Effect of EMR implementation on clinic time, patient and staff satisfaction, and chart completeness in a resource-limited antenatal clinic in Kenya.
Electronic Medical Records (EMR) are thought to improve healthcare through a variety of means. However, the study of EMR implementation in resource-poor settings has been minimal. Moi Teaching and Referral Hospital (MTRH) is the second largest tertiary care centre in Kenya, hosting a busy antenatal clinic serving Eldoret and surrounding regions. The recent transition from written to electronic antenatal records at MTRH permits the opportunity to study whether this change improves quality of care, in terms of: TIME: Does the patient or healthcare worker spend the same amount of time at the encounter? SATISFACTION: Is the patient or healthcare worker more or less satisfied with the encounter? COMPLETENESS: Does the antenatal record do a better job of recording key information in the antenatal history? Our Objective wasto determine the effects of EMR implementation on an antenatal clinic in a resource-limited setting.
Facultyof Medicine, University of Toronto, Toronto, Canada.
Alice
A
Gray
Christe
C
Henshaw
Julie
J
Wright
Jessica
J
Leah
David
D
Caloia
Rachel F
RF
Spitzer
Elkanah
E
Omenge
Benjamin
B
Chemwolo
William M
WM
Tierney
D001291:Attitude of Health Personnel; D003258:Consumer Behavior / Q000706:statistics & numerical data; D003906:Developing Countries; D017598:Efficiency, Organizational / Q000706:statistics & numerical data*; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007630:Kenya; D008505:Medical Staff, Hospital / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010361:Patients / Q000706:statistics & numerical data; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D016526:Workload / Q000706:statistics & numerical data*