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LOCAL LITERATURE

In adopting Electronic Medical Records, a technology that is now considered a fundamental

requirement in most industrialized economies. The Technology-Organization-Environment

guides the collection of data. An operationalized multiple case study is used to investigate the

organizational hurdles to EMR implementation. Complexity, a lack of infrastructure, and bad

interface design are all examples of technological hurdles. User reluctance and a lack of suitable

skills are organizational impediments. Regulatory compliance issues and a lack of medical

school orientation are two examples of environmental impediments.

https://www.researchgate.net/publication/

334754948_Barriers_to_the_Adoption_of_Electronic_Medical_Records_in_Select_Philippine_

Hospitals_A_Case_Study_Approach

According to the eHealth in the Philippines (2020), the scaling up and full adoption of electronic

medical record (EMR) systems was strategically scheduled and presumably finished in 2020 to

support the universal health care (UHC) law. However, the Covid-19 outbreak put a halt to these

efforts. We sought to see how far EMR implementation had progressed in RHU primary clinics

and how frequently they were used, especially during the epidemic. We predicted EMR usage

frequency based on duration of use using EMR usage logs from selected RHUs in 2020 and

evaluated if this was influenced by the performing RHU and pandemic event. RHUs performed

more activities during the epidemic, according to process maps. Except for the Update Patient
Profile and Add Patient EMR capabilities, there were substantial differences in how often

utilized features were accessed before and after the epidemic. The findings point to an

inconsistent amount of EMR use in primary care, which could have an impact on the law's

readiness to fully implement. The study demonstrates the value of taking a more detailed look at

adoption in order to increase the quality of EMR use and contribute to better health-care delivery

and funding.

https://www.sciencedirect.com/science/article/pii/S1877050921022742

This study examines patient preferences for receiving genetic test results electronically, as well

as what content and design concerns should be prioritized. Utilizing semi-structured procedures,

59 interviews were performed using user-centered design methodologies. The interviews focused

on the content and design of patient portals that made it easier for patients to receive test results.

Patients who obtained electronic findings for certain types of genetic testing (pharmacogenetic

tests, hereditary blood condition tests, and tests for the risk of heritable tumors) or who received

any type of genetic or nongenetic test results electronically were interviewed. Many participants

agreed that some physician engagement was always required in electronic result returns, and that

electronic coversheets with concise summaries would be helpful in this regard. Coversheet

summaries could be used in conjunction with, but not in instead of, the detailed report.

Participants suggested that the more extensive report be accompanied by a patient-friendly front

section and offered organizational, content, and phrasing ideas. Because many people use their

smartphones to retrieve test results on a daily basis, health systems and patient portal software

suppliers should consider both smartphone app and web portal design when creating platforms

for delivering data.


https://xmed.jmir.org/2022/2/e29706

In September 2019, at a large Midwestern pediatric health facility, they did a retrospective,

exploratory, descriptive task analysis of EHR access log data from primary care pediatricians to

quantify and identify actions completed outside of scheduled clinic hours. The impacts of age,

sex, clinical full-time equivalent status, and EHR work during scheduled clinic hours on the use

of EHRs outside of scheduled clinic hours were investigated using mixed-effects statistical

modeling. Primary care doctors spent approximately 10 minutes interacting with the EHR

outside of planned clinic hours for every hour they spent engaged with the EHR during

scheduled clinic hours. Most of their time was spent in EHR evaluating data, records, and other

information (both within and outside of clinic hours). It used a retrospective descriptive task

analysis of EHR access log data and actual physician clinic schedules to define work time to

characterize EHR work outside of regular clinic hours among primary care pediatricians.

https://medinform.jmir.org/2022/5/e34787

Referring to Philippine healthcare (2019), business is dedicated to providing high-quality

medical treatment to all Filipinos. Technology is critical in this journey because it provides a

framework for industry players to innovate and adapt to the changing needs of healthcare. The

digitalization of patients' medical records is at the heart of this technological revolution in

healthcare. The challenges that healthcare providers have in implementing Electronic Medical

Records, a technology that is regarded a necessity in most developed nations, are examined in

this study. The Technology-Organization-Environment guides the collection of data. An


operationalized multiple case study is used to investigate the organizational hurdles to EMR

implementation. Complexity, a lack of infrastructure, and bad interface design are all examples

of technological hurdles.

https://dl.acm.org/doi/abs/10.1145/3330482.3330503

According to a press release, by the University of Ateneo de Manila (ATENEO), Region of the

Philippine Department of Health. The SHINE OS+ electronic medical record system is being

integrated by VII. Smart Communications and the Ateneo Java Wireless Competency Center

(AJWCC) are collaborating to improve the region's health programs using an existing reporting

mechanism. The Department of Health Region VII's health programs will benefit from the

integration of SHINE OS+ with its existing reporting platform. Central Visayas, or Region VII,

is made up of four provinces. Bohol, Cebu, Negros Oriental, and Siquijor are among the islands.

Some

of the health programs that the Department of Health Regional Office VII is focusing

on include the control and elimination of human rabies and leprosy by 2020.

https://opengovasia.com/philippines-to-integrate-open-source-electronic-medical-record-

platform-for-enhanced-health-programs/

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