Challenges in the use Electronic Medical Records in Middle Eastern Countries: A Narrative Review
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Abstract
Electronic Medical Records (EMRs) have great value in healthcare, as they enhance healthcare quality, decrease costs, optimize patient safety and health care research. Worldwide and particularly in the Middle Eastern countries have pushed for usage and implement EMR systems. However, there were some obstacles and challenges toward implementation of the EMR system. This review aims to look at the challenges and constraints of using and adopting EMR in Middle Eastern countries. Electronic databases of PubMed, country reports, newspaper, magazine articles, and hospital reports between 2008 to 2021 were used. Most common challenges highlighted were high cost of EMR implementation, lack of training, insufficient information technology personnel support, poor acceptance of new technology, confidentiality, and privacy concerns. Understanding the hurdles of using EMR technology in health care setting is essential for decision makers to focus on economic and human factors challenges to enhance the use and acceptance of EMR systems.
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Alsadan M, EL METWALLY A, Anna AL, Jamal A, Khalifa M, Househ M. Health information technology (HIT) in Arab countries: a systematic review study on HIT progress. Journal of Health Informatics in Developing Countries. 2015 Jun 2;9(2).
Alazzam MB, Sibghatullah AS, Doheir M, Enaizan OM, Mamra AH. Ehrs acceptance in Jordan hospitals by Utaut2 Model: preliminary result. Journal of Theoretical and Applied Information Technology. 2015 Aug 1;78(3):473.
Neamah AF, bin Ahmad A, Alomari ES, Nuiaa RR, UTeM FT. E-health state in middle east countries: an overview. http://tojdac.org/tojdac/VOLUME8-SPTMSPCL_files/tojdac_v080SSE375.pdf
Pros and Cons of Electronic Health Records | Advanced Data Systems Corporation [Internet]. [cited 2021 Jan o6]. Available from: https://www.adsc.com/blog/pros-and-cons-of-electronic-health-records.
A brief history of the EMR| A brief history of the EMR [Internet]. [cited 2019 Feb 11]. Available from: https://www.extractsystems.com/healthydata-blog/2016/9/30/a-brief-history-of-the-emr?format=amp.
El Mahalli AA. Electronic health records: Use and barriers among physicians in eastern province of Saudi Arabia. doi: 10.4103/2278-0521.151407
El-Hassan O, Sharif A, Al Redha M, Blair I. Tracking the implementation of electronic medical records in Dubai, United Arab Emirates, using an adoption benchmarking tool. InMEDINFO 2017: Precision Healthcare through Informatics 2017 (pp. 64-68). IOS Press. doi:10.3233/978-1-61499-830-3-64
Sikhondze NC, Erasmus LD. Electronic medical records: a developing and developed country analysis.
AlSadrah SA. Electronic medical records and health care promotion in Saudi Arabia: an overview. Saudi Medical Journal. 2020 Jun;41(6):583. doi: 10.15537/smj.2020.6.25115
Al-Hamadi RS. The Changing Regional Order: The Case of Gulf Cooperation Council and the Blockade of Qatar in 2017. Doi: http://hdl.handle.net/10576/21613
Alsahafi YA. Studies of EHR implementation and operation in different countries with particular reference to Saudi Arabia: a thesis presented in partial fulfillment of the requirements of degree of master’s in information science at Massey University, Albany campus, Auckland, New Zealand
Altuwaijri M. Electronic-health in Saudi Arabia. Saudi Med J. 2008;29(2):171-8.
Alkhamis A. Health care system in Saudi Arabia: An overview. Eastern Mediterranean Health Journal. 2012 Oct 1;18(10):1078-80.
Siddiqi AA, Ahmed M, Alginahi YM, Alharby A. Use of information and mobile computing technologies in healthcare facilities of Saudi Arabia. In2009 International Conference on Information and Communication Technologies 2009 Aug 15 (pp. 289-294). IEEE. Doi: 10.1109/ICICT.2009.5267177
Amatayakul M. Keys to successful EHR implementation: Prochaska's six stages of change could be applied in striving for meaningful use of EHRs. Healthcare Financial Management. 2010 Dec 1;64(12):104-6.
Al Shorbaji N. E-health in the Eastern Mediterranean Region: a decade of challenges and achievements. EMHJ-Eastern Mediterranean Health Journal, 14 (Supp.), S157-S173, 2008. 2008.
Alanazy S. Factors associated with implementation of electronic health records in Saudi Arabia. University of Medicine and Dentistry of New Jersey; 2006.
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).
Maghazil M. A comparative analysis of data security in computer-based and paper-based patient record systems from the perceptions of healthcare providers in major hospitals in Saudi Arabia. The George Washington University; 2004.
Abuzeyad F, Al Jawder S, Bashmi L, Almusalam A, Alqasem L, Hsu S, Shoaib M, Naeem Z, Bosco D, Sofi R. The Use of Electronic Health Records in Kingdom of Bahrain Hospitals: A National Survey. Journal of Health Informatics in Developing Countries. 2021 Jul 10;15(2).
