Barriers and facilitators to Electronic Medical Record (EMR) use in an urban slum

Highlights • Lack of systems (interoperability) hinder successful adoption causing resistance to change. • Social factors outweigh system and software factors. • Financial and non-financial incentives are important to clinic staff. • Social challenges unique to urban slums, EMRs can support identity...

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Bibliographic Details
Published in:International journal of medical informatics (Shannon, Ireland) Ireland), 2016-10, Vol.94, p.246-254
Main Authors: Jawhari, Badeia, Keenan, Louanne, Zakus, David, Ludwick, Dave, Isaac, Abraam, Saleh, Abdullah, Hayward, Robert
Format: Article
Language:English
Subjects:
Diffusion of Innovation
Electronic Health Records - utilization
Electronic Medical Record
Global health
Health information system
Humans
Internal Medicine
Interviews as Topic
Kenya
Nairobi
Other
Physicians - psychology
Poverty Areas
Primary care
Primary Health Care
Qualitative inquiry
Qualitative Research
Urban slum
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Summary:Highlights • Lack of systems (interoperability) hinder successful adoption causing resistance to change. • Social factors outweigh system and software factors. • Financial and non-financial incentives are important to clinic staff. • Social challenges unique to urban slums, EMRs can support identity management. • Sustainability of systems, software and social factors must be addressed.
ISSN:1386-5056
1872-8243
DOI:10.1016/j.ijmedinf.2016.07.015