Background: Electronic medical record systems are increasingly incorporated into the healthcare systems of developing countries, including
Ethiopia, to improve the effectiveness and efficiency of the healthcare institutions.
Objective: The level of utilization and determinants of electronic medical record use among health professionals working in public health facilities
in Harari Regional State, Eastern Ethiopia
Methods: A facility- based cross-sectional study was conducted on 498 randomly selected health professionals at public health facility of Harari
Regional State, Eastern Ethiopia. Pre-tested, structured, and self-administered questionnaire was used to collect data. Data collection facilitators
were participated in the data collection process. Data were entered into Epi Data Version3.1, and exported to STATA version 14.2 for data processing
and analysis. Descriptive statistics were computed to describe the study variables. Bivariate and multivariate logistic regression analyses were
used to identify the predictors of the outcome variable. A p-value <0.05 at a 95% confidence level were considered as statistically significant.
Results: Of the total 551 approached health professionals, 498(90.3%) were returned the questionnaire. Out of this, 211(42.3%, 95% CI: 38, 46)
were using the electronic medical recording system. Females (AOR=0.40, 95% CI: .251-.66), professionals with good attitude (AOR=1.71, 95%
CI: 1.07, 2.72), professionals with good knowledge (AOR=2.48, 95% CI: 1.53- 4.00), and those having basic computer course (AOR= 4.45, 95%
CI: 2.17 – 9.10) were significantly associated with the EMR system utilization.
Conclusion and Recommendations: In the present study the utilization of Electro medical record system was low. Health professional with basic
computer courses, having good knowledge and a good attitude, were found to use an electronic medical record system. Therefore improving
knowledge and awareness of health professionals is important for scaling up the electronic medical record system used in facilities.