Volume 12, Issue 3 (2024)
Health Educ Health Promot 2024, 12(3): 375-381 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mohsenipouya H, Hashemi A, Hosseinnataj A, Roy N, Mamun M. Strengths, Weaknesses, Opportunities, and Threats Analysis of an Electronic Health Record in Iran. Health Educ Health Promot 2024; 12 (3) :375-381
URL: http://hehp.modares.ac.ir/article-5-75487-en.html
URL: http://hehp.modares.ac.ir/article-5-75487-en.html
1- Department of Health Education and Promotion, Faculty of Nursing, Mazandaran University of Medical Sciences, Behshahr, Iran
2- “Students Research Committee” and “Department of Nursing, Faculty of Nursing, Mazandaran University of Medical Sciences, Behshahr, Iran
3- Department of Biostatistics, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
4- Department of Biochemistry and Food Analysis, Patuakhali Science and Technology University, Patuakhali, Bangladesh
5- Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh
2- “Students Research Committee” and “Department of Nursing, Faculty of Nursing, Mazandaran University of Medical Sciences, Behshahr, Iran
3- Department of Biostatistics, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
4- Department of Biochemistry and Food Analysis, Patuakhali Science and Technology University, Patuakhali, Bangladesh
5- Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh
Abstract: (666 Views)
Aims: Electronic health records play a crucial role in modern healthcare by providing users and healthcare providers with comprehensive medical information. However, the implementation of EHR systems involves a complex balance of advantages and challenges. This study examined the strengths, weaknesses, potential benefits, and challenges related to the implementation of electronic health records.
Instrument & Methods: This cross-sectional survey was conducted from May to September 2023, involving 63 electronic health record managers and 110 practitioners from health centers in Mazandaran province. A purposive sampling technique was employed, utilizing a specially designed questionnaire to evaluate different aspects of electronic health records, including their strengths, limitations, potential benefits, and possible risks. The data analysis included a combination of descriptive and analytical statistics.
Findings: The participants had an average age of 40.48±9.14 years. Electronic health record managers highlighted the rapidity and effectiveness of information access, as well as the smooth exchange of electronic data, as major advantages of electronic health record implementation. Noted weaknesses included a heavier workload for healthcare providers and inadequate equipment for EHR functionality. The potential for achieving system integration and improving access to health sector statistics was identified. Nevertheless, there were concerns regarding the security of patient information and difficulties in developing and implementing appropriate software.
Conclusion: The success of electronic health record implementation depends on a thorough understanding of its various aspects, including strengths, weaknesses, threats, and opportunities.
Instrument & Methods: This cross-sectional survey was conducted from May to September 2023, involving 63 electronic health record managers and 110 practitioners from health centers in Mazandaran province. A purposive sampling technique was employed, utilizing a specially designed questionnaire to evaluate different aspects of electronic health records, including their strengths, limitations, potential benefits, and possible risks. The data analysis included a combination of descriptive and analytical statistics.
Findings: The participants had an average age of 40.48±9.14 years. Electronic health record managers highlighted the rapidity and effectiveness of information access, as well as the smooth exchange of electronic data, as major advantages of electronic health record implementation. Noted weaknesses included a heavier workload for healthcare providers and inadequate equipment for EHR functionality. The potential for achieving system integration and improving access to health sector statistics was identified. Nevertheless, there were concerns regarding the security of patient information and difficulties in developing and implementing appropriate software.
Conclusion: The success of electronic health record implementation depends on a thorough understanding of its various aspects, including strengths, weaknesses, threats, and opportunities.
