Effect of electronic medical record utilization on Depression, anxiety and stress among doctors and Nurses in johor
Healthcare systems throughout the world and in Malaysia are transforming from industrial age healthcare system to information and communication age healthcare system. This transformation will support and strengthened by telemedicine. However, many doctors and nurses are facing with the challenges...
Saved in:
| Main Author: | |
|---|---|
| Format: | Thesis |
| Language: | English |
| Published: |
2012
|
| Subjects: | |
| Online Access: | http://eprints.usm.my/60958/1/DR%20AHMAD%20FAIRUZ%20BIN%20MOHAMED%20-%20e.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Healthcare systems throughout the world and in Malaysia are transforming from industrial
age healthcare system to information and communication age healthcare system. This
transformation will support and strengthened by telemedicine. However, many doctors and nurses are facing with the challenges and obstacles of this implementation of electronic medical record. Thus, this study was designed to evaluate the effect of electronic medical
record utilization on depression, anxiety and stress among doctors and nurses in Johor.
A comparative cross-sectional study was conducted between January till April 2012 among
doctors and nurses in Hospital Sultan Ismail, Johor Bharu (HSIJB) which using electronic
medical record and Hospital Pakar Sultanah Fatimah, Muar (HPSF) using manual medical
record. There were 130 respondents with response rate 91% for electronic medical record
and 123 respondents with response rate 86% for manual medical record. Data was collected using self-administered questionnaire which consists of socio-demographic and occupational characteristics and validated Malay version of Depression, Anxiety, Stress
Scales-21 items (DASS-21). The mean (SD) age of respondents electronic medical record and manual medical record
group were 34.7 (9.42) and 29.7 (6.15). The mean (SD) duration of respondents using
electronic medical record was 46.1 (35.83) months. The prevalence of depression, anxiety
and stress among respondents using electronic medical record were 6.9%, 25.4% and 12.3%. There were no significance difference proportion of depression, anxiety and stress
between respondents using electronic medical record and manual medical record. In
multivariable analysis, the significant factors associated with depression among
respondents using electronic medical record was age (OR 1.10, 95% CI 1.02,1.19). The
significant factors associated with stress among respondents using EMR was marital status
(OR 3.33, 95% CI 1.10,10.09) and borderline significant was computer skill course (OR
2.94, 95% CI 0.98,8.78). There was no significant factor associated with anxiety among
respondents using electronic medical record. The prevalence of depression, anxiety and stress respondents using electronic medical
record were within range of prevalence depression, anxiety and stress in Malaysia and
worldwide. There were no different in mental health outcome among those doctors and
nurses using electronic medical record compared to manual medical record. This reflects
the successful of Telehealth projects in Malaysia by Ministry of Health and also may reflect
the good coping mechanism. In this study, we were found that age was predicted factor for
depression among respondents using electronic medical record. We also able to show that
computer skill course and marital status were factors that associated with stress level
among respondents using electronic medical record. |
|---|