Adaptive Design of an Electronic Health Record Apps Using a User-Centered Design process and Study of Physician Perspectives on Adaptation: A Cameroon Hospital Case Study
Abstract - The application of information and communication technologies to health care is a rapidly expanding domain in Cameroon. Given the promise of information technologies to improve communication, sharing information between various care providers, physicians, nurses, medical residents, and others interested parties in the medical field and tracking of health care, the policy-makers have begun to promote the adoption of Electronic Medical Records (EMRs). These are patient-centric health systems which have been extolled for their ability to address the storage, transport, exchange, and up keep problems associated with paper records. A successful implementation of EHR systems into clinical practice requires in-depth knowledge of the users’ preferences. There is a need to ensure that HER systems meet the usability standards in order to achieve the expectations from users and health care stake holders. EHR usability indicates the effectiveness, efficiency and satisfaction with which specific users can achieve a specific set of tasks in a particular environment. A well designed and usable HER workflows have an outsized influence on the care experience for the most essential stakeholders —patients and clinicians. Poor EHR design leads to increased clinician burnout and reduced time with patients. Key motivation for this thesis is the current central questions of innovation in health care: “New digital health technologies offer tremendous potential. However, in order for these technologies to lead to the patient outcomes we all desire they have to be designed, developed, and implemented with patient and clinician needs in mind.” The most significant limitation to EHRs use in the country right now is that while some hospitals and large physician practices are equipped to deliver care in this way, most hospitals and private practices are not. The study is encouraged that governments at all levels are making policy changes to promote its use.