Qualitative comparative analysis of the impact of the digitalization of processes in the health sector in Peru
Keywords:
medical records; professional training; clinical record; digital technology.Abstract
The objective of this study was to analyze the impact of the digitalization of medical records in the cities of Lima and Callao, Peru, 2023, from the point of view of health and healthcare personnel. The results show that the electronic medical record is perceived by health and healthcare personnel as a valuable and relatively easy-to-use tool, generating a positive attitude towards its adoption. At the contextual level, doubts persist regarding the need for external support during implementation, compatibility with other existing systems and the fear of making mistakes when initially using this technology.
Downloads
References
Ahmed, M., et al. (2020). Intention to use electronic medical record and its predictors among health care providers at referral hospitals, north-West Ethiopia, 2019: using unified theory of acceptance and use technology 2(UTAUT2) model. BMC Medical Informatics and Decision Making, 20(1). https://doi.org/10.1186/s12911-020-01222-x
Amano, A., et al. (2023). Perspectives on the intersection of electronic health records and health care team communication, function, and well-being. JAMA Network Open, 6(5), e2313178. https://doi.org/10.1001/jamanetworkopen.2023.13178
Añel Rodríguez, R. M., García Alfaro, I., Bravo Toledo, R., & Carballeira Rodríguez, J. D. (2021). Historia clínica y receta electrónica: riesgos y beneficios detectados desde su implantación. Diseño, despliegue y usos seguros. Atencion primaria, 53(102220), 102220. https://doi.org/10.1016/j.aprim.2021.102220
Barbalho, I. M. P., et al. (2022). Electronic health records in Brazil: Prospects and technological challenges. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.963841
Crameri, K.-A., Maher, L., Van Dam, P., & Prior, S. (2022). Personal electronic healthcare records: What influences consumers to engage with their clinical data online? A literature review. Health Information Management : Journal of the Health Information Management Association of Australia, 51(1), 3–12. https://doi.org/10.1177/1833358319895369
El Peruano. Reglamento de la Ley N° 30024, Ley que crea el Registro Nacional de Historias Clínicas Electrónicas. En Lima, a los 22 días del mes de marzo, 2009. https://www.leyes.congreso.gob.pe/Documentos/Leyes/29414.pdf
Fennelly, O., et al. (2020). Successfully implementing a national electronic health record: a rapid umbrella review. International Journal of Medical Informatics, 144(104281), 104281. https://doi.org/10.1016/j.ijmedinf.2020.104281
Fonticoba Valdés, LislL., et al. (2018). Gestión de la historia clínica electrónica del servicio de Cirugía Refractiva. Revista de Ciencias Médicas de Pinar del Río, 22(4), 133-141. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942018000400015&lng=es&tlng=es.
Gardner, R., et al. (2019). Physician stress and burnout: the impact of health information technology. Journal of the American Medical Informatics Association: JAMIA, 26(2), 106–114. https://doi.org/10.1093/jamia/ocy145
Ge, S., Song, Y., Hu, J., Tang, X., Li, J., & Dune, L. (2022). The development and impact of adopting electronic health records in the United States: A brief overview and implications for nursing education. Health Care Science, 1(3), 186–192. https://doi.org/10.1002/hcs2.21
Hossain, A., Quaresma, R., & Rahman, H. (2019). Investigating factors influencing the physicians’ adoption of electronic health record (EHR) in healthcare system of Bangladesh: An empirical study. International Journal of Information Management, 44, 76–87. https://doi.org/10.1016/j.ijinfomgt.2018.09.016
Hoxha, K., Hung, Y. W., Irwin, B. R., & Grépin, K. A. (2022). Understanding the challenges associated with the use of data from routine health information systems in low- and middle-income countries: A systematic review. Health Information Management : Journal of the Health Information Management Association of Australia, 51(3), 135–148. https://doi.org/10.1177/1833358320928729
Li, E., Clarke, J., Ashrafian, H., Darzi, A., & Neves, A. L. (2022). The impact of electronic health record interoperability on safety and quality of care in high-income countries: Systematic review. Journal of Medical Internet Research, 24(9), e38144. https://doi.org/10.2196/38144
Ministerio de Salud (MINSA) (2022). Minsa lanza Historia Clínica Electrónica que agilizará atención en 21 establecimientos de salud en Lima Centro. https://dirislimacentro.gob.pe/minsa-lanza-historia-clinica-electronica-que-agilizara-atencion-en-21-establecimientos-de-salud-en-lima-centro/
Ministerio de Salud (MINSA). (2018). Norma Técnica de Salud para la Gestión de la Historia Clínica (R.M. Nº 214-2018/MINSA y R.M. Nº 265-2018/MINSA). Lima. http://bvs.minsa.gob.pe/local/MINSA/4379.pdf
Ministerio de Salud (MINSA). Documento técnico el sistema de información de historias clínicas electrónicas SINCE del MINSA a ser implementado en las instituciones prestadoras de servicios de salud del ministerio de salud y de los gobiernos regionales del primer, segundo y tercer nivel de atención, año 2022. https://www2.congreso.gob.pe/sicr/cendocbib/con5_uibd.nsf/C51E9C42D7322734052588BF004E9BD2/$FILE/DocumentoTécnico.pdf
Morejón-Palacio, J. & González-Rodríguez, Raidel. (2022). Acercamiento a la historia clínica electrónica en el contexto de la informatización en salud. Revista Médica Electrónica, 44(2), 403-412. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242022000200403&lng=es&tlng=es.
