Health care Expert’s readiness to implement National Unified Medical Records (NUMR) system in the United Arab Emirates; A Qualitative study

Alya Harbi

Abstract


Electronic health records provide a valuable resource to improve health evaluation, surveillance and informs effective clinical decision making. Although electronic medical records (EMR) are introduced in many different settings, yet little is known about the readiness, effectiveness and progress of a centralized information system like NUMR across United Arab Emirates. This study aims to determine the readiness for national unified medical record (NUMR), barriers and challenges from the point of views of experts working in the field of health informatics on daily basis. Semi-structured interviews were conducted with 10 experts using purposive sampling method from different healthcare organizations in the United Arab Emirates. Perceptions of interviewees regarding the readiness for national unified medical record were elicited. Thematic analysis was used to identify the different themes extracted from the interview transcripts. Overall, seven themes emerged after analyzing the transcripts obtained from the respondents. This study is expected to bring countless benefits for all countries that are moving forward toward nationwide and interoperable healthcare platforms. The support for NUMR will make a significant contribution to the health systems across UAE that will ultimately lead to safety, access to single shared records, improved care and coordination, better clinical and decision making, faster engagement, easy and secure access, safety and will save time for other tasks. The future of implementation of NUMR in UAE is promising. Our findings offer beneficial guidelines for consideration in implementing NUMR system across UAE and also helps in the drive to improve healthcare systems nationally.


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References


. Khoja S, Scott RE, Casebeer AL, Mohsin M, Ishaq AF, Gilani S. e-Health readiness assessment tools for healthcare institutions in developing countries. Telemedicine and e-Health. 2007 Aug 1;13(4):425-32.

. Fernández-Alemán JL, Señor IC, Lozoya PÁ, Toval A. Security and privacy in electronic health records: A systematic literature review. Journal of biomedical informatics. 2013 Jun 1;46(3):541-62.

. Hasanain RA, Cooper H. Solutions to overcome technical and social barriers to electronic health records implementation in Saudi public and private hospitals. Journal of Health Informatics in Developing Countries. 2014 May 12;8(1).

. Biruk S, Yilma T, Andualem M, Tilahun B. Health Professionals’ readiness to implement electronic medical record system at three hospitals in Ethiopia: a cross sectional study. BMC medical informatics and decision making. 2014 Dec;14(1):115.

. Willyard C. Electronic records pose dilemma in developing countries. 2010. Nat Med; 16:249.

. Ventures IH. Medical Center Electronic Health Record Readiness Assessment. InTech Health Ventures. 2008.

. Khoja S, Scott RE, Casebeer AL, Mohsin M, Ishaq AF, Gilani S. e-Health readiness assessment tools for healthcare institutions in developing countries. Telemedicine and e-Health. 2007 Aug 1;13(4):425-32.

. Ajami S, Ketabi S, Isfahani SS, Heidari A. Readiness assessment of electronic health records implementation. Acta Informatica Medica. 2011 Dec;19(4):224.

. World Health Organization. Electronic Health Records: Manual for Developing Countries. Manila, Philippines: WHO Regional Office for the Western Pacific. 2006.

. Kuo KM, Liu CF, Ma CC. An investigation of the effect of nurses’ technology readiness on the acceptance of mobile electronic medical record systems. BMC Med Inform Decis Mak; 2013. 13(1):88. doi: 10.1186/1472-6947-13-88.

. Al-Aswad AM, Brownsell S, Palmer R, Nichol JP. A review paper of the current status of electronic health records adoption worldwide: the gap between developed and developing countries. J Health Inform Dev Ctries; 2013; 7(2):153–164.

. Anwar F, Shamim A, Khan S. Barriers in adoption of health information technology in developing societies. Int J Adv Comput Sci Appl; 2011: 2:40–45.

. Gamm LD, Barsukiewicz CK, Dansky KH, Vasey JJ, Bisordi JE, Thompson PC. Proceedings of the AMIA Symposium. Pennsylvania, United States: American Medical Informatics Association; Pre- and post-control model research on end-users' satisfaction with an electronic medical record: preliminary results. 1998.

. Braun, V., & Clarke, V. Using thematic analysis in psychology. Qualitative research in psychology; 2006: 3(2), 77-101.

. Bramble, J. D., Galt, K. A., Siracuse, M. V., Abbott, A. A., Drincic, A., Paschal, K. A., & Fuji, K. T. The relationship between physician practice characteristics and physician adoption of electronic health records. Health care management review; 2010; 35(1), 55-64.

. El-Hassan, O., Sharif, A., Al, M. R., & Blair, I. Tracking the Implementation of Electronic Medical Records in Dubai, United Arab Emirates, Using an Adoption Benchmarking Tool. Studies in health technology and informatics; 2017: 245, 64-68.

. Simon, J. S., Rundall, T. G., & Shortell, S. M. Drivers of electronic medical record adoption among medical groups. The Joint Commission Journal on Quality and Patient Safety; 2005: 31(11), 631-639.

. Snyder, R. A., & Fields, W. L. Measuring hospital readiness for information technology (IT) innovation: a multisite study of the organizational information technology innovation readiness scale. J Nurs Meas; 2006: 14(1), 45. doi: 10.1891/jnum.14.1.45.

. Zandieh, S. O., Yoon-Flannery, K., Kuperman, G. J., Langsam, D. J., Hyman, D., & Kaushal, R. Challenges to EHR implementation in electronic-versus paper-based office practices. Journal of general internal medicine; 2008: 23(6), 755-761.

. DesRoches, C. M., Campbell, E. G., Rao, S. R., Donelan, K., Ferris, T. G., Jha, A. & Blumenthal, D. Electronic health records in ambulatory care—a national survey of physicians. N Engl J Med; 2008: 359(1), 50-60.

. Accenture. (2010). Overview of international EMR/EHR markets; retrieved from https://www.accenture.com/us-en/~/media/Accenture/ConversionAssets/DotCom/Documents/Global/PDF/Industries_11/Accenture-Getting-EMR-Back-Fast-Lane.pdf. (Accessed on 10th June 2019).

. Ferranti, J. M., Musser, R. C., Kawamoto, K., & Hammond, W. E. The clinical document architecture and the continuity of care record: a critical analysis. Journal of the American Medical Informatics Association; 2006: 13(3), 245-252.

. Rae, A., & Nasser, R. Managing Development for the Health Records to be centralized electronically, in UAE (Doctoral dissertation, The British University in Dubai (BUiD)). 2011.

. Pearce CM, De Lusignan S, Phillips C, Hall S, Travaglia J. The computerized medical record as a tool for clinical governance in Australian primary care. Interactive journal of medical research. 2013;2(2):e26.

. Drew, D. Public-Private inter-organizational sharing of health data

for disability determination (Doctoral dissertation). 2011.

. MOHAP. National Unified Medical Records (NUMR) Vision & Strategy. Ministry of health and prevention. 2017




DOI: https://doi.org/10.31449/inf.v45i5.3358

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