Barriers to the implementation of electronic medical records in Northwest Ethiopia

Abstract

Background: Although electronic medical records (EMRs) have a significant impact on the health system, their development is in its infancy in Ethiopia because of factors that hinder the implementation of the system. Aim: This study aims to explore the barriers to the implementation of EMRs. Setting: The study setting was in Northwest Ethiopia. Methods: This study employed a phenomenological qualitative research design to explore the lived experiences of health workers. Purposive sampling was used to recruit eight participants from five different health facilities, each holding diverse professional roles. Data were collected through in-depth interviews, which were audio-recorded and subsequently transcribed verbatim. The qualitative data were managed and analysed using ATLAS.ti software, following a thematic approach. The analysis adhered to the seven-step framework outlined in Colaizzi’s method. Results: A total of 24 codes, 10 subthemes and 4 major themes emerged from the analysis. Three of the major themes reflected challenges associated with EMRs, while one highlighted perceived benefits. The four major themes identified were software-related factors, system-related factors, institutional operational factors and benefits of EMRs. Conclusion: From the users’ perspective, the study finally comprehended that lack of EMRs training, lack of comprehensiveness of the system, a lack of interoperability, power interruption, system slowdowns and absence of incentives and rewards were barriers to the implementation of the EMRs system. Contribution: This study helps to understand the key barriers to the implementation of EMRs, offering insights for addressing these challenges in future EMR adoption efforts.