User Acceptance of Electronic Medical Record System: Implementation at Marie Stopes International, Myanmar
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Objectives: This study assessed the technical feasibility and aimed to determine the factors influencing intention to use ElectronicMedical Records (EMRs) at Marie Stopes International, Myanmar (MSI-M). Methods: A cross-sectional survey wasconducted 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 acceptancetowards the proposed system were obtained from the participants. Results: The results indicated low health informationtechnology usage and network availability at MSI-M clinics. Positive perception of EMRs was found among the staff membersof MSI-M, which was reflected by positive responses regarding perceived usefulness (average score of 4.15), perceivedease of use (average score of 4.03), and intention to use (average score of 4.10) on a 5-point Likert scale. Statistically, stafffrom 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 importantto strengthen the information and communication technology infrastructure and introduce a policy for capacity building atMSI-M. Adequate training and strong leadership support are recommended for the successful initial implementation andsustainability of an EMR system at MSI-M.
Abstract
Objectives: This study assessed the technical feasibility and aimed to determine the factors influencing intention to use ElectronicMedical Records (EMRs) at Marie Stopes International, Myanmar (MSI-M). Methods: A cross-sectional survey wasconducted 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 acceptancetowards the proposed system were obtained from the participants. Results: The results indicated low health informationtechnology usage and network availability at MSI-M clinics. Positive perception of EMRs was found among the staff membersof MSI-M, which was reflected by positive responses regarding perceived usefulness (average score of 4.15), perceivedease of use (average score of 4.03), and intention to use (average score of 4.10) on a 5-point Likert scale. Statistically, stafffrom 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 importantto strengthen the information and communication technology infrastructure and introduce a policy for capacity building atMSI-M. Adequate training and strong leadership support are recommended for the successful initial implementation andsustainability of an EMR system at MSI-M.
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