Volume 10, Issue 3 (Autumn 2024)
JMIS 2024, 10(3): 263-276 |
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Ethics code: IR. MUMS. REC.1398.291
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Meraji M, Mahmoodian S S, Mosa Farkhani E, Forghani Azghandi A. Challenges of the electronic health record in the care of pregnant mothers: Healthcare midwives’ viewpoint. JMIS 2024; 10 (3) :263-276
URL: http://jmis.hums.ac.ir/article-1-528-en.html
URL: http://jmis.hums.ac.ir/article-1-528-en.html
M.Sc in Medical Records, Department of Health Information Technology, School of Paramedical Sciences and Rehabilitation, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract: (972 Views)
Introduction: Electronic health records can advance the quality of health care for society, especially mothers. On the other hand, implementation in primary care centers has faced challenges. The study was conducted to identify the experiences of health care midwives from the electronic health record system of Mashhad University of Medical Sciences known as “SINA” caring for pregnant.
Methods: This qualitative study was conducted using the thematic analysis method. The participants were healthcare midwives in the primary health centers of Mashhad. An unstructured interview approach was used to gather opinions, thus 14 midwives with one year of experience working with the “SINA” system in primary health centers were interviewed. The analysis was done as described by Braun and Clarke.
Results: The challenges of working with the system were identified and categorized three main themes of management, information and technical challenge. Management challenges consisted of two sub-themes of work process and structure, data challenges in the field of quality and volume. Two sub-themes of Network Issues and Software Usability were categorized in the field of technical.
Discussion: Healthcare systems must regularly evaluate electronic health records to adapt to changing needs. In this regard, it is necessary to pay attention to users and meet their needs, redesign the work process, and increase cooperation between healthcare providers, policymakers, and developers. Also, the functional implementation of the referral system, the creation of electronic system capabilities, and the ability to interact and transfer information with other country-level systems are necessary for the “SINA” system.
Methods: This qualitative study was conducted using the thematic analysis method. The participants were healthcare midwives in the primary health centers of Mashhad. An unstructured interview approach was used to gather opinions, thus 14 midwives with one year of experience working with the “SINA” system in primary health centers were interviewed. The analysis was done as described by Braun and Clarke.
Results: The challenges of working with the system were identified and categorized three main themes of management, information and technical challenge. Management challenges consisted of two sub-themes of work process and structure, data challenges in the field of quality and volume. Two sub-themes of Network Issues and Software Usability were categorized in the field of technical.
Discussion: Healthcare systems must regularly evaluate electronic health records to adapt to changing needs. In this regard, it is necessary to pay attention to users and meet their needs, redesign the work process, and increase cooperation between healthcare providers, policymakers, and developers. Also, the functional implementation of the referral system, the creation of electronic system capabilities, and the ability to interact and transfer information with other country-level systems are necessary for the “SINA” system.
Keywords: Electronic Health Records, Integrated Health Care Systems, Primary Health Care, Maternal Health, Pregnant Women.
Type of Study: Research |
Subject:
Special
Received: 2024/05/1 | Accepted: 2024/08/20 | Published: 2024/12/20
Received: 2024/05/1 | Accepted: 2024/08/20 | Published: 2024/12/20
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