Article Type: Descriptive & Survey |
Subject:
Health Communication
Received: 2024/06/5 | Accepted: 2024/08/20 | Published: 2024/09/5
Received: 2024/06/5 | Accepted: 2024/08/20 | Published: 2024/09/5
References
1. WHO. eHealth [Internet]. Geneva: The World Health Organization; 2024 [cited 2024, 3, 15]. Available from: https://www.emro.who.int/health-topics/ehealth/. [Link]
2. Singh HP, Kumari R. Digital technologies in healthcare management: A study of influence of national culture for adoption of electronic health records in India and Australia. Arch Bus Res. 2023;11(8):206-17. [Link] [DOI:10.14738/abr.118.15354]
3. Ahmad GI, Singla J, Giri KJ. Security and privacy of e-health data. In: Multimedia security. Singapore: Springer; 2021. p. 199-214. [Link] [DOI:10.1007/978-981-15-8711-5_10]
4. Ayala Solares JR, Diletta Raimondi FE, Zhu Y, Rahimian F, Canoy D, Tran J, et al. Deep learning for electronic health records: A comparative review of multiple deep neural architectures. J Biomed Inform. 2020;101:103337. [Link] [DOI:10.1016/j.jbi.2019.103337]
5. Tertulino R, Antunes N, Morais H. Privacy in electronic health records: A systematic mapping study. J Public Health. 2024;32(3):435-54. [Link] [DOI:10.1007/s10389-022-01795-z]
6. Shahmoradi L, Darrudi A, Shamsi F, Norouzinejad-Dastenayi A, Nasrolahbeigi F. Strategy formulation of electronic health record implementation using SWOT analysis. Health Inf Manag. 2017;14(1):9-15. [Persian] [Link]
7. Gatiti P, Ndirangu E, Mwangi J, Mwanzu A, Ramadhani T. Enhancing healthcare quality in hospitals through electronic health records: A systematic review. J Health Inform Dev Ctries. 2021;15(2). [Link]
8. Ayaad O, Alloubani A, ALhajaa EA, Farhan M, Abuseif S, Al Hroub A, et al. The role of electronic medical records in improving the quality of health care services: Comparative study. Int J Med Inform. 2019;127:63-7. [Link] [DOI:10.1016/j.ijmedinf.2019.04.014]
9. Campanella P, Lovato E, Marone C, Fallacara L, Mancuso A, Ricciardi W, et al. The impact of electronic health records on healthcare quality: A systematic review and meta-analysis. Eur J Public Health. 2016;26(1):60-4. [Link] [DOI:10.1093/eurpub/ckv122]
10. Wali R, Alqahtani R, Alharazi S, Bukhari S, Quqandi S. Patient satisfaction with the implementation of electronic medical records in the western region, Saudi Arabia, 2018. BMC Fam Pract. 2020;21(1):37. [Link] [DOI:10.1186/s12875-020-1099-0]
11. Tapuria A, Porat T, Kalra D, Dsouza G, Xiaohui S, Curcin V. Impact of patient access to their electronic health record: systematic review. Inform Health Soc Care. 2021;46(2):192-204. [Link] [DOI:10.1080/17538157.2021.1879810]
12. Ehrenstein V, Kharrazi H, Lehmann H, Taylor CO. Obtaining data from electronic health records. In: Tools and technologies for registry interoperability, registries for evaluating patient outcomes: A user's guide, 3rd edition, Addendum 2. Rockville: Agency for Healthcare Research and Quality; 2019. [Link]
13. Keshta I, Odeh A. Security and privacy of electronic health records: Concerns and challenges. Egypt Inform J. 2021;22(2):177-83. [Link] [DOI:10.1016/j.eij.2020.07.003]
14. Uslu A, Stausberg J. Value of the electronic medical record for hospital care: Update from the literature. J Med Internet Res. 2021;23(12):e26323. [Link] [DOI:10.2196/26323]
15. Boyle DK, Baernholdt M, Adams JM, McBride S, Harper E, Poghosyan L, et al. Improve nurses' well-being and joy in work: Implement true interprofessional teams and address electronic health record usability issues. Nurs Outlook. 2019;67(6):791-7. [Link] [DOI:10.1016/j.outlook.2019.10.002]
