflows of care providers, which increased system quality, whereas the increased quality of knowledge improved user performance. ConclusionGiven these findings, knowledge quality and effective use should be incorporated into evaluating EHR system effectiveness in health institutions. Data mining features can be integrated into current systems for efficiently and systematically generating health populations and disease trend analysis, improving clinical knowledge of care providers, and increasing their productivity. The validated survey instrument can be further tested with empirical surveys in other public and private hospitals with different interoperable EHR systems. BioMed Central 2021-02-25 Article PeerReviewed Salleh, Mohd Idzwan Mohd and Abdullah, Rosni and Zakaria, Nasriah (2021) Evaluating the effects of electronic health records system adoption on the performance of Malaysian health care providers. BMC Medical Informatics and Decision Making, 21 (1). ISSN 1472-6947, DOI https://doi.org/10.1186/s12911-021-01447-4 <https://doi.org/10.1186/s12911-021-01447-4>. 10.1186/s12911-021-01447-4
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic Medical technology
spellingShingle Medical technology
Salleh, Mohd Idzwan Mohd
Abdullah, Rosni
Zakaria, Nasriah
Evaluating the effects of electronic health records system adoption on the performance of Malaysian health care providers
description BackgroundThe Ministry of Health of Malaysia has invested significant resources to implement an electronic health record (EHR) system to ensure the full automation of hospitals for coordinated care delivery. Thus, evaluating whether the system has been effectively utilized is necessary, particularly regarding how it predicts the post-implementation primary care providers' performance impact. MethodsConvenience sampling was employed for data collection in three government hospitals for 7 months. A standardized effectiveness survey for EHR systems was administered to primary health care providers (specialists, medical officers, and nurses) as they participated in medical education programs. Empirical data were assessed by employing partial least squares-structural equation modeling for hypothesis testing.ResultsThe results demonstrated that knowledge quality had the highest score for predicting performance and had a large effect size, whereas system compatibility was the most substantial system quality component. The findings indicated that EHR systems supported the clinical tasks and workflows of care providers, which increased system quality, whereas the increased quality of knowledge improved user performance. ConclusionGiven these findings, knowledge quality and effective use should be incorporated into evaluating EHR system effectiveness in health institutions. Data mining features can be integrated into current systems for efficiently and systematically generating health populations and disease trend analysis, improving clinical knowledge of care providers, and increasing their productivity. The validated survey instrument can be further tested with empirical surveys in other public and private hospitals with different interoperable EHR systems.
format Article
author Salleh, Mohd Idzwan Mohd
Abdullah, Rosni
Zakaria, Nasriah
author_facet Salleh, Mohd Idzwan Mohd
Abdullah, Rosni
Zakaria, Nasriah
author_sort Salleh, Mohd Idzwan Mohd
title Evaluating the effects of electronic health records system adoption on the performance of Malaysian health care providers
title_short Evaluating the effects of electronic health records system adoption on the performance of Malaysian health care providers
title_full Evaluating the effects of electronic health records system adoption on the performance of Malaysian health care providers
title_fullStr Evaluating the effects of electronic health records system adoption on the performance of Malaysian health care providers
title_full_unstemmed Evaluating the effects of electronic health records system adoption on the performance of Malaysian health care providers
title_sort evaluating the effects of electronic health records system adoption on the performance of malaysian health care providers
publisher BioMed Central
publishDate 2021
url http://eprints.um.edu.my/27007/
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score 13.211869