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Title Technology adoption of electronic medical records in developing economies: A systematic review on physicians' perspective
Posted by Lemuel Clark Velasco
Authors Derecho, Karyl Claire; Cafino, Rentor; Aquino-Cafino, Sarah Lizette; Isla Jr, Armando; Esencia, Jay Ar; Lactuan, Nove Joshua; Maranda, Jiddo Andrei G; Velasco, Lemuel Clark P
Publication date 2024/1
Journal Digital Health
Volume 10
Publisher Sage
Abstract Electronic Medical Records (EMR) is a tool that could potentially improve the outcomes of patient care by providing physicians with access to up-to-date and accurate vital patient information. Despite this potential, EMR adoption in developing economies has been dilatory. This systematic review aims to synthesize related literature on the adoption of EMR in developing economies, with a focus on the perspective of physicians. With the aim to discern the key factors that impact EMR adoption as perceived by physicians and offer guidance for future research to fill any gaps identified in the existing literature, this study utilized a systematic literature review following the PRISMA guidelines. Out of 1,160 initial articles, 21 were selected for analysis after eliminating duplicates and non-qualifying articles. Results show that common enablers of EMR adoption from the physicians' perspective were identified to be computer literacy, education, voluntariness, and the system functionality including its features and user interface implying that the provision of proper interventions focusing on the aspects of health information system has an impact in maximizing the utilization and capabilities of EMR among healthcare providers. The most prevalent barriers include lack of training as well as IT usage experience along with resistance to change associated with the respondents’ age and gender, lack of time for learning complex EMR systems, and costs of the new technology. This indicates that a thorough planning and proper budget allocation is necessary prior to implementing and integrating EMR systems in healthcare institutions. Through this synthesis of the common research conclusions, limitations and recommendations on the physicians' perspective, the result of this systematic review hopes to shed light on the optimal technology adoption of EMR and its contribution to the health care systems of developing economies.
Index terms / Keywords Electronic Health Record, Electronic Medical Record, Technology Adoption, Technology Acceptance, Developing Economies, Physician Perspective
DOI https://doi.org/10.1177/20552076231224605
URL https://journals.sagepub.com/doi/full/10.1177/20552076231224605