Utilization and Associated Factors of Electronic Medical Record Systems Among Health Professionals at Tikur Anbessa Specialized Hospital Addis Ababa, Ethiopia, 2025: An Institution Based Cross Sectional Study.
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Date
2025-06-28
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Addis Ababa University
Abstract
Background: - An electronic medical record system is a digital alternative to traditional paper
charts, designed to store detailed patient health information. Its' implementation has the potential
to improve healthcare quality and patient safety. The successful utilization of the system largely
depends on the knowledge and attitudes of health professionals and other influencing factors.
Objective: - to assess utilization and associated factors of electronic medical record systems
among health professionals Tikur Anbessa specialized hospital Addis Ababa, Ethiopia, 2025.
Methods: -An institution-based cross-sectional study was conducted from March 10 to 30, 2025.
Study participants were selected using a simple random sampling technique, with the sample size
proportionally allocated based on profession. Data was collected using a pretested, structured
questionnaire through the Kobo Toolbox application. Statistical analysis was performed using the
Statistical Package for Social Sciences version 25. Multivariable logistic regression was
employed to identify factors associated with electronic medical record system utilization, using
adjusted odds ratios with 95% confidence intervals, and a significance level set at p < 0.05.
Result: - A total of 410 respondents participated in the study, with a response rate of 97%. The
overall utilization, good knowledge, and favorable attitude toward Electronic Medical Record
System was 88%, 73.2%, and 75.4% respectively. Being male (AOR=2.254; 95%CI = 1.127,
4.509), used the system for > 2 years (AOR=3.320; 95% CI=1.594, 6.916), having part-time in
private hospitals (AOR=2.308; 95%CI=1.029, 5.180), departmental enforcement (AOR=2.051;
95%CI=1.041, 4.040), favorable attitude (AOR=2.212; 95%CI= 1.046, 4.678), and good
knowledge (AOR=3.255; 95%CI=1.046,10.131) were significantly associated factors with
utilization of the system.
Conclusion: -The utilization of Electronic Medical Record Systems was found to be high,
supported by good knowledge and a favorable attitude. Strengthening ongoing training, technical
support, and consistent system enforcement is recommended. These actions can enhance
healthcare quality and improve patient data management efficiency.
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Keywords
Knowledge, Attitude, Utilization, Electronic Medical Record System, Ethiopia