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Exploring facilitators of the implementation of electronic health records in Saudi Arabia

Haitham A. Alzghaibi, Hayley Hutchings Orcid Logo

BMC Medical Informatics and Decision Making, Volume: 22, Issue: 1

Swansea University Author: Hayley Hutchings Orcid Logo

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DOI (Published version): 10.1186/s12911-022-02072-5

Abstract

IntroductionThe introduction of information technology was one of the key priorities for policy-makers in health care organisations over the last two decades due to the potential benefits of this technology to improve health care services and quality. However, approximately 50% of those projects fai...

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Published in: BMC Medical Informatics and Decision Making
ISSN: 1472-6947
Published: Springer Science and Business Media LLC 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa62151
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This was a result of several factors, including the cost of these projects. The Saudi Ministry of Health (MoH) planned to implement an electronic health record system (EHRS) in approximately 2100 primary health care centres nationwide. It was acknowledged that this project may face hurdles, which might result in the failure of the project if implementation facilitators were not first determined. According to the Saudi MoH, previous electronic health record system implementation in primary health care centres failed as a consequence of several barriers, such as poor infrastructure, lack of connectivity and lack of interoperability. However, the facilitators of successful electronic health record system implementation in Saudi primary health care centres are not understood.AimTo determine the facilitators that enhance the success of the implementation of an EHRS in public primary health care centres in SA.MethodA mixed methods approach was used with both qualitative and quantitative methods (qualitative using semistructured interviews and quantitative with a closed survey). The purpose of the utilisation of exploratory mixed methods was to identify a wide range of facilitators that may influence EHRS implementation. The data were obtained from two different perspectives, primary health care centre practitioners and project team members. A total of 351 practitioners from 21 primary health care centres participated in the online survey, and 14 key informants at the Saudi Ministry of Health who were directly involved in the electronic health record system implementation in the primary health care centres agreed to be interviewed face to face.ResultsThe findings from both studies revealed several facilitators. Among these facilitators, financial resources were found to be the most influential factor that assisted in overcoming some barriers, such as software selection. The size of the primary health care centres was the second facilitator of successful implementation, despite the scale of the project. Perceived usefulness was another facilitator identified in both the interviews and the survey. More than 90% of the participants thought that the electronic health record system was useful and could contribute to improving the quality of health care services. While a high level of satisfaction was expressed towards the electronic health record system&#x2019;s usability and efficiency, low levels of satisfaction were recorded for organisational factors such as user involvement, training and support. Hence, system usability and efficiency were documented to be other facilitators of successful electronic health record system implementation in Saudi primary health care centres.ConclusionThe findings of the present study suggest that sufficient financial support is essential to enhance the success of electronic health record system implementation despite the scale of the project. Additionally, effective leadership and project management are core factors to overcome many obstacles and ensure the success of large-scale projects.</abstract><type>Journal Article</type><journal>BMC Medical Informatics and Decision Making</journal><volume>22</volume><journalNumber>1</journalNumber><paginationStart/><paginationEnd/><publisher>Springer Science and Business Media LLC</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>1472-6947</issnElectronic><keywords>Electronic health records system, Facilitators, Primary Health Care Centres, General practitioners</keywords><publishedDay>7</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-12-07</publishedDate><doi>10.1186/s12911-022-02072-5</doi><url/><notes/><college>COLLEGE NANME</college><department>Health Data Science</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HDAT</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>This project was fully funded by Qassim University, project number QU-IF-2-2-3-26935.</funders><projectreference/><lastEdited>2022-12-30T17:59:34.4675976</lastEdited><Created>2022-12-09T11:15:29.6012761</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Haitham A.</firstname><surname>Alzghaibi</surname><order>1</order></author><author><firstname>Hayley</firstname><surname>Hutchings</surname><orcid>0000-0003-4155-1741</orcid><order>2</order></author></authors><documents><document><filename>62151__26052__17ed739949fc4ebdafd9ad5349ae226e.pdf</filename><originalFilename>01f6ee45-4f00-4b2e-b249-f7fd611489a5.pdf</originalFilename><uploaded>2022-12-09T11:20:23.7903732</uploaded><type>Output</type><contentLength>1137447</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><copyrightCorrect>false</copyrightCorrect></document></documents><OutputDurs/></rfc1807>
spelling 2022-12-30T17:59:34.4675976 v2 62151 2022-12-09 Exploring facilitators of the implementation of electronic health records in Saudi Arabia bdf5d5f154d339dd92bb25884b7c3652 0000-0003-4155-1741 Hayley Hutchings Hayley Hutchings true false 2022-12-09 HDAT IntroductionThe introduction of information technology was one of the key priorities for policy-makers in health care organisations over the last two decades due to the potential benefits of this technology to improve health care services and quality. However, approximately 50% of those projects failed to achieve their intended aims. This was a result of several factors, including the cost of these projects. The Saudi Ministry of Health (MoH) planned to implement an electronic health record system (EHRS) in approximately 2100 primary health care centres nationwide. It was acknowledged that this project may face hurdles, which might result in the failure of the project if implementation facilitators were not first determined. According to the Saudi MoH, previous electronic health record system implementation in primary health care centres failed as a consequence of several barriers, such as poor infrastructure, lack of connectivity and lack of interoperability. However, the facilitators of successful electronic health record system implementation in Saudi primary health care centres are not understood.AimTo determine the facilitators that enhance the success of the implementation of an EHRS in public primary health care centres in SA.MethodA mixed methods approach was used with both qualitative and quantitative methods (qualitative using semistructured interviews and quantitative with a closed survey). The purpose of the utilisation of exploratory mixed methods was to identify a wide range of facilitators