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Title: A communication model on electronic integration of patients’ health information and records management in tertiary hospitals
Authors: Akinyemi, Oluwatoyin Rhoda 
Keywords: Electronic health records;Electronic integration;Healthcare providers;Information and Communication Technology (ICT);Patients’ information
Issue Date: May-2023
Access to patient medical history information that is maintained by the provider
over time, which may include all of the key administrative and clinical data relevant
to people's care under a specific provider, such as demographics, progress notes,
problems, medications, vital signs, immunizations, laboratory data, and radiology.
Due to manual record keeping, reports may become cumbersome in retrieving and
putting patients in difficult situations before they can access healthcare services,
but they have been found to be easier and more reliable when integrated
The aim of the research was to develop a communication model for the electronic
integration of hospital patient health information and records management,
highlighting the flow of communication between members of the health team
contributing to patient care in tertiary hospitals.
A convergent parallel mixed methods approach was used to guide the study. 61
Health Information Management Professionals were used for the quantitative
study using the questionnaire. 20 selected healthcare professionals across various
disciplines who were managing patients with electronic health records were
involved in the qualitative study, where they were asked to provide answers to
online interview guide questions. Analysis of the quantitative data was done using
frequency tables, percentages, one sample statistics test, a t-test and other
statistical tests, while content analysis using the four stages was employed to
analyse qualitative data Findings
Results from both quantitative and qualitative methods showed that staff
proficiency in computer/software skills was rated highest for MS Word while the
lowest was for MS Access. There was also significant proof that environmental
support exists for the implementation of electronic health records (EHRs) in
hospitals. EHRs offer numerous benefits that manual methods do not, such as a
reduction in patients’ waiting time, easy accessibility, faster ward rounds,
enhanced confidentiality and a reduction in staff workload, to mention a few.
Barriers to successful implementation and integration were also highlighted,
including staff shortages, large numbers of patients, and a lack of information and
communication technology navigation skills among workers. Poor staff attitudes
towards EHR, a lack of necessary training, and inadequate funding had moreover
been found to be the barriers to the electronic integration of patients’ health
information and records management.
Thesis submitted in fulfilment of the requirements for the Philosophiae Doctor in Health Sciences at the Durban University of Technology, Durban, South Africa, 2023.
Appears in Collections:Theses and dissertations (Health Sciences)

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