Satisfaction with Paper-Based Dental Records and Perception of Electronic Dental Records among Dental Professionals in Myanmar
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초록
Objectives: To overcome challenges in the implementation of electronic dental record systems in a low-resource setting, it is crucial to know the level of users’ satisfaction with the existing system of paper-based dental records and their perceptions of electronic dental records. Methods: A cross-sectional paper-based questionnaire survey was conducted among Myanmar dental professionals who worked in one of two teaching hospitals or in private dental clinics. Descriptive data were analyzed and regression analysis was carried out to identify factors influencing perceptions of electronic dental records. Results: Most dental professionals (>60%) were satisfied with just three out of six aspects of paper-based dental records (familiarity, flexibility, and portability). In addition, generalized positive perceptions were found among decision makers towards electronic dental records, and 86% of dentists indicated that they were willing to use them. Financial concerns were identified as the most important barrier to the implementation of electronic dental records among dentists who were not willing to use the proposed system. Conclusions: The first step towards implementing electronic dental records in Myanmar should be improvement of the content and structure of paper-based dental records, especially in private dental clinics. Utilization of appropriate open-source electronic dental record software in private dental clinics is recommended to address perceived issues around financial barriers. For the long term, we recommend providing further education and training in health informatics to healthcare professionals to facilitate the efficient use of electronic dental record software in Myanmar in the future.
Abstract
Objectives: To overcome challenges in the implementation of electronic dental record systems in a low-resource setting, it is crucial to know the level of users’ satisfaction with the existing system of paper-based dental records and their perceptions of electronic dental records. Methods: A cross-sectional paper-based questionnaire survey was conducted among Myanmar dental professionals who worked in one of two teaching hospitals or in private dental clinics. Descriptive data were analyzed and regression analysis was carried out to identify factors influencing perceptions of electronic dental records. Results: Most dental professionals (>60%) were satisfied with just three out of six aspects of paper-based dental records (familiarity, flexibility, and portability). In addition, generalized positive perceptions were found among decision makers towards electronic dental records, and 86% of dentists indicated that they were willing to use them. Financial concerns were identified as the most important barrier to the implementation of electronic dental records among dentists who were not willing to use the proposed system. Conclusions: The first step towards implementing electronic dental records in Myanmar should be improvement of the content and structure of paper-based dental records, especially in private dental clinics. Utilization of appropriate open-source electronic dental record software in private dental clinics is recommended to address perceived issues around financial barriers. For the long term, we recommend providing further education and training in health informatics to healthcare professionals to facilitate the efficient use of electronic dental record software in Myanmar in the future.
참고문헌 (25)
- Electronic Health Records:a manual for developing countries, "World Health Organization", Regional Office for the Western Pacific, World Health Organization, ~ (2006)
- Jathanna VR, "The awareness and attitudes of students of one indian dental school toward information technology and its use to improve patient care", Educ Health(Abingdon), 27(3), pp.293~296 (2014)
- Thit WM, "Electronic medical records in Myanmar : user perceptions at Marie Stopes International Clinics in Myanmar", Southeast Asian J Trop Med Public Health, 47(4), pp.799~809 (2016)
- Survey of dental practice 2003 special report, "American Dental Association", American Dental Association Survey Center, ~ (2006)
- Layman EJ, "Ethical issues and the electronic health record", Health Care Manag(Frederick), 27(2), pp.165~176 (2008)
- Bernat JL, "Ethical and quality pitfalls in electronic health records", Neurology, 80(11), pp.1057~1061 (2013)
- Kohn LT, "Institute of Medicine. To err is human: building a safer health system" (2000), National Academies Press
- Khalifa M., "Barriers to health information systems and electronic medical records implementation: a field study of Saudi Arabian hospitals", Procedia Comput Sci, 21, pp.335~342 (2013)
- Iversen TB, "The peace of paper : patient lists as work tools", Int J Med Inform, 84(1), pp.69~75 (2015)
- van der Zande MM, "Dental practitioners and a digital future: an initial exploration of barriers and incentives to adopting digital technologies", Br Dent J, 215(11), pp.E21~ (2013)
- "Technology acceptance model" (2017)[URL]
- Tange HJ, "The paper-based patient record: is it really so bad?", Comput Methods Programs Biomed, 48(1-2), pp.127~131 (1995)
- Surendran P, "Technology acceptance model : a survey of literature", Int J Bus Soc Res, 2(4), pp.175~178 (2012)
- Holden RJ, "The technology acceptance model : its past and its future in health care", J Biomed Inform, 43(1), pp.159~172 (2010)
- Gliem JA, "Calculating, interpreting, and reporting Cronbach’s alpha reliability coefficient for Likert-type scales", Proceedings of Midwest Researchto-Practice Conference in Adult, Continuing, and Community Education (2003)
- Santos JR, "Cronbach’s alpha : a tool for assessing the reliability of scales", J Ext, 37(2), pp.1~5 (1999)
- Tavakol M, "Making sense of Cronbach’s alpha", Int J Med Educ, 2, pp.53~55 (2011)
- Munyisia EN, "The changes in caregivers’perceptions about the quality of information and benefits of nursing documentation associated with the introduction of an electronic documentation system in a nursing home", Int J Med Inform, 80(2), pp.116~126 (2011)
- Powell V, "Torres-Urquidy MH. Integration of medical and dental care and patient data" (2012), Springer
- Flores-Mir C, "Perceptions and attitudes of Canadian dentists toward digital and electronic technologies", J Can Dent Assoc, 72(3), pp.243~ (2006)
- 박영택, "Current Status of Electronic Medical Record Systems in Hospitals and Clinics in Korea", Healthcare Informatics Research, 23(3), pp.189~198 (2017), 대한의료정보학회[DOI]
- Mostafa AA, "Evaluation of students’perception in using electronic dental records", Saudi J Oral Sci, 2(1), pp.14~18 (2015)
- John JH, "Questionnaire survey on the use of computerisation in dental practices across the Thames Valley Region", Br Dent J, 195(10), pp.585~590 (2003)
- 곽은선, "Medical Representatives’ Intention to Use Information Technology in Pharmaceutical Marketing", Healthcare Informatics Research, 22(4), pp.342~350 (2016), 대한의료정보학회[DOI]
- Schleyer TK, "Clinical computing in general dentistry", J Am Med Inform Assoc, 13(3), pp.344~352 (2006)