16. Bani Issa W, Al Akour I, Ibrahim A, Almarzouqi A, Abbas S, Hisham F, et al. Privacy, confidentiality, security and patient safety concerns about electronic health records. Int Nurs Rev. 2020;67(2):218-30. [Link] [DOI:10.1111/inr.12585]
17. Tayefi M, Ngo P, Chomutare T, Dalianis H, Salvi E, Budrionis A, et al. Challenges and opportunities beyond structured data in analysis of electronic health records. WIREs Comput Stat. 2021;13(6):e1549. [Link] [DOI:10.1002/wics.1549]
18. Els F, Cilliers L. A privacy management framework for personal electronic health records. Afr J Sci Technol Innov Dev. 2018;10(6):725-34. [Link] [DOI:10.1080/20421338.2018.1509489]
19. 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). [Link]
20. Abbasi R, Khajouei R, Mirzaee M. Evaluating the demographic and clinical minimum data sets of Iranian National Electronic Health Record. BMC Health Serv Res. 2019;19(1):450. [Link] [DOI:10.1186/s12913-019-4284-x]
21. Sheikhtaheri A, Tabatabaee Jabali SM, Bitaraf E, TehraniYazdi A, Kabir A. A near real-time electronic health record-based COVID-19 surveillance system: An experience from a developing country. Health Inf Manag. 2024;53(2):145-54. [Link] [DOI:10.1177/18333583221104213]
22. Khajouei R, Abbasi R, Mirzaee M. Errors and causes of communication failures from hospital information systems to electronic health record: A record-review study. Int J Med Inform. 2018;119:47-53. [Link] [DOI:10.1016/j.ijmedinf.2018.09.004]
23. Asadi F, Moghaddasi H, Rabiei R, Rahimi F, Mirshekarlou SJ. The evaluation of SEPAS national project based on electronic health record system (EHRS) coordinates in Iran. Acta Inform Med. 2015;23(6):369-73. [Link] [DOI:10.5455/aim.2015.23.369-373]
24. Benzaghta MA, Elwalda A, Mousa MM, Erkan I, Rahman M. SWOT analysis applications: An integrative literature review. J Glob Bus Insights. 2021;6(1):55-73. [Link] [DOI:10.5038/2640-6489.6.1.1148]
25. Shahmoradi L, Darrudi A, Arji G, Nejad AF. Electronic health record implementation: A SWOT analysis. Acta Med Iran. 2017;55(10):642-9. [Link]
26. Mirani N, Ayatollahi H, Haghani H. A survey on barriers to the development and adoption of electronic health records in Iran. J Health Adm. 2013;15(50):65-75. [Persian] [Link]
27. Abbasi H, Rahimi B, Jebraeily M, Nourani A. End-users' perspectives on factors affecting implementation and utilization of the Iranian electronic health record system: A qualitative study in a developing country. BMC Health Serv Res. 2023;23(1):1064. [Link] [DOI:10.1186/s12913-023-10033-5]
28. Tajirian T, Stergiopoulos V, Strudwick G, Sequeira L, Sanches M, Kemp J, et al. The influence of electronic health record use on physician burnout: Cross-sectional survey. J Med Internet Res. 2020;22(7):e19274. [Link] [DOI:10.2196/19274]
29. Sieck CJ, Pearl N, Bright TJ, Yen PY. A qualitative study of physician perspectives on adaptation to electronic health records. BMC Med Inform Decis Mak. 2020;20:25. [Link] [DOI:10.1186/s12911-020-1030-6]
30. Lee WW, Alkureishi ML, Isaacson JH, Mayer M, Frankel RM, London DA, et al. Impact of a brief faculty training to improve patient-centered communication while using electronic health records. Patient Educ Couns. 2018;101(12):2156-61. [Link] [DOI:10.1016/j.pec.2018.06.020]
31. Hazra NC, Rudisill C, Gulliford MC. Developing the role of electronic health records in economic evaluation. Eur J Health Econ. 2019;20(8):1117-21. [Link] [DOI:10.1007/s10198-019-01042-5]
32. Griesser A, Mzoughi M, Bidmon S, Cherif E. How do opt-in versus opt-out settings nudge patients toward electronic health record adoption? An exploratory study of facilitators and barriers in Austria and France. BMC Health Serv Res. 2024;24(1):439. [Link] [DOI:10.1186/s12913-024-10929-w]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |