Unlocking the Potential of Electronic Health Records Systems in Tanzania: An Assessment of their Decision-Making Capabilities in Primary Healthcare Settings

Abstract

Abstract This study investigated the current state of Electronic Health Records Systems (EHRS) in primary healthcare facilities in Tanzania. The study used a cross-sectional survey to collect data from healthcare professionals working in primary healthcare facilities in Tanzania's urban and rural areas. The survey found that EHRS could be more effective in providing reminders, warnings, and alerts. The majority of respondents reported that there are no consistent reminders for medical appointments or dosage warnings. EHRS vendors are urged to prioritize developing advanced clinical decision support features in their systems to improve patient outcomes. There is also a need to address the gaps in EHRS capabilities to enable better use of order sets in primary healthcare settings. This study provides valuable insights into the capabilities of EHRS in the Tanzanian context and can inform decision-making regarding the implementation and utilization of EHRS in other developing countries facing similar challenges. Ultimately, this study can enhance healthcare delivery and improve patient outcomes in Tanzania and other developing countries. The study had limitations, including a small sample size, limited stakeholder involvement, a cross-sectional survey design, and a focus solely on EHRS decision-making capabilities. However, the findings of this study are still valuable and can be used to improve the implementation of EHRS in Tanzania and other developing countries. The study's findings suggest that there is a need for EHRS vendors to prioritize the development of advanced clinical decision support features in their systems. There is also a need to address the gaps in EHRS capabilities to enable better use of order sets in primary healthcare settings. By addressing these challenges, EHRS can be used to improve the quality of care and patient outcomes in Tanzania and other developing countries.