Abstract of Dissertation

Keyword : EMR; EMR Adoption Model; HIS

Objective : To identify the current scenario of EMR adoption in hospitals of Bangalore in India. To identify the barriers in EMR Implementation and Adoption by the hospitals and to identify the ways to overcome these barriers

Background : Electronic Medical Records are digitalized individual patient record that can be developed, compiled, maintained, and pertains to a single health care facility. EMR’s have many benefits like improved information collection, staff efficiency, intercommunication, access to information and diminished medical errors. They are also instrumental in improving quality of care and reducing costs. Yet, Paper based records are still being used in majority of health care facilities. However, the adoption of EMR is very low in India. This study aims to find out the reasons for the low adoption and to identify the ways in which the EMR adoption can be increased.

Methodology : A Cross-sectional study was carried out in 15 health care facilities of Bangalore. The tool for the study was structured questionnaire. The hospitals were purposively selected. The sample includes single- specialty, multi - specialty and stand-alone clinics. The respondents for the questionnaire were doctors, nurses, and people from the administrative staff. The hospitals which refused to co-operate and share information were not included in the study.

Findings : According to the survey, maximum hospitals are in Stage 1 with a few in transitions towards Stage 2 of the HIMMS EMR Adoption Model. The major barriers for adoption of EMR were IT support (49%), Financial considerations (31%), The major facilitators for EMR were found to be financial rewards and benefits(30.63%) followed by training(27.03%)

Recommendations : Lack of financial support, IT support along with lack of awareness about the benefits of EMR among the health care professionals seemed to be the major obstacles on the road to EMR adoption.