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In our setting, regarding EMR usage,
The good points are that:
Near real-time data – we can access data more efficiently and timely, enabling us to track, monitor, supervise and take action timely.
Easy integration of information systems (for example, LMIS & HRIS) – as we aim to go further for more data integration, adopting of EMR will enable us to integrate with other digital systems more efficiently and effectively. It enhances interoperability and utilization.
Meaningful insights from data analysis– as we are able to get the required information from the EMR, we can draw insights and identify trends to make data-driven decisions for program improvement.
Information retrieval – data stored in cloud server is safer than physical paper storage, especially in conflict affected zones, and they can be retrieved anytime needed.
Reduce redundancy– we do not need to enter patients’ identifier information at each visit. By streamlining data flow and reducing fragmentation, staff no longer need double or triple data entry. It can significantly reduce errors.
Enhance reporting and accountability – Automated reporting features in EMR improve data quality and increase transparency.Bad points of Using EMR:
Increase workload – especially if we do not have enough human resource for EMR work, staff can be more burdening in transition time from paper-record to EMR.
Reduce patient interaction – staff spending more time on data entry can affect face-to-face interaction with patients.
Disturb workflow during poor internet connectivity– this can lead to delay EMR use and users’ frustration.
Need regular supervision and technical support – EMR requires continuous supervision, troubleshooting whenever necessary to enhance sustainability
Training – Adequate training and ongoing support is critical to use EMR effectively. Sessions on tailored capacity building plans should be introduced beforehand.
Technical challenges – Software and hardware failures can disrupt workflow and delay service delivery. -
The good points include:
Easy to find patient records
With EMR, doctors and nurses can quickly search patient information on a computer. This saves time compared to looking for paper files, which is common in Myanmar clinics.
Better patient care
EMR keeps complete patient history, including previous visits, treatments, and test results. This helps healthcare workers make better decisions and improves continuity of care.
Less loss of records
Paper records in Myanmar are often lost, damaged, or incomplete. EMR reduces this problem because data are stored electronically.
Saves time and improves work efficiency
Registration, reporting and record keeping become faster with EMR. This is helpful in busy clinics that see many patients every day.
Useful for reporting and planning
EMR makes it easier to prepare reports for hospital management and health programs, which is difficult with paper-based records.The bad points include:
High cost
EMR needs computers, software, and technical support. Many healthcare facilities in Myanmar have limited budgets.
Electricity and internet problems
Power cuts and poor internet connection are common in Myanmar. When electricity is not available, EMR systems cannot be used.
Need for training
Many healthcare workers in Myanmar have limited computer skills. Training is needed, and during the change period staff may have more work.
Data privacy and security concerns
Electronic records can be accessed by unauthorized people if security is weak. Myanmar does not yet have strong data protection laws.
Resistance to change
Some staff prefer paper records because they are familiar. Using computers during consultations may also reduce face-to-face communication with patients.
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