Authors
1 Health Management and Economics Research Center, Isfahan University of Medical Sciences
2 Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
INTRODUCTION: Electronic medical record system (EMRS) is a valuable system for safe access
to the patient’s data and increases health care quality. Manpower is one of the requirements for
EMRS, among which manager is the most important person in any hospital. Taking into account
manager’s positive attitude and good commitments, EMRS will be implemented successfully. As
such, we decided to assess manager’s attitude and commitment toward EMRS in Isfahan hospitals
in the year of 2014.
AIM: This article aimed to determine the hospital managers’ attitude and commitment toward the
implementation of EMRS.
MATERIALS AND METHODS: The present article is an applied analytic study. Research society
consisted of the managers of all the hospitals in Isfahan that include hospitals affiliated to Isfahan
University of Medical Sciences, private, and social security hospitals. This study was done in 2014.
Data collection tools included a questionnaire for which reliability and validity were determined. Data
were analyzed by means of SPSS 20.
RESULTS: Average score for the managers’ attitude toward EMRS in the city of Isfahan was 77.5
out of 100 and their average score for commitment was 74.7. Manager’s attitude in social security
hospitals was more positive than the private and governmental ones (83.3%). In addition, the amount
of commitment by the managers in social security hospitals was higher than the same in private and
governmental hospitals (86.6%).
CONCLUSION: At present, managers’ attitude and commitment in Isfahan hospitals toward EMRS
are very high and social security hospitals show more readiness in this respect.
Keywords
of data mining. Health Inf Manage 2012;9:304.
2. Hajavi A, Sarbaz M, Moradi N. Medical Records (3) and (4).
Tehran: Electronic Publishing and Information Company Jahan
Rayaneh; 2003.
3. Gozali E, Langarizadeh M, Sadoughi F. A Survey of the Possibility
of Electronic Medical Records Implementation in Teaching
Hospitals Affiliated to Urmia University of Medical Sciences;
2013. Available from: http://www.unmf.umsu.ac.ir/browse.
php?a_code=A‑10‑1‑296&slc_lang=fa&sid=1. [Last accessed on
2014 Jun 12].
4. Sadooghi F, Aminpoor F. Standardization of EMRS. Teach Med
Sci 2012;11:1143. Available from: http://www.journals.mui.
ac.ir. [Last accessed on 2014 Jul 12].
5. Esalati A, Tofighi SH, Ebrahimi M. Importance of Electronic
Health Record and Requirement of Implementation. Proceedings
of the 2th National Congress Prevention Medicine, Health, Help
and Care. Aja University of Medical Sciences; 8‑11 September,
2012, Tehran, Iran. Available from: http://www.eprints.ajaums.
ac.ir/962/1/maghalat44.page205.pd. [Last accessed on 2014 Jul
03].
6. Ministry of Medical Health, Care and Education. The Center of
Statistic and Information Technology. Evaluation of the Indicators
of Hospital Information System; 2009. p. 13.
7. Carpenter PC. The electronic medical record: Perspective from
Mayo Clinic. Int J Biomed Comput 1994;34:159‑71.
8. Health Information Services. Electronic Health Record Systems.
Electronic Prescription Service, Online Services. Available from:
http: \\www.Takfab.hbi.ir. [Last accessed on 2014 Jul 15].
9. Lessig R. Documentation for Ambulatory Care. Ambulatory Care
Section. American Health Information Management Association.
Available from: http://www.ahima.org. [Last accessed on 2012
Apr 20].
10. Otieno GO, Hinako T, Motohiro A, Daisuke K, Keiko N.
Measuring effectiveness of electronic medical records systems:
Towards building a composite index for benchmarking hospitals.
Int J Med Inform 2008;77:657‑69.
11. Sadoughi F, Taheri AS, Meidani Z, Shahmoradi L. Management
Information Systems. 2nd ed. Tehran: Jafari; 2011.
12. Sadoughi F, Ghazisaeid M, Mehraji M, Kimiafar KH,
Ramezanghorbani N. Health Information Management
Technology. Tehran: Jafari; 2011.
13. Ketikidis P, Dimitrovski T, Lazuras L, Bath PA. Acceptance
of health information technology in health professionals: An
application of the revised technology acceptance model. Health
Informatics J 2012;18:124‑34.
14. Holden RJ, Karsh BT. The technology acceptance model: Its past
and its future in health care. J Biomed Inform 2010;43:159‑72.
15. Hu PJ, Chau PY. Physician acceptance of telemedicine technology:
An empirical investigation. Top Health Inf Manage 1999;19:20‑35.
16. Fozounkhah SH. Designing an Object‑oriented Message to
Support the Electronic Health Record [Ph.D Thesis]. Tehran: Iran
University of Medical Science; 2004.
17. Hypponen H, Doupi P, Tenhunen E. eHealth Strategy and RTD
Progress in Sweden. Report in the Framework of the eHealth ERA
Project. eHealth Policy and Deployment in the European Union.
European Commission Information Society and Media 2007.
Available from: http://www.ehealth‑era.org. [Last accessed on
2014 Jul 12].
18. Dehqan N, Fathi S, Garjamy Svalivand Zamani H. The impact
of management commitment, organizational commitment, job
satisfaction and performance of employees. J Manage Stud
Res (Improv Evol) 2013;67:97‑128.
19. McCarthy C, Eastman D. Change Management Strategies for an
Effective EMR Implementation. Chicago: Healthcare Information
and Management Systems Society; 2010.
20. Mirani N. Introduction to Health Data Management. Zanjan:
Zanjan University of Medical Sciences; 2012.
21. Holden RJ, Karsh BT. The technology acceptance model: Its past
and its future in health care. J Biomed Inform 2010;43:159‑72. 22. Jebraeily M, Piri Z, Rahimi B, Ghasemzadeh N, Ghasemirad M,
Mahmoodi A. Barriers of Electronic Health Records
Implementation. HIM J 2012;8:807‑14.
23. Asiri H, AlDosari B, Saddik B. Nurses’ attitude, acceptance and
use of Electronic Medical Records (EMR) in King Abdul Aziz
Medical City (KAMC) in Riyadh, Saudi Arabia. Merit Res J Med
Med Sci 2014; Vol. 2(3) pp. 66‑77. Available from: http://www.
meritresearchjournals.org/mms/index.htm. [Last accessed on
2014 December 6]
24. Rafiei M. Investigating Factors Influencing Users’ Acceptance
and Use of Electronic Medical Record Based on Technology
Acceptance Model at Central Oil Industry’s Clinic [Dissertation].
Isfahan: University of Medical Sciences Faculty of Management
and Medical Information; 2012.
25. Tavakoli N, Jahanbakhsh M. Opportunities and Threats in
Implementation of Electronic Health Record in View of Physicians
and Managers in Health Domain in Esfahan in 2009 [Dissertation].
Isfahan: University of Medical Sciences Faculty of Management
and Medical Information; 2009.
26. Ray A, Newell S. Exploring information security risks in
healthcare systems. In: Rodrigues J, editor. Health Information
Systems: Concepts, Methodologies, Tools and Applications. USA:
IGI Global; 2010. p. 1716‑18.
27. International Organization for Standardization. The ISO 27000
Directory. 2009. Available from: http://www. 27000.org.
2011. [Last accessed on 2011 March 26]
28. Department of Health and Human Services. Health Information
Privacy [Online]. 2011. Available from: http://www.hhs.gov/
ocr/privacy/hipaa/administrative/securityrule. [Last accessed
on 2011 Apr 6]
29. Boyter T. Planning Your EHR System: Guidelines for Executive
Management, 2006, MHCA/SATVA Task Force, USA.
)