title: Benefits of an electronic medical records system in rural Nepal.
abstract: BACKGROUND
  Electronic medical records systems may improve the efficiency and quality of health services in developing countries. However the supporting evidence is limited as there are a number of barriers to their implementation, including lack of infrastructure, resources and skills. The objective of this study was to evaluate the introduction and assess the potential benefits of an Electronic Medical Records System in Rural at an NGO-supported health post in rural Nepal.
  
  
  METHODS
  Original research in the form of a case report was carried out using participant observation of health clinics, semi-structured interviews with health workers and recording of time spent on clinic activities at the pilot and a control site.
  
  
  RESULTS
  This evaluation found that the Electronic Medical Records System was well used and easy to learn. Health workers thought it improved continuity of care and found decision-support tools useful. Monthly report creation was faster but the system was difficult to integrate with government services, which limited the reduction in paperwork. Other problems identified included minor software issues, a lack of back-up, continuity of power supply and inadequate technical support. There was no significant impact on consultation length or time spent interacting with patients.
  
  
  CONCLUSIONS
  The introduction of the Electronic Medical Records System was largely successful. With adequate technical support and training, Electronic Medical Records System could provide a relatively low-cost means of improving patient care and health worker efficiency in developing countries. However they must be designed to fit their intended environment.
authors.affiliation: Sheffield Medical School, Beech Hill Rd, Sheffield, South Yorkshire S10 2RX, UK.
authors.forename: A
authors.initials: A
authors.lastname: Watkinson-Powell
authors.forename: A
authors.initials: A
authors.lastname: Lee
mesh_terms: D003150:Community Health Workers; D003906:Developing Countries; D017598:Efficiency, Organizational; D057286:Electronic Health Records / Q000458:organization & administration*; D006801:Humans; D009390:Nepal; D011787:Quality of Health Care; D019035:Rural Health Services / Q000458:organization & administration*; D016526:Workload