Abdulla AE, Ahmed SY, Alnoaimi MA, Ali H. Users' Satisfaction with the Electronic Health Record (EHR) in the Kingdom of Bahrain. InConsumer-Driven Technologies in Healthcare: Breakthroughs in Research and Practice 2019 (pp. 319-344). IGI Global. DOI: 10.4018/978-1-5225-6198-9.ch017
Al Nawakda E, Fathi AH, Ribiere V, Mohammed M. Knowledge management initiative at the Ministry of Health in the Kingdom of Bahrain: a case study. Vine. 2008 Oct 24. Doi: https://doi.org/10.1108/03055720810917769
Jalal-Karim A., Al-Mahdi W, Rahim H, Al-Shabaan N, Al-Manea S. Electronic Health Record utilization: Challenges and opportunities in Kingdom of Bahrain. Impact Glob Financ Cris Environ Energy Sustain Dev 2009; 2009: 325-35 https://wasdlibrary.org/download/electronic-health-record-utilisation-challenges-and-opportunities-in-kingdom-of-bahrain/
Farsi MA, West DJ. Use of electronic medical records in Oman and physician satisfaction. Journal of medical systems. 2006 Feb;30(1):17-22. doi: https://doi.org/10.1007/s10916-006-7399-7
Al-Mujaini A, Al-Farsi Y, Al-Maniri A, Ganesh A. Satisfaction and perceived quality of an electronic medical record system in a tertiary hospital in oman. Oman medical journal. 2011 Sep;26(5):324. doi: 10.5001/omj.2011.81
Ganesh A, Al-Mujaini A. Electronic medical record system: have we bitten off more than we can chew?. Oman Medical Journal. 2009 Jan;24(1):1. doi: doi: 10.5001/omj.2009.1
Abu Raddaha AH. Nurses’ perceptions about and confidence in using an electronic medical record system. Proceedings of Singapore Healthcare. 2018 Jun;27(2):110-7. doi: https://doi.org/10.1177/2010105817732585
Mansoori MH, Benjamin K, Ngwakongnwi E, Al Abdulla S. Nurses’ perceptions of the clinical information system in primary healthcare centres in Qatar: a cross-sectional survey. BMJ Health & Care Informatics. 2019;26(1). doi: 10.1136/bmjhci-2019-100030
Al Alawi S, Al Dhaheri A, Al Baloushi D, Al Dhaheri M, Prinsloo EA. Physician user satisfaction with an electronic medical records system in primary healthcare centres in Al Ain: a qualitative study. BMJ open. 2014 Nov 1;4(11): e005569. doi: 10.1136/bmjopen-2014-005569
Bani‐issa W, Al Yateem N, Al Makhzoomy IK, Ibrahim A. Satisfaction of health‐care providers with electronic health records and perceived barriers to its implementation in the United Arab Emirates. International journal of nursing practice. 2016 Aug;22(4):408-16. doi: https://doi.org/10.1111/ijn.12450
El Khatib M, Al Blooshi S, Al-Habeeb A. The Challenge and Potential Solutions of Reading Voluminous Electronic Medical Records (EMR): A Case Study from UAE. doi: 10.9790/487X-1812023846
Al Ghufli A, Al Tunaiji K, Al Ali S, Samara K. Integrating Knowledge into Health Care Systems: A Case Study Investigation on UAE Health Care. Available at SSRN 2597149. 2015 Apr 21. Doi: http://dx.doi.org/10.2139/ssrn.2597149
Ghalaita AA, Al Suwaidi N, Al Khatib M, Elkhatib MM. Barriers hindering the adoption of Health Information Systems (HIS): Cases from Dubai's healthcare providers.
AL-nassar BA, Abdullah MS, Sheik Osman WR. Overcoming challenges to use electronic medical records system (EMRs) in Jordan hospitals. International Journal of Computer Science and Network Security (IJCSNS). 2011;11(8):51-8. http://paper.ijcsns.org/07_book/201108/20110806.pdf
Matar N, Alnabhan MM. Evaluating E-Health Services and Patients Requirements in Jordanian Hospitals. Int. Arab. J. e Technol.. 2014;3(4):250-7.
Tubaishat A, Al-Rawajfah OM. The use of electronic medical records in Jordanian hospitals: A nationwide survey. CIN: Computers, Informatics, Nursing. 2017 Oct 1;35(10):538-45. doi: 10.1097/CIN.0000000000000343
Al-Rawajfah O, Tubaishat A. Barriers and facilitators to using electronic healthcare records in Jordanian hospitals from the nurses’ perspective: a national survey. Informatics for Health and Social Care. 2019 Jan 2;44(1):1-1. doi: https://doi.org/10.1080/17538157.2017.1353998
Al-Dahshan AF, Al-Kubaisi N, Chehab MA, Al-Hanafi N. Exploring patients satisfaction after the implementation of an electronic medical record system at Al-Wakrah primary health center, Qatar, 2016. International Journal of Community Medicine and Public Health. 2017 Oct;4(10):3511. doi: http://dx.doi.org/10.18203/2394-6040.ijcmph20174212
Qatar National E-Health & Data Program (QNeDP)| National E-Health and Data Management Strategy | Ministry of Public Health Qatar [Internet]. [cited 2022 Jan 22]. Available from: https://www.moph.gov.qa/english/strategies/Supporting-Strategies-and-Frameworks/NationalEHealthAndDataManagementStrategy/Pages/default.aspx
Khamis I. Electronic Patient Record System in Hamad Medical Corporation, Qatar: Challenges and Improvements= تعديلات مقترحة على نظام السجل الطبي للمرضى في مستشفى حمد بالدوحة. Cybrarians Journal. 2017 Dec;53(5587):1-8. https://search.emarefa.net/detail/BIM-788165
Mohammed A, Mehrez A, Aladel L. Investigating the impact of electronic health record on healthcare professionals. International Journal of Data and Network Science. 2021;5(1):63-74. doi: 10.5267/j.ijdns.2020.11.001
Alsaad R, Al-Ali R, Badji R. Towards a National Electronic Health Record in Qatar: Building on International Experiences. InQatar Foundation Annual Research Conference Proceedings Volume 2016 Issue 1 2016 Mar 21 (Vol. 2016, No. 1, p. HBOP3013). Hamad bin Khalifa University Press (HBKU Press). doi: https://doi.org/10.5339/qfarc.2016.HBOP3013