Musriati, I., Abdullah, M. T., & Kadir, R. (2020). Management of medical record in installation of inpatient Regional Public Hospital Batara Guru Belopa. Enfermeria Clinica, 30, 481–483. https://doi.org/10.1016/j.enfcli.2019.10.125
Noseworthy, J. (2019). The future of care — preserving the patient–physician relationship. The New England Journal of Medicine, 381(23), 2265–2269. https://doi.org/10.1056/nejmsr1912662
Ragin, C. & Davey, S. (2022). User’s Guide to Fuzzy-Set/Qualitative Comparative Analysis 4.0. Department of Sociology, University of California, Irvine. https://sites.socsci.uci.edu/~cragin/fsQCA/download/fsQCAManual.pdf
Reegu, F. A., Abas, H., Jabbari, A., Akmam, R., Uddin, M., Wu, C.-M., Chen, C.-L., & Khalaf, O. I. (2022). Interoperability requirements for blockchain-enabled electronic health records in healthcare: A systematic review and open research challenges. Security and Communication Networks, 2022, 1–11. https://doi.org/10.1155/2022/9227343
Shachak, A., Kuziemsky, C., & Petersen, C. (2019). Beyond TAM and UTAUT: Future directions for HIT implementation research. Journal of Biomedical Informatics, 100(103315), 103315. https://doi.org/10.1016/j.jbi.2019.103315
Shaharul, N. A., Ahmad Zamzuri, M. ‘ammar I., Ariffin, A. A., Azman, A. Z. F., & Mohd Ali, N. K. (2023). Digitalisation medical records: Improving efficiency and reducing burnout in healthcare. International Journal of Environmental Research and Public Health, 20(4), 3441. https://doi.org/10.3390/ijerph20043441
Shiferaw, K. B., & Mehari, E. A. (2019). Modeling predictors of acceptance and use of electronic medical record system in a resource limited setting: Using modified UTAUT model. Informatics in Medicine Unlocked, 17(100182), 100182. https://doi.org/10.1016/j.imu.2019.100182
Sterrett, L., et al (2023). Preparing for the next generation of electronic health records. Deloitte Insights. https://www2.deloitte.com/za/en/insights/industry/health-care/ehr-systems-the-future-of-electronic-health-records.html
Tertulino, R., Antunes, N., & Morais, H. (2024). Privacy in electronic health records: a systematic mapping study. Zeitschrift Für Gesundheitswissenschaften [Journal of Public Health], 32(3), 435–454. https://doi.org/10.1007/s10389-022-01795-z
Tsai, M.-F., et al. (2019). Understanding physicians’ adoption of electronic medical records: Healthcare technology self-efficacy, service level and risk perspectives. Computer Standards & Interfaces, 66(103342), 103342. https://doi.org/10.1016/j.csi.2019.04.001
Zulkipli F.N., Hussin, N., Yatin, S., Ismail, A. (2022). Review: Challenges and obstacles of trusted elements for mobile health records management. In: International Academic Symposium of Social Science 2022. Basel Switzerland: MDPI.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Jackeline Díaz Zúñiga, Alberto Adrián Crisostomo Mateo, Katherine Beatriz Díaz Zúñiga
This work is licensed under a Creative Commons Attribution 4.0 International License.
Sociología y tecnociencia is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
The journal allows the authors to retain publishing rights. Authors may reprint their articles in other media without having to request authorization, provided they indicate that the article was originally published in Sociología y Tecnociencia.
