EVALUATION OF KNOWLEDGE, ATTITUDE, AND PRACTICE OF HEALTHCARE STAFF IN USING ELECTRONIC HEALTH RECORDS AT LONG KHANH REGIONAL GENERAL HOSPITAL IN 2023

Văn Hải Hồ , Thái Thanh Tâm Trần , Trung Kiên Nguyễn , Tấn Đạt Nguyễn

Main Article Content

Abstract

Objectives: (1) Determine the proportion of medical staff with correct knowledge, attitudes and practices about using electronic medical records at Long Khanh Regional General Hospital (2) Find out related factors to correct knowledge, attitude and practice of using electronic medical records of medical staff at Long Khanh Regional General Hospital. (3) Evaluate the results of intervention using electronic medical records in medical examination and treatment management at Long Khanh Regional General Hospital. Method: descriptive cross-sectional study design combined with non-controlled intervention on 214 medical staff of Long Khanh Regional General Hospital from January 2019 to the end of December 2023. Results: The percentage of medical staff with good knowledge, attitudes and practices is 43%. There is a relationship between age, expertise and level of support and practical knowledge about using electronic medical records. Specifically, employees under 35 years old have an odds ratio 2.18 times higher than employees over 35 years old. age (95% CI: 1.17-4.04) and medical staff with accounting expertise have knowledge and practice attitudes 3.45 times better than the nursing group (95% CI: 1, 02-11.71), the difference is statistically significant (P<0.05). The proportion of medical staff who understand the advantages of electronic medical records for hospitals and patients, before and after intervention, has significantly improved, with statistical significance (P<0.001) when considering on paraclinical, diagnosis, treatment prescription, hospital discharge, economic efficiency. Conclusion: The majority of staff supported the use of electronic medical records, and after the intervention, the staff's knowledge rate improved significantly.

Article Details

References

1. Bộ Y tế (2018), Quy định hồ sơ bệnh án điện tử. Ban hành kèm theo Thông tư số 46/2018/TT-BYT ngày 28 tháng 12 năm 2018.
2. Nguyễn Hồng Trường, Vũ Phong Túc, Nguyễn Xuân Bái (2022), Hiệu quả áp dụng bệnh án điện tử trong quản lý khám chữa bệnh tại Bệnh viện Đa khoa thành phố Vinh, Tạp chí Y học Việt Nam, Tập 519 -Tháng 10-SỐ1 -2022, 98-103.
3. Ayatollahi H., Mirani N. and Haghani H. (2014), “Electronic health records: what are the most important barriers?”, Perspect Health Inf Manag. 11, pp. 1–12.
4. Hsuan C. and Rodriguez H.P. (2014), “The adoption and discontinuation of clinical services by local health departments”, Am J Public Health. 104, pp. 124–133.
5. Shah G.H., Leider J.P., Castrucci B.C., et al. (2016), “Characteristics of local health departments associated with implementation of electronic health records and other informatics systems”, Public Health Rep, 131(2), pp. 272–282.
6. Sherer S.A., Meyerhoefer C.D. and Peng L. (2016), “Applying institutional theory to the adoption of electronic health records in the U.S”, Inf Manag. 53 (5), pp. 570-580.
7. Standing C. and Cripps H. (2015), “Critical success factors in the implementation of electronic health records: a two-case comparison”, Syst Res Behav Sci. 32(1):75–85.