that may influence EHRS implementation. The data were obtained from two different perspectives, primary health care centre practitioners and project team members. A total of 351 practitioners from 21 primary health care centres participated in the online survey, and 14 key informants at the Saudi Ministry of Health who were directly involved in the electronic health record system implementation in the primary health care centres agreed to be interviewed face to face.ResultsThe findings from both studies revealed several facilitators. Among these facilitators, financial resources were found to be the most influential factor that assisted in overcoming some barriers, such as software selection. The size of the primary health care centres was the second facilitator of successful implementation, despite the scale of the project. Perceived usefulness was another facilitator identified in both the interviews and the survey. More than 90% of the participants thought that the electronic health record system was useful and could contribute to improving the quality of health care services. While a high level of satisfaction was expressed towards the electronic health record system’s usability and efficiency, low levels of satisfaction were recorded for organisational factors such as user involvement, training and support. Hence, system usability and efficiency were documented to be other facilitators of successful electronic health record system implementation in Saudi primary health care centres.ConclusionThe findings of the present study suggest that sufficient financial support is essential to enhance the success of electronic health record system implementation despite the scale of the project. Additionally, effective leadership and project management are core factors to overcome many obstacles and ensure the success of large-scale projects. Journal Article BMC Medical Informatics and Decision Making 22 1 Springer Science and Business Media LLC 1472-6947 Electronic health records system, Facilitators, Primary Health Care Centres, General practitioners 7 12 2022 2022-12-07 10.1186/s12911-022-02072-5 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University Another institution paid the OA fee This project was fully funded by Qassim University, project number QU-IF-2-2-3-26935. 2022-12-30T17:59:34.4675976 2022-12-09T11:15:29.6012761 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Haitham A. Alzghaibi 1 Hayley Hutchings 0000-0003-4155-1741 2 62151__26052__17ed739949fc4ebdafd9ad5349ae226e.pdf 01f6ee45-4f00-4b2e-b249-f7fd611489a5.pdf 2022-12-09T11:20:23.7903732 Output 1137447 application/pdf Version of Record true false
title Exploring facilitators of the implementation of electronic health records in Saudi Arabia
spellingShingle Exploring facilitators of the implementation of electronic health records in Saudi Arabia
Hayley Hutchings
title_short Exploring facilitators of the implementation of electronic health records in Saudi Arabia
title_full Exploring facilitators of the implementation of electronic health records in Saudi Arabia
title_fullStr Exploring facilitators of the implementation of electronic health records in Saudi Arabia
title_full_unstemmed Exploring facilitators of the implementation of electronic health records in Saudi Arabia
title_sort Exploring facilitators of the implementation of electronic health records in Saudi Arabia
author_id_str_mv bdf5d5f154d339dd92bb25884b7c3652
author_id_fullname_str_mv bdf5d5f154d339dd92bb25884b7c3652_***_Hayley Hutchings
author Hayley Hutchings
author2 Haitham A. Alzghaibi
Hayley Hutchings
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container_title BMC Medical Informatics and Decision Making
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publishDate 2022
institution Swansea University
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doi_str_mv 10.1186/s12911-022-02072-5
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
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description IntroductionThe introduction of information technology was one of the key priorities for policy-makers in health care organisations over the last two decades due to the potential benefits of this technology to improve health care services and quality. However, approximately 50% of those projects failed to achieve their intended aims. This was a result of several factors, including the cost of these projects. The Saudi Ministry of Health (MoH) planned to implement an electronic health record system (EHRS) in approximately 2100 primary health care centres nationwide. It was acknowledged that this project may face hurdles, which might result in the failure of the project if implementation facilitators were not first determined. According to the Saudi MoH, previous electronic health record system implementation in primary health care centres failed as a consequence of several barriers, such as poor infrastructure, lack of connectivity and lack of interoperability. However, the facilitators of successful electronic health record system implementation in Saudi primary health care centres are not understood.AimTo determine the facilitators that enhance the success of the implementation of an EHRS in public primary health care centres in SA.MethodA mixed methods approach was used with both qualitative and quantitative methods (qualitative using semistructured interviews and quantitative with a closed survey). The purpose of the utilisation of exploratory mixed methods was to identify a wide range of facilitators that may influence EHRS implementation. The data were obtained from two different perspectives, primary health care centre practitioners and project team members. A total of 351 practitioners from 21 primary health care centres participated in the online survey, and 14 key informants at the Saudi Ministry of Health who were directly involved in the electronic health record system implementation in the primary health care centres agreed to be interviewed face to face.ResultsThe findings from both studies revealed several facilitators. Among these facilitators, financial resources were found to be the most influential factor that assisted in overcoming some barriers, such as software selection. The size of the primary health care centres was the second facilitator of successful implementation, despite the scale of the project. Perceived usefulness was another facilitator identified in both the interviews and the survey. More than 90% of the participants thought that the electronic health record system was useful and could contribute to improving the quality of health care services. While a high level of satisfaction was expressed towards the electronic health record system’s usability and efficiency, low levels of satisfaction were recorded for organisational factors such as user involvement, training and support. Hence, system usability and efficiency were documented to be other facilitators of successful electronic health record system implementation in Saudi primary health care centres.ConclusionThe findings of the present study suggest that sufficient financial support is essential to enhance the success of electronic health record system implementation despite the scale of the project. Additionally, effective leadership and project management are core factors to overcome many obstacles and ensure the success of large-scale projects.
published_date 2022-12-07T04:21:33Z
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