User Satisfaction of Using Electronic Medical Record System and Its Associated Factors among Healthcare Professionals in Ethiopia: A Cross-Sectional Study

Abstract

Background. Electronic medical record (EMR) systems have become essential for the proper management of patients’ information. Electronic medical record systems are on the rise in developing countries due to the need to ensure improved quality of healthcare. However, EMR systems can be ignored, if users are not satisfied with the implemented system. User dissatisfaction has been associated with the failure of EMR systems as a primary factor. There is also limited research done in the Ethiopian context on EMR user satisfaction at private hospitals. This study is aimed at assessing user satisfaction with electronic medical records and associated factors among health professionals working at private hospitals in Addis Ababa. Methods. Institution-based cross-sectional quantitative study was conducted among health professionals working at private hospitals in Addis Ababa, from March to April 2021. A self-administered questionnaire was used to collect the data. EpiData version 4.6 and Stata version 25 were used for data entry and analysis, respectively. Descriptive analyses were computed for the study variables. Bivariable and multivariable logistic regression analyses were carried out to assess the significance of independent variables on dependent variables. Results. A total of 403 (95.33% response rate) participants completed all the questionnaires. More than half of 214 (53.10%) of the participants were satisfied with the EMR system. Factors associated with user satisfaction with electronic medical records were good computer literacy ( $\text{AOR}=2.92$ , 95% CI: [1.16-7.37]), perceived information quality ( $\text{AOR}=3.54$ , 95% CI: [1.55-8.11]), perceived service quality ( $\text{AOR}=3.15$ , 95% CI: [1.58-6.28]), perceived system quality ( $\text{AOR}=3.05$ , 95% CI: [1.32-7.05]), EMR training ( $\text{AOR}=4.00$ , 95% CI: [1.76-9.03]), computer access ( $\text{AOR}=3.17$ , 95% CI: [1.19-8.46]), and HMIS training ( $\text{AOR}=2.05$ , 95% CI: [1.22-6.71]). Conclusions. In this study, health professionals’ EMR satisfaction was moderate. The result showed that EMR training, computer literacy, computer access, perceived system quality, information quality, service quality, and HMIS training were associated with user satisfaction. Improving computer-related training, system quality, information quality, and service quality is an important intervention to improve the healthcare professional’s satisfaction towards using electronic health record systems in Ethiopia.