{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:20:08Z","timestamp":1772166008360,"version":"3.50.1"},"reference-count":70,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,12,26]],"date-time":"2021-12-26T00:00:00Z","timestamp":1640476800000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Norsk etat for utviklingssamarbeid","award":["QZA-0484"],"award-info":[{"award-number":["QZA-0484"]}]},{"name":"Norsk etat for utviklingssamarbeid","award":["QZA-0484"],"award-info":[{"award-number":["QZA-0484"]}]},{"name":"Norsk etat for utviklingssamarbeid","award":["QZA-0484"],"award-info":[{"award-number":["QZA-0484"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Inform Decis Mak"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Electronic medical records systems (EMRs) adoption in healthcare to facilitate work processes have become common in many countries. Although EMRs are associated with quality patient care, patient safety, and cost reduction, their adoption rates are comparatively low. Understanding factors associated with the use of the implemented EMRs are critical for advancing successful implementations and scale-up sustainable initiatives. The aim of this study was to explore end users\u2019 perceptions and experiences on factors facilitating and hindering EMRs use in healthcare facilities in Kenya, a low- and middle-income country.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two focus group discussions were conducted with EMRs users (n\u2009=\u200920) each representing a healthcare facility determined by the performance of the EMRs implementation. Content analysis was performed on the transcribed data and relevant themes derived.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six thematic categories for both facilitators and barriers emerged, and these related to (1) system functionalities; (2) training; (3) technical support; (4) human factors; (5) infrastructure, and (6) EMRs operation mode. The identified facilitators included: easiness of use and learning of the system complemented by EMRs upgrades, efficiency of EMRs in patient data management, responsive information technology (IT) and collegial support, and user training. The identified barriers included: frequent power blackouts, inadequate computers, retrospective data entry EMRs operation mode, lack of continuous training on system upgrades, and delayed IT support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Users generally believed that the EMRs improved the work process, with multiple factors identified as facilitators and barriers to their use. Most users perceived system functionalities and training as motivators to EMRs use, while infrastructural issues posed as the greatest barrier. No specific EMRs use facilitators and\/or barriers could be attributed to facility performance levels. Continuous evaluations are necessary to assess improvements of the identified factors as well as determine emerging issues.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12911-021-01737-x","type":"journal-article","created":{"date-parts":[[2021,12,26]],"date-time":"2021-12-26T00:02:22Z","timestamp":1640476942000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Users\u2019 perception on factors contributing to electronic medical records systems use: a focus group discussion study in healthcare facilities setting in Kenya"],"prefix":"10.1186","volume":"21","author":[{"given":"Philomena N.","family":"Ngugi","sequence":"first","affiliation":[]},{"given":"Martin C.","family":"Were","sequence":"additional","affiliation":[]},{"given":"Ankica","family":"Babic","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2021,12,26]]},"reference":[{"issue":"2","key":"1737_CR1","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1097\/PEC.0b013e3181ce2f99","volume":"26","author":"DJ Chisolm","year":"2010","unstructured":"Chisolm DJ, Purnell TS, Cohen DM, McAlearney AS. 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The Ministry of Health (MoH) also approved the study. Permission to collect data was obtained from County Directors of Health of each county as well as Service Delivery Partners (SDPs) responsible for EMRs implementations and HIV data at the facility level. Participants were informed that participation in the focus group was voluntary and they were free to leave the discussion at any time. Privacy and confidentiality were ensured by not revealing the identities of the participants, nor the facilities and SDPs organizations that took part in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors report no competing interests to declare.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The findings and conclusions in this publication are those of the author(s) and do not necessarily represent the official position of the funding agencies.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclaimer"}}],"article-number":"362"}}