Healthc Inform Res.  2020 Jul;26(3):185-192. 10.4258/hir.2020.26.3.185.

User Acceptance of Electronic Medical Record System: Implementation at Marie Stopes International, Myanmar

Affiliations
  • 1Department of Tropical Hygiene (Biomedical and Health Informatics), Faculty of Tropical Medicine, Mahidol University, Thailand
  • 2Center of Excellence for Biomedical and Public Health Informatics (BIOPHICS), Faculty of Tropical Medicine, Mahidol University, Thailand
  • 3Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Thailand
  • 4Health Systems Research Institute, Ministry of Public Health, Nonthaburi, Thailand
  • 5Marie Stopes International Myanmar (MSI-M), Yangon, Myanmar
  • 6Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand

Abstract


Objectives
This study assessed the technical feasibility and aimed to determine the factors influencing intention to use Electronic Medical Records (EMRs) at Marie Stopes International, Myanmar (MSI-M).
Methods
A cross-sectional survey was conducted among 112 participants who were working at the clinics and head office of MSI-M. Demographic information, type of office, technical feasibility, information communication technology knowledge, computer usage, and user acceptance towards the proposed system were obtained from the participants.
Results
The results indicated low health information technology usage and network availability at MSI-M clinics. Positive perception of EMRs was found among the staff members of MSI-M, which was reflected by positive responses regarding perceived usefulness (average score of 4.15), perceived ease of use (average score of 4.03), and intention to use (average score of 4.10) on a 5-point Likert scale. Statistically, staff from the head office expressed less desire to implement an EMR system (odds ratio = 0.07; 95% confidence interval, 0.01–0.97), especially when they do not perceive the usefulness of the system (odds ratio = 5.05; 95% confidence interval, 2.39–10.69).
Conclusions
Since health information technology usage and network availability were low in MSI-M, it is important to strengthen the information and communication technology infrastructure and introduce a policy for capacity building at MSI-M. Adequate training and strong leadership support are recommended for the successful initial implementation and sustainability of an EMR system at MSI-M.

Keyword

Electronic Medical Records; Myanmar; Non-Governmental Organization; Feasibility Study

Figure

  • Figure 1 Locations where questionnaire survey was conducted.

  • Figure 2 Adapted theoretical TAM (technology acceptance model) model.


Reference

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