TITLE : Existing Knowledge, Attitude and Practice (KAP) of doctors toward EMR

system

Submitted by:Dr. Mamta Gupta

Introduction

KAP:

A KAP(knowledge, attitude and practices) survey is a representative study of a group of population to gather the information what is known, believed and done in context to a particular topic.

In KAP survey data is collected orally through a structured questionnaire i.e. sample population being interviewed. The collected data is then analyzed as per the design of study

EMR

Electronic medical record (EMR) are computerized medical information systems that includes collection, storage and display of individual patient’s clinical records.

EMR has clinical and research benefits as like; Reduce medical errors, prescription errors Quality Patient care Trends of shift of diseases Protect patient ‘s medical information

Rationale of study

EMR/EHR is adopted in many countries like Netherland, UK ,USA with adoption rate of more than 90%.India is still trailing at 18%.

Limited studies are conducted on gathering information regarding knowledge and attitude of doctors toward EMR in India.

Bangalore and Jaipur are the targeted segments of HP where they intended to grow further.

KAP survey help us give idea of; knowledge gaps, set of beliefs or behavior patterns among

respondents and gave a brief about their interests in EMR.

Review of literature

Kumar BD, Kumari CM, Sharada MS, Mangala MS.(2012) ,Evaluation of the medical records system in an upcoming teaching hospital-a project for improvisation

Al-Mujaini A, Al-Farsi Y, Al-Maniri A, Ganesh A(2011) ,Satisfaction and perceived quality of an electronic medical record system in a tertiary hospital in Oman

Lee KH, Bae WK, Han JS, Yoo S, Kim JS, Yun J, Baek HY, Baek RM, Hwang H( 2012) ,Monitor preference for electronic medical record in outpatient clinic

Vusi Shiba, M. Mahajan and M.mars(2011), KAP survey of final year Nelson R Mandela School of medicine toward use of EMR.

Objectives

General: To understand existing knowledge of, attitude toward and practices of use of EMR system among doctors.Specific: To understand the existing knowledge of EMR software among

doctors of Bangalore and Jaipur. To understand attitude of doctors toward EMR software. To understand existing practices of use of EMR. To generate awareness of EMR among doctors of Bangalore and

Jaipur.

Methodology

Study design : Descriptive

Study area : Bangalore and Jaipur

Study population : Doctors

Sample design : Convenient

Sample size : 100

Contd.

Data collection- Primary Data : Data collected through a structured

questionnaire

Tools : Questionnaire

Techniques : By Interview

Data analysis : SPSS and Excel

Findings from Knowledge components

NO YES

1322

50

15

DO YOU KNOW ABOUT EMR

Bangalore Jaipur

NO YES

1223

4718

DO YOU USE COMPUTERS

Bangalore Jaipur

Findings from Knowledge components

NO YES

2510

72

13

DO YOU KNOW EMR BENEFITS

Bangalore Jaipur

NO YES

296

65

0

DO YOU ABOUT ANY EXIST-ING EMR SOFTWARE

Bangalore Jaipur

Findings from Attitude components

5 812 10

1922 13

11

EMR IS/WILL BE BENEFCIAL

Bangalore Jaipur

20

22

18 5

156

14

EMR STORES RELEVANT PT.’S DATA

Findings from Attitude components

Stro

ngly a

gree

Agre

e

Not sur

e

Disag

ree

14 6 15

35

1713

THE SOFTWARE WILL REDUCE WORK TIME

Bangalore Jaipur

1

39

151018

11 6

THE SOFTWARE WILL REDUCE WORK TIME

Bangalore Jaipur

Findings from Attitude components

Stro

ngly a

gree

Agre

e

Not sur

e

Disag

ree

113 17

4

28

248

5

IT CAN BE EASILY USED FOR REFERRAL SERVICES

Bangalore Jaipur

Stro

ngly a

gree

Agre

e

Not sur

e

Disag

ree

239 3

2829

8

THE SOFTWARE WILL BE COST EFFECTIVE IN

LONGRUN

Bangalore Jaipur

Findings from Attitude components

Strongly agree

Agree Not sure Disagree No reply3

1810

2 21

27

26

8 1

I AM LIKELY TO ADOPT EMR IN FUTURE

Bangalore Jaipur

Findings From Practices component

NO YES

30

5

65

HAD PRACTICED EMR

Bangalore Jaipur

NO YES

278

65

CURRENTLY PRACTICING EMR

Bangalore Jaipur

FINDINGS

Discussion

The data collected from the study of KAP among doctors of Bangalore and Jaipur toward EMR was analyzed. Following are the key findings;

%age of Respondents having EMR Knowledge

%age of Respondents practiced/practicing EMR systems Cities Currently Practicing EMR Ever Practiced EMR

Bangalore 23 14

Jaipur 0 0

Cities Responses

Bangalore 63

Jaipur 23

Contd.

%age of various attitude components of Respondents toward EMR

Components Strongly agree

Agree Not sure Disagree Strongly disagree

EMR is/will be Beneficial

24 30 25 21 -

Store relevant Pt. data

20 37 24 19 -

Reduce work time - 49 23 28 -

Reduce work load 1 57 26 16 -

Used for referrals 29 37 25 9 -

Cost effective - 51 38 11 -

Intend to adopt EMR

4 48 36 10 2

Reliability Test

Reliability Statistics

Cronbach's Alpha

Cronbach's Alpha Based on

Standardized Items N of Items

.777 .749 13

Reliability test was done in Spss to know whether tools used for study are reliable. After test it was seen that Cronbach’s alpha value comes to be above 0.7 which meant that tools have good reliability.

Conclusion

All the data collected was primary from two cities i.e. Bangalore and Jaipur.

KAP survey was conducted and it was found that knowledge of EMR systems were more in Bangalore.

Respondents with practice components i.e. who are currently using EMR or ever used EMR were also more in Bangalore.

Attitude components show diversity with each parameters in both the cities.

Recommendations

To met underline objective to launch in the targeted segments i.e. Bangalore and Jaipur further, findings should be incorporated to;

⨮ Generating Awareness of EMR & its benefits⨮ Providing training⨮ EMR system set up assistance⨮ Customization of system as per requirement⨮ Back up support

Limitations

Unequal sample size from both the cities limitizes to come to any comparative conclusions.

Targeted population was not divided as per different medical streams because sample design was random and convenient.

More analytical tests could be performed in SPSS but due to time constrain it was not done.

Business intelligence tool that is tableau software couldn’t be used to represent data due to time constrain.

References

Sameer kumar, krista Aldrich (Dec. 2010), Overcoming barriers to electronic medical record (EMR) implementation in the US healthcare system: A comparative study

Journal title-Health informatics journal[available at http://jhi.sagepub.com/content/16/4/306.abstract]

John B. Smelcer,L. Kantrovich, Hal Miller(Feb. 2009), Usability of Electronic Medical Records

Journal title-Journal of usability studies[available at http://www.upassoc.org/upa_publications/jus/2009february/JUS_smelcer_Feb2009.pdf]