Literatur Review: Dampak Implementasi Electronic Health Records (EHR) di Pelayanan Kesehatan

Tria Saras Pertiwi; Adi Supryatno

doi:10.47080/joubahs.v3i01.2454

Tria Saras Pertiwi Universitas Esa Unggul
Adi Supryatno Universitas Banten Jaya

DOI: https://doi.org/10.47080/joubahs.v3i01.2454

Keywords: Impact, Implementation, Electronic Health Record, EHR

Abstract

Document management using electronic/computer-based systems in the scope of health services is becoming a global trend, one of which is Electronic Health Records (Electronic Health Records or EHR). The purpose of this study was to determine the impact of implementing Electronic Health Records in health services. The method used is Literature Review from databases originating from PubMed and ScienceDirect. After the articles were screened, 15 articles were selected to be used as a Literature Review. The results of a review based on 15 articles show that the impact of implementing Electronic Health Records in health services is obtained from various aspects including aspects of efficiency, communication, workload, quality and accuracy of data, economy, quality of care for patients. All articles show different results. There is an increasing impact in a positive direction, but there are some negative impacts such as workload, communication, and dysfunctional workflow. There were also findings of perceived barriers to EHR use, for example poor training and lack of user knowledge.

References

Alsohime, F., Temsah, M. H., Al-Eyadhy, A., Bashiri, F. A., Househ, M., Jamal, A., … Amer, Y. S. (2019). Satisfaction and perceived usefulness with newly-implemented Electronic Health Records System among pediatricians at a university hospital. Computer Methods and Programs in Biomedicine, 169, 51–57. https://doi.org/10.1016/j.cmpb.2018.12.026

Bae, J., Rask, K. J., & Becker, E. R. (2018). The Impact of Electronic Medical Records on Hospital-Acquired Adverse Safety Events: Differential Effects Between Single-Source and Multiple-Source Systems. American Journal of Medical Quality, 33(1), 72–80. https://doi.org/10.1177/1062860617702453

Carayon, P., Wetterneck, T. B., Alyousef, B., Brown, R. L., Cartmill, R. S., McGuire, K., … Wood, K. E. (2015). Impact of electronic health record technology on the work and workflow of physicians in the intensive care unit. International Journal of Medical Informatics, 84(8), 578–594. https://doi.org/10.1016/j.ijmedinf.2015.04.002

Doyle, R. J., Wang, N., Anthony, D., Borkan, J., Shield, R. R., & Goldman, R. E. (2012). Computers in the examination room and the electronic health record: Physicians; perceived impact on clinical encounters before and after full installation and implementation. Family Practice, 29(5), 601–608. https://doi.org/10.1093/fampra/cms015

Goldberg, D. G., Kuzel, A. J., Feng, L. B., DeShazo, J. P., & Love, L. E. (2012). EHRs in primary care practices: Benefits, challenges, and successful strategies. American Journal of Managed Care, 18(2), 48–54.

Holanda, A. A., Do Carmo E Sá, H. L., Vieira, A. P. G. F., & Catrib, A. M. F. (2012). Use and satisfaction with electronic health record by primary care physicians in a health district in Brazil. Journal of Medical Systems, 36(5), 3141–3149. https://doi.org/10.1007/s10916-011-9801-3

Howard, J., Clark, E. C., Friedman, A., Crosson, J. C., Pellerano, M., Crabtree, B. F., … Cohen, D. J. (2013). Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices. Journal of General Internal Medicine, 28(1), 107–113. https://doi.org/10.1007/s11606-012-2192-4

Joukes, E., De Keizer, N. F., De Bruijne, M. C., Abu-Hanna, A., & Cornet, R. (2019). Impact of Electronic versus Paper-Based Recording before EHR Implementation on Health Care Professionals’ Perceptions of EHR Use, Data Quality, and Data Reuse. Applied Clinical Informatics, 10(2), 199–209. https://doi.org/10.1055/s-0039-1681054

Kim, E., Rubinstein, S. M., Nead, K. T., Wojcieszynski, A. P., Gabriel, P. E., & Warner, J. L. (2019). The Evolving Use of Electronic Health Records (EHR) for Research. Seminars in Radiation Oncology, 29(4), 354–361. https://doi.org/10.1016/j.semradonc.2019.05.010

Laitinen, H., Kaunonen, M., & Åstedt-Kurki, P. (2014). The impact of using electronic patient records on practices of reading and writing. Health Informatics Journal, 20(4), 235–249. https://doi.org/10.1177/1460458213492445

McAlearney, A. S., Robbins, J., Hirsch, A., Jorina, M., & Harrop, J. P. (2010). Perceived efficiency impacts following electronic health record implementation: An exploratory study of an urban community health center network. International Journal of Medical Informatics, 79(12), 807–816. https://doi.org/10.1016/j.ijmedinf.2010.09.002

McDowell, J., Wu, A., Ehrenfeld, J. M., & Urman, R. D. (2017). Effect of the Implementation of a New Electronic Health Record System on Surgical Case Turnover Time. Journal of Medical Systems, 41(3). https://doi.org/10.1007/s10916-017-0690-y

Perlman, S. E., McVeigh, K. H., Thorpe, L. E., Jacobson, L., Greene, C. M., & Gwynn, R. C. (2017). Innovations in population health surveillance: Using electronic health records for chronic disease surveillance. American Journal of Public Health, 107(6), 853–857. https://doi.org/10.2105/AJPH.2017.303813

Robertson, S. L., Robinson, M. D., & Reid, A. (2017). Electronic Health Record Effects on Work-Life Balance and Burnout Within the I3 Population Collaborative. Journal of Graduate Medical Education, 9(4), 479–484. https://doi.org/10.4300/JGME-D-16-00123.1

Sockolow, P. S., Bowles, K. H., Adelsberger, M. C., Chittams, J. L., & Liao, C. (2014). Impact of homecare electronic health record on timeliness of clinical documentation, reimbursement, and patient outcomes. Applied Clinical Informatics, 5(2), 445–462. https://doi.org/10.4338/ACI-2013-12-RA-0106

Takian, A., Sheikh, A., & Barber, N. (2012). We are bitter, but we are better off: Case study of the implementation of an electronic health record system into a mental health hospital in England. BMC Health Services Research, 12(1), 1–13. https://doi.org/10.1186/1472-6963-12-484

Yeung, T. (2019). Local health department adoption of electronic health records and health information exchanges and its impact on population health. International Journal of Medical Informatics, 128(September 2018), 1–6. https://doi.org/10.1016/j.ijmedinf.2019.04.011

Zlabek, J. A., Wickus, J. W., & Mathiason, M. A. (2011). Early cost and safety benefits of an inpatient electronic health record. Journal of the American Medical Informatics Association, 18(2), 169–172. https://doi.org/10.1136/jamia.2